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Complaint Investigation

Orchard Valley Health And Rehabilitation

February 20, 2026 · Hendersonville, NC · 200 Heritage Circle
Citations 7
CMS Rating 1/5
Beds 134
Provider ID 345285
Healthcare Facility
Orchard Valley Health And Rehabilitation
Hendersonville, NC  ·  View full profile →
Inspection Summary

Orchard Valley Health and Rehabilitation in Hendersonville, NC — inspection on February 20, 2026.

Found 7 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0558
Resident Rights Deficiencies

received a shorter bed after the transfer. An interview was conducted on 02/20/26 at 1:21 PM with

facility computers and facility cell phones used to manage work orders) if a resident needed a larger

interview was conducted with the Administrator on 02/20/26 at 1:21 PM.

The Administrator confirmed nursing staff assessed residents for bed size when they were admitted to the facility. He stated the nursing assessment was a visual assessment and when a resident could express their needs nursing staff got verbal confirmation the resident was comfortable in the bed. He stated he expected residents to be in the proper sized bed.

345285 02/20/2026

Orchard Valley Health and Rehabilitation 200 Heritage Circle Hendersonville, NC 28791

Federal health inspectors cited Orchard Valley Health and Rehabilitation in Hendersonville, NC for a deficiency under regulatory tag F-F0638 during a standard health inspection conducted on 2026-02-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assure that each resident’s assessment is updated at least once every 3 months.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Orchard Valley Health and Rehabilitation.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-16.

Federal health inspectors cited Orchard Valley Health and Rehabilitation in Hendersonville, NC for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2026-02-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Orchard Valley Health and Rehabilitation.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-16.

Federal health inspectors cited Orchard Valley Health and Rehabilitation in Hendersonville, NC for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2026-02-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Orchard Valley Health and Rehabilitation.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-16.

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Federal health inspectors cited Orchard Valley Health and Rehabilitation in Hendersonville, NC for a deficiency under regulatory tag F-F0646 during a standard health inspection conducted on 2026-02-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Orchard Valley Health and Rehabilitation.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-16.

During an interview on 02/20/26 at 12:25 PM, the Director of Nursing stated she expected the residents to receive nutritional supplements as ordered.An interview with the Administrator on 02/20/26 at 2:45 PM revealed he expected residents to receive dietary supplements as ordered.

Federal health inspectors cited Orchard Valley Health and Rehabilitation in Hendersonville, NC for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2026-02-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Orchard Valley Health and Rehabilitation.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-03-16.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Hendersonville, NC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Orchard Valley Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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