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C
Below Standard

Valley Hill Health & Rehab Center

1510 Hebron Road · Hendersonville, NC 28739

8286938461 · For profit - Corporation

150 beds80 residents130 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

Valley Hill Health & Rehab Center receives an overall staffing grade of C (Below Standard). With 3.3876 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4462 HPRD, below the recommended 0.75. It is 0.51 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.62% compared to weekdays. The facility uses a moderate level of agency staff (12.4% of hours), suggesting some reliance on temporary workers.

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

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3876 HPRD — needs 0.09 more hours per resident per day.
⚠️RN staffing (0.4462 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.3876hrs/resident/day▼ 0.51
CMS benchmark: 3.48
RN HPRD
0.4462hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
16.62%
3.5545 weekday → 2.9639 weekend
Agency Staff
12.4%
35.51% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8444hrs/resident/day
Direct care aides
LPN HPRD
0.8219hrs/resident/day
Licensed practical nurses
Consistency
0.3507std 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-0.45 HPRD
3.83
03.39 HPRD
vs. North Carolina State Average-0.38 HPRD
3.77
03.39 HPRD
vs. National Average-0.51 HPRD
3.90
03.39 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
Valley Hill Health & Rehab Center ★
Hendersonville · This facility
—
C
3.38760.4462★★☆☆☆
Carolina Village Inc
Hendersonville
2.6 mi
A+
6.69971.5261★★★★★
Orchard Valley Health and Rehabilitation
Hendersonville
4.1 mi
C
3.13640.524★☆☆☆☆
The Lodge at Mills River
Mills River
9.9 mi
B
3.57970.8773★★★★★
White Oak Manor - Tryon
Tryon
15 mi
B
4.52770.6399★★★★☆
Sapphire Ridge Health and Rehabilitation
Brevard
15.8 mi
C
3.38130.4749★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
32
Total Deficiencies
$51,126
Fines Assessed
Jun 27, 2025Health
6 deficiencies cited
▼
Apr 10, 2024Health
8 deficiencies cited· Includes actual harm
▼
Jan 17, 2024Health
2 deficiencies cited· Includes actual harm
▼
Jan 20, 2023Health
16 deficiencies cited
▼

Penalty History

Apr 10, 2024Fine
$43,303
Jan 17, 2024Fine
$7,823
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.