During the first quarter of 2026, Orchard Valley Health and Rehabilitation was under the ownership of Pisgah Holdco, LLC, according to Centers for Medicare and Medicaid Services (CMS). The facility, situated in Henderson County, has been part of Pisgah Holdco, LLC’s portfolio since Jan. 1, 2024.
The facility operates on a for-profit basis.
In that same period, Orchard Valley Health and Rehabilitation held a CMS overall rating of one—lower than North Carolina’s state average of 2.9. CMS overall ratings reflect key categories including health inspection results, staffing levels, and resident care quality.
Data indicates the facility served an average of 101.1 residents each day in the first quarter of 2026 and had 134 beds available. Orchard Valley Health and Rehabilitation is currently not affiliated with a hospital.
For the first quarter of 2026, regulators assessed one fine against the facility, totaling $16,452; one penalty was recorded.
Altogether, there were eight for-profit nursing homes in Henderson County, North Carolina.
U.S. Census Bureau estimates show the nation’s population of older adults continues to expand while the numbers in younger age groups decrease. Between 2020 and 2024, the American population ages 65 and up increased 13%, while the count under age 18 dropped 1.7%. The older U.S. population has surged over the past century, rising from 4.9 million in 1920 to more than 61 million in 2024.
A 2021 study estimates that almost half of this older age group, about 28 million people, may need long-term services and support. The same research indicates over a third could require nursing home care down the line.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education organization. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Fletcher Rehabilitation and Healthcare Center | Fletcher Holdings I, LLC | For profit – Limited Liability company | 1 | 71.3 |
| Hendersonville Health and Rehabilitation | Bluesky Healthcare, Inc. and Flat Rock Management Company | For profit – Limited Liability company | 5 | 99.5 |
| Life Care Center of Hendersonville | Forrest Preston | For profit – Limited Liability company | 3 | 68.7 |
| Orchard Valley Health and Rehabilitation | Pisgah Holdco, LLC | For profit – Corporation | 1 | 101.1 |
| The Greens at Hendersonville | Bync Holdings, LLC | For profit – Corporation | 3 | 105.1 |
| The Laurels of Hendersonville | Laurel Health Care Holdings, Inc. | For profit – Corporation | 3 | 92.4 |
| The Lodge at Mills River | Ardent Health and Rehabilitation County and Henderson-Beystone Healthcare Properties, LLC | For profit – Limited Liability company | 5 | 45.4 |
| Valley Hill Health & Rehab Center | Saber Healthcare Holdings, LLC | For profit – Corporation | 2 | 82.7 |
The information presented in this article comes from the Centers for Medicare and Medicaid Services. Access the original data here.
