PlainNursing
CMS Nursing Home Compare · March 2026

Valley Hill Health & Rehab Center

1510 Hebron Road, Hendersonville, NC 28739 · All homes in Hendersonville

Valley Hill Health & Rehab Center, a 150-bed for profit - corporation nursing facility in Hendersonville, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8286938461

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2 / 5
Below average · CMS overall · nat'l 3.0
3.39
Below average · nurse hrs/day · nat'l 3.89
32
Inspection findings · 5 serious
$59K
Federal penalties (3)

Health Inspection

2/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

4/5

Facility Information

Provider Number
345223
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
150
Residents
80
In Hospital
No
County
Henderson
Last Inspection
Jun 27, 2025

Staffing Data

How the 3.39 total nursing hours per resident-day are staffed:

RN Hours
0.45 (nat'l avg: 0.68)
LPN Hours
0.82
CNA Hours
2.12
Total Nursing Hours
3.39 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
58.6%
RN Turnover
80.0%

What the CMS Record Reveals About Valley Hill Health & Rehab Center

Valley Hill Health & Rehab Center operates 150 certified beds in Hendersonville, NC with approximately 80 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 32 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $59K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.39 total nursing hours per resident day (national average 3.89), with RN coverage at 0.45 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Valley Hill Health & Rehab Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 58.6%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (32 most recent)

D - Isolated - Minimal harm Jun 27, 2025 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 13, 2024

D - Isolated - Minimal harm Jun 27, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 17, 2024

E - Pattern - Minimal harm Jun 27, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 10, 2025

D - Isolated - Minimal harm Jun 27, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 10, 2025

D - Isolated - Minimal harm Jun 27, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 10, 2025

D - Isolated - Minimal harm Jun 27, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 13, 2024

J - Isolated - Jeopardy Apr 10, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 25, 2024

E - Pattern - Minimal harm Apr 10, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 25, 2024

E - Pattern - Minimal harm Apr 10, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 25, 2024

J - Isolated - Jeopardy Apr 10, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 25, 2024

J - Isolated - Jeopardy Apr 10, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 5, 2024

D - Isolated - Minimal harm Apr 10, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Apr 25, 2024

D - Isolated - Minimal harm Apr 10, 2024 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Apr 25, 2024

F - Widespread - Minimal harm Apr 10, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Apr 25, 2024

J - Isolated - Jeopardy Jan 17, 2024 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 20, 2023

J - Isolated - Jeopardy Jan 17, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 20, 2023

E - Pattern - Minimal harm Jan 20, 2023 Tag: 0886

Perform COVID19 testing on residents and staff.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2023

D - Isolated - Minimal harm Jan 20, 2023 Tag: 0885

Report COVID19 data to residents and families.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2023

F - Widespread - Minimal harm Jan 20, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 17, 2023

E - Pattern - Minimal harm Jan 20, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Feb 17, 2023

B - Pattern - No harm Jan 20, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 17, 2023

D - Isolated - Minimal harm Jan 20, 2023 Tag: 0839

Employ staff that are licensed, certified, or registered in accordance with state laws.

Category: Administration Deficiencies

Corrected: Feb 17, 2023

E - Pattern - Minimal harm Jan 20, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 17, 2023

D - Isolated - Minimal harm Jan 20, 2023 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 17, 2023

D - Isolated - Minimal harm Jan 20, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Feb 17, 2023

D - Isolated - Minimal harm Jan 20, 2023 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Feb 17, 2023

D - Isolated - Minimal harm Jan 20, 2023 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Feb 17, 2023

C - Widespread - No harm Jan 20, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 17, 2023

E - Pattern - Minimal harm Jan 20, 2023 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 17, 2023

D - Isolated - Minimal harm Jan 20, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 17, 2023

B - Pattern - No harm Jan 20, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 17, 2023

D - Isolated - Minimal harm Jan 20, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 17, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 24.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 12.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 69.9% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 27.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 35.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 43.2% No

Penalty History 3 penalties totaling $59K

Date Type Amount
Apr 10, 2024 Fine $43K
Jan 17, 2024 Fine $8K
Jan 17, 2024 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for Valley Hill Health & Rehab Center?
Valley Hill Health & Rehab Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at Valley Hill Health & Rehab Center?
Valley Hill Health & Rehab Center reports 3.39 total nursing hours per resident day (national average: 3.89). RN hours are 0.45 per resident day (national average: 0.68). Nursing staff turnover is 58.6%.
How many beds does Valley Hill Health & Rehab Center have?
Valley Hill Health & Rehab Center has 150 certified beds with approximately 80 residents. The facility is located at 1510 Hebron Road, Hendersonville, NC 28739.
Does Valley Hill Health & Rehab Center have any deficiencies on record?
Yes, Valley Hill Health & Rehab Center has 32 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Valley Hill Health & Rehab Center received any fines or penalties?
Yes, Valley Hill Health & Rehab Center has received 3 penalties totaling $59K.
Who owns Valley Hill Health & Rehab Center?
Valley Hill Health & Rehab Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Valley Hill Health & Rehab Center last inspected?
The most recent health inspection for Valley Hill Health & Rehab Center was on Jun 27, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Valley Hill Health & Rehab Center?
Valley Hill Health & Rehab Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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