With a score of 18/100, Orchard Valley Health And Rehabilitation ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels are a potential concern at Orchard Valley Health And Rehabilitation, with 3.14 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 50 deficiencies at Orchard Valley Health And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.14 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.61 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 3.00 | 3.8 | Below Average |
| Weekend RN Hours | 0.32 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Jul 23, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0807 Severity DEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydrJul 23, 2025 · Nutrition and Dietary Deficiencies
- Tag 0803 Severity FEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeDec 5, 2024 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 5, 2024 · Nutrition and Dietary Deficiencies
- Tag 0623 Severity EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aDec 5, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.4% | 4.5% | Worse |
| Falls with major injury | 2.8% | 3.0% | Average |
| On antipsychotic medication | 29.5% | 14.5% | Worse |
| Urinary tract infections | 2.2% | 2.5% | Better |
| ADL decline (daily activities) | 12.2% | 14.0% | Better |
| Excessive weight loss | 7.4% | 7.5% | Average |
| New/worsened incontinence | 24.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $16,452
How This Grade Was Calculated
This facility's grade of F is based on a score of 18 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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