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C
Below Standard

Orchard Valley Health and Rehabilitation

200 Heritage Circle · Hendersonville, NC 28791

8286935849 · For profit - Limited Liability company

134 beds94.4 residents226 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Orchard Valley Health and Rehabilitation receives an overall staffing grade of C (Below Standard). With 3.1364 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.524 HPRD, below the recommended 0.75. It is 0.76 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 5.94% compared to weekdays. The facility relies heavily on temporary agency staff (54.88% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1364 HPRD — needs 0.34 more hours per resident per day.
⚠️RN staffing (0.524 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️54.88% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 5.94% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.1364hrs/resident/day▼ 0.76
CMS benchmark: 3.48
RN HPRD
0.524hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
5.94%
3.19 weekday → 3.0004 weekend
Agency Staff
54.88%
28.72% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8841hrs/resident/day
Direct care aides
LPN HPRD
0.6126hrs/resident/day
Licensed practical nurses
Consistency
0.2304std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Henderson County Average-0.70 HPRD
3.83
03.14 HPRD
vs. North Carolina State Average-0.63 HPRD
3.77
03.14 HPRD
vs. National Average-0.76 HPRD
3.90
03.14 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Orchard Valley Health and Rehabilitation ★
Hendersonville · This facility
—
C
3.13640.524★☆☆☆☆
Carolina Village Inc
Hendersonville
3 mi
A+
6.69971.5261★★★★★
Valley Hill Health & Rehab Center
Hendersonville
4.1 mi
C
3.38760.4462★★☆☆☆
The Lodge at Mills River
Mills River
6.3 mi
B
3.57970.8773★★★★★
The Laurels Of Greentree Ridge
Asheville
13.9 mi
B
3.79221.0043★★★★★
StoneCreek Health and Rehabilitation
Asheville
14.4 mi
C
3.11990.4557★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
50
Total Deficiencies
$16,452
Fines Assessed
Jul 24, 2025Health
2 deficiencies cited
▼
Dec 6, 2024Health
26 deficiencies cited
▼
Jun 21, 2024Health
3 deficiencies cited· Includes actual harm
▼
Oct 13, 2023Health
8 deficiencies cited
▼
Jul 11, 2022Health
11 deficiencies cited
▼

Penalty History

Jun 21, 2024Fine
$16,452
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.