The Village at Orchard Ridge
100 Procession Way, Winchester, VA 22603 · Frederick County · (540) 431-2800
20 certified beds, about 18 residents a day · Non profit - Church related · Medicare and Medicaid since 2014
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495415 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 6, 2024, inspectors cited 4 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 4 health citations since February 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.04 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.50 of those hours.
39.1% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to National Lutheran Communities & Services, an affiliated group of 2 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 4 health citations on file.
March 6, 2024Standard inspection · 4 citations
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to implement a complete pneumococcal immunization program for five of five resident immunization reviews, Residents #6, #10, #12, #3, and #1.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 17 residents in the survey sample; Resident #8.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of practice for administering medications for one of 17 residents in the survey sample, Resident #19.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to follow physicians' orders to promote the highest level of well-being for two of 17 residents in the survey sample, Residents #20 and #10.
June 1, 2022Standard inspection · 0 citations
February 25, 2021Standard inspection · 0 citations
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.04 | 3.76 | 3.86 |
| Registered nurses | 1.50 | 0.69 | 0.69 |
| All nursing staff on weekends | 4.82 | 3.29 | 3.42 |
| Nurse aides | 2.71 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 39.1% | 48.1% | 45.8% |
| Registered nurse turnover | 20.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.80 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.14 on weekdays and 4.82 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.89 in April to June 2025 to 5.04 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.04 | 1.50 | 5.14 | 4.82 | 1.0% | 0 of 90 | 18 |
| Oct to Dec 2025 | 4.81 | 1.44 | 4.89 | 4.61 | 2.8% | 0 of 92 | 19 |
| Jul to Sep 2025 | 4.46 | 1.43 | 4.67 | 3.93 | 2.4% | 0 of 92 | 19 |
| Apr to Jun 2025 | 4.89 | 1.39 | 5.06 | 4.48 | 2.4% | 0 of 91 | 19 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.5 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.7 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.3 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 16.0 | 4.7 | 4.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.3 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.2 | 11.5 | 12.0 |
Owners and operators
Legal business name: THE VILLAGE AT ORCHARD RIDGE INC. CMS links this home to National Lutheran Communities & Services, a group of 2 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| National Lutheran Inc | 5% or greater direct ownership interest | Organization | 100% | 07/20/2011 |
| Blakemore, Victoria | Corporate director | Individual | 12/19/2021 | |
| Combs, Allison | Corporate director | Individual | 12/19/2021 | |
| Midolo, John | Corporate director | Individual | 08/14/2022 | |
| Nastasi, Steven | Corporate director | Individual | 11/27/2023 | |
| Casner, Donna | Corporate officer | Individual | 06/25/2018 | |
| Wagoner, Craig | Corporate officer | Individual | 03/19/2023 | |
| Walters, Cynthia | Corporate officer | Individual | 08/21/2021 | |
| National Lutheran Inc | Operational/managerial control | Organization | 07/20/2011 | |
| Ault, Jared | Operational/managerial control | Individual | 01/23/2017 | |
| Combs, Allison | Operational/managerial control | Individual | 12/19/2021 | |
| Coulter, Bonnie | Operational/managerial control | Individual | 07/15/2024 | |
| Cruz, Medardo | Operational/managerial control | Individual | 04/01/2019 | |
| Custer, William | Operational/managerial control | Individual | 07/01/2024 | |
| Gwinn, Lauren | Operational/managerial control | Individual | 11/20/2022 | |
| Hearn, Garri Ann | Operational/managerial control | Individual | 05/01/2018 | |
| Hollis, Michelle | Operational/managerial control | Individual | 07/27/2020 | |
| Isham, Sarah | Operational/managerial control | Individual | 07/09/2018 | |
| Loy, Shannon | Operational/managerial control | Individual | 07/03/2022 | |
| Mason, Susan | Operational/managerial control | Individual | 01/11/2021 | |
| Nastasi, Steven | Operational/managerial control | Individual | 11/27/2023 | |
| Palomo, Mary | Operational/managerial control | Individual | 12/13/2021 | |
| Patterson, Elizabeth | Operational/managerial control | Individual | 02/24/2025 | |
| Portalanza, Joanne | Operational/managerial control | Individual | 12/03/2018 | |
| Radigan, Erin | Operational/managerial control | Individual | 09/29/2023 | |
| Rosamond, Lori | Operational/managerial control | Individual | 01/30/2013 | |
| Rutz, Melissa | Operational/managerial control | Individual | 10/10/2021 | |
| Wood, Melissa | Operational/managerial control | Individual | 10/14/2019 | |
| Ault, Jared | Adp of the SNF | Individual | 01/23/2017 | |
| Blakemore, Victoria | Adp of the SNF | Individual | 12/19/2021 | |
| Casner, Donna | Adp of the SNF | Individual | 06/25/2018 | |
| Combs, Allison | Adp of the SNF | Individual | 12/19/2021 | |
| Coulter, Bonnie | Adp of the SNF | Individual | 07/15/2024 | |
| Cruz, Medardo | Adp of the SNF | Individual | 04/01/2019 | |
| Custer, William | Adp of the SNF | Individual | 07/01/2024 | |
| Gwinn, Lauren | Adp of the SNF | Individual | 11/20/2022 | |
| Hearn, Garri Ann | Adp of the SNF | Individual | 05/01/2018 | |
| Hollis, Michelle | Adp of the SNF | Individual | 07/27/2020 | |
| Isham, Sarah | Adp of the SNF | Individual | 07/09/2018 | |
| Loy, Shannon | Adp of the SNF | Individual | 07/03/2022 | |
| Mason, Susan | Adp of the SNF | Individual | 01/11/2021 | |
| Midolo, John | Adp of the SNF | Individual | 08/14/2022 | |
| Nastasi, Steven | Adp of the SNF | Individual | 11/27/2023 | |
| Palomo, Mary | Adp of the SNF | Individual | 12/13/2021 | |
| Patterson, Elizabeth | Adp of the SNF | Individual | 02/24/2025 | |
| Portalanza, Joanne | Adp of the SNF | Individual | 12/03/2018 | |
| Radigan, Erin | Adp of the SNF | Individual | 09/29/2023 | |
| Rosamond, Lori | Adp of the SNF | Individual | 01/30/2013 | |
| Rutz, Melissa | Adp of the SNF | Individual | 10/10/2021 | |
| Wagoner, Craig | Adp of the SNF | Individual | 03/19/2023 | |
| Walters, Cynthia | Adp of the SNF | Individual | 08/21/2021 | |
| Wood, Melissa | Adp of the SNF | Individual | 10/14/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 6, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 6, 2024: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 6, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Other nursing homes nearby
- Shenandoah Valley Westminster Canterbury Winchester, 1.9 mi · 4 of 5 stars · 22 citations
- Winchester Health & Rehabilitation Winchester, 2.4 mi · 1 of 5 stars · 71 citations
- Evergreen Health and Rehabilitation Center Winchester, 3.3 mi · 2 of 5 stars · 61 citations
- Rose Hill Health and Rehab Berryville, 12.9 mi · 1 of 5 stars · 75 citations
- Heritage Hall Front Royal Front Royal, 17.5 mi · 5 of 5 stars · 6 citations
- Lynn Care Center Front Royal, 18.7 mi · 2 of 5 stars · 54 citations
- Willow Tree Healthcare Center Charles Town, 20.1 mi · 3 of 5 stars · 54 citations
- Shenandoah Center Charles Town, 20.6 mi · 2 of 5 stars · 53 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is The Village at Orchard Ridge's Medicare star rating?
- CMS rates The Village at Orchard Ridge 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Village at Orchard Ridge get at its last inspection?
- 4 health deficiencies at the standard inspection on March 6, 2024. The Virginia average is 14.3.
- Has The Village at Orchard Ridge been fined?
- CMS lists no fines in the last three years.
- Does The Village at Orchard Ridge accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns The Village at Orchard Ridge?
- CMS lists 52 owners and managers, and links the home to National Lutheran Communities & Services. Legal business name: THE VILLAGE AT ORCHARD RIDGE INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.