Orchard Valley Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Orchard Valley Health and Rehabilitation is a 134-bed for-profit nursing home in Hendersonville, North Carolina, part of Ascent Healthcare Management. In the CMS August 2026 release it reported 2.09 nurse aide hours per resident per day, 11% below the North Carolina average of 2.34, and 73.5% nursing staff turnover (North Carolina average 49.0%).
Orchard Valley Health and Rehabilitation
200 Heritage CircleHendersonville, NC 28791
Henderson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Orchard Valley Health and Rehabilitation, nurse aides logged 2.09 hours per resident per day, 11% below the North Carolina average. With about 101 residents a day, that works out to roughly 211 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.09 | 2.34 | 2.32 |
| Licensed practical nurses | 0.59 | 0.89 | 0.86 |
| Registered nurses | 0.43 | 0.61 | 0.69 |
| All nursing staff | 3.11 | 3.83 | 3.86 |
| All nursing staff, weekends | 2.80 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
73.5% of nursing staff at Orchard Valley Health and Rehabilitation left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 71.4%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 20, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (North Carolina average 4.8). CMS lists 1 fine totaling $16,452 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 21, 2024 | Fine | $16,452 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Orchard Valley Health and Rehabilitation holds 1 of 5 overall; the North Carolina average is 2.9.
About Orchard Valley Health and Rehabilitation
- Ownership: For profit - Corporation
- Chain: Ascent Healthcare Management, 6 homes
- Legal name: Hendersonville NC Opco LLC
- Medicare and Medicaid certified since: Jun 30, 1988
- Councils: resident council
- Area: urban
Nursing homes near Orchard Valley Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Laurels of Hendersonville Hendersonville | 2.4 | 100 | 2.28 | 3.60 | 44.4% | 3 | $36,257 |
| The Greens at Hendersonville Hendersonville | 2.8 | 120 | 1.79 | 3.35 | 69.9% | 3 | $101,733 |
| Life Care Center of Hendersonville Hendersonville | 3.0 | 80 | 1.55 | 3.61 | 56.5% | 3 | $40,986 |
| Carolina Village Inc Hendersonville | 3.0 | 58 | 3.72 | 6.25 | 22.2% | 5 | None |
| Valley Hill Health & Rehab Center Hendersonville | 4.1 | 150 | 2.19 | 3.43 | 54.2% | 2 | $58,949 |
| Fletcher Rehabilitation and Healthcare Center Fletcher · abuse citation | 5.3 | 90 | 1.91 | 3.15 | 78.3% | 1 | $62,868 |
| Hendersonville Health and Rehabilitation Flat Rock | 6.0 | 130 | 2.33 | 3.50 | 37.1% | 5 | None |
| The Lodge at Mills River Mills River | 6.3 | 50 | 2.22 | 3.89 | 55.6% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.