Home / North Carolina / Hendersonville
1510 Hebron Road, Hendersonville, NC 28739 · Henderson County · (828) 693-8461
150 certified beds, about 85 residents a day · For profit - Corporation · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345223 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 27, 2025, inspectors cited 6 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 32 health citations since January 2023, 5 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).
CMS lists 3 fines totaling $58,949 in the last three years; the largest was $43,303, and the latest is dated April 10, 2024.
Nurses and nurse aides worked 3.43 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
54.2% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Saber Healthcare Group, an affiliated group of 126 nursing homes.
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.
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 32 health citations on file.
Inspectors wroteBased on observations and staff interviews the facility failed to label, date, and store food items in accordance with professional standards for food service safety in 1 of 1 kitchen; discard food with signs of spoilage in 1 of 1 reach-in cooler; store food off the floor, label and date food items, and remove a dented can in 1 of 1 dry storage room; and remove an opened and undated beverage in 1 of 3 nourishment rooms (West Wing nourishment room).
Inspectors wroteBased on record review, and resident and staff interviews, the facility failed to protect a resident's right to be free from resident to resident physical abuse when a severely cognitively impaired resident (Resident #43) with a history of aggressive behaviors grabbed and pulled a moderately cognitive impaired resident (Resident #7) to the floor. Resident #43 was observed on top of Resident #7 with his hands around his neck in an attempt to choke him. Resident #43 and Resident #7 were alone in the main dining room at the time of the altercation until separated by dietary staff. Resident #7 and Resident #43 were not injured, and Resident #43 was sent to the hospital for a psychiatric evaluation and returned with no changes made to his current medications. The deficient practice occurred for 1 of 5 residents reviewed for abuse.
Inspectors wroteBased on record reviews and interviews with residents, staff, and the law enforcement agent, the facility failed to protect residents' rights to be free from misappropriation of controlled medications for 2 of 2 residents reviewed for misappropriation of residents' property (Resident #30 and #59).
Inspectors wroteBased on record reviews and interviews with staff, the facility failed to ensure staff implemented their abuse policy and procedure for reporting when the facility failed to report abuse allegations to the State Survey Agency within the specified timeframes and failed to notify the county Adult Protective Services (APS). This affected 1 of 8 residents reviewed for abuse (Resident #1).
Inspectors wroteBased on observations, record review, and interviews with Registered Dietitian (RD) #1 and staff, the facility failed to follow the physician's order to provide nutritional supplements for 1 of 5 residents reviewed for nutrition (Resident #36).
Inspectors wroteBased on observations, record review, interviews with Registered Dietitian #1, Speech Therapist, and staff, the facility failed to follow the physician's diet order to provide a mechanically altered diet (a texture-modified diet which restricts foods that are difficult to chew or swallow) for 1 of 5 residents reviewed for nutrition (Resident #36).
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to prevent a resident with a court-appointed guardian who required supervision with leave of absences, a previous elopement attempt, and wore an elopement alarm monitoring device (Resident #127) from exiting the facility unsupervised and without staff knowledge. The facility also failed to prevent a resident with impaired cognition who had a history of exit seeking behavior and wore an elopement alarm monitoring device (Resident #67) from exiting the facility unsupervised and without staff knowledge. The deficient practice was for 2 of 5 sampled residents reviewed for accidents. On 04/11/23, Resident #127 was last seen in the facility at approximately 10:30 AM walking toward the dining room. [...]
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to train and verify competency for cleaning and disinfecting a glucometer according to manufacturers' recommendations using an Environmental Protection Agency (EPA) approved disinfectant cloth between residents. Agency Nurse #1 was observed not cleaning and disinfecting a shared glucometer between use of two residents (Resident #57 and Resident #62). Agency Nurse #1 was interviewed and reported she was unaware residents requiring blood sugar monitoring had assigned individual glucometers and was unfamiliar with the EPA approved disinfectant wipe's manufacturer's guidelines for contact time. This was for 1 of 1 nursing staff. [...]
Inspectors wroteBased on observations, staff interviews, and record review, the facility staff failed to disinfect a shared blood glucose meter (glucometer) between residents in accordance with manufacturer's recommended contact time for 2 of 3 residents whose blood glucose levels were checked (Resident #57 and Resident #62). This occurred while there was not a resident with known bloodborne pathogens in the facility. Shared glucometers can be contaminated with blood and must be cleaned and disinfected after each use with an approved product and procedure. Failure to use an Environmental Protection Agency (EPA)-approved disinfectant in accordance with the manufacturer's instruction for disinfection, including the correct contact time, of the glucometer has the high likelihood of exposing residents to the spread of bloodborne pathogens. [...]
Inspectors wroteBased on observations, record review, and interviews the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions previously put in place following the infection control survey that occurred 01/04/21 in the area of Infection Prevention and Control (F-880), complaint and recertification survey that occurred 07/01/21 in the areas of Food Procurement, Store/Prepare/Serve/Sanitary (F-812) and Infection Prevention and Control (F-880), complaint and recertification survey that occurred 01/20/23 in the areas of Food Procurement, Store/Prepare/Serve/Sanitary (F-812) and Infection Prevention and Control (F-880), and a complaint investigation that occurred 01/17/24 in the area of Free of Accident Hazards/Supervision/Devices (F-689). [...]
Inspectors wroteBased on observation, staff interview, and record review the facility failed to ensure expired medications were removed from 2 of 4 locked medication carts (B hall and C hall).
Inspectors wroteBased on observations and staff interviews the facility failed to discard expired food in 1 of 1 walk in coolers. These practices had the potential to affect food served to the residents.
Inspectors wroteBased on observations, record review and resident and staff interviews, the facility failed to assess the ability of a resident to self-administer medications for 1 of 1 sampled residents observed with medications left at bedside (Resident #127).
Inspectors wroteBased on observations and staff interviews the facility failed to ensure code status information was accurate throughout the paper and electronic medical record for 1 of 2 residents reviewed for advanced directives (Resident #18).
Inspectors wroteBased on observations, record review and interviews with the Emergency Medical Technician, the Medical Doctor, and staff the facility failed to safeguard a resident with severe cognitive impairment from an avoidable hazard when bilateral quarter bed rails were utilized in conjunction with an alternating air pressure mattress. Resident #1 was found with no signs of life on 11/19/23 after experiencing a fall from a bed with bed rails in the up position. The resident was observed with his buttocks on the ground and his head laying face up on the mattress with his chin and neck pressed against the bed rail. This occurred for 1 of 3 residents reviewed for accidents (Resident #1).
Inspectors wroteBased on observations, record review and interviews with the Emergency Medical Technician, the Medical Doctor, and staff the facility failed to comprehensively assess the risk of entrapment and the use of quarter length bilateral bed rails for a dependent resident with severe cognitive impairment who required extensive 2-person assistance with bed mobility after the placement of an alternating pressure air mattress. The resident experienced a fall from the bed equipped with the alternating pressure air mattress and quarter rails on both sides of the bed in an up position. The resident was found with no signs of life and observed to be partially on the floor and partially on the bed with his head pressed against the bed rail. This deficient practice occurred for 1 of 3 residents reviewed for bed rails (Resident #1).
Inspectors wroteBased on record review and staff interviews the facility failed to implement their policy and procedure for the assessment and prevention program of Legionella. Not implementing their policy had the potential to affect 72 residents currently residing at the facility.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure physician visits were performed every 30 days for the first 90 days of admission and/or alternated with the Nurse Practitioner's visits every 60 days thereafter for 7 of 10 sampled residents reviewed for physician visits (Residents #3, #42, #58, #60, #177, #71, and #7).
Inspectors wroteBased on observations and staff interviews the facility failed to discard expired food items available for resident use in 1 of 1 walk-in coolers; maintain a clean walk-in cooler floor by preventing accumulation of food debris and dried white material in 1 of 1 walk-in coolers; label and date food stored in 1 of 1 walk-in coolers; maintain a clean and sanitary kitchen floor; safely defrost frozen food to prevent the potential for bacterial growth; label and date food in 1 of 2 nourishment room refrigerators (East Wing nourishment room); and maintain a clean refrigerator by preventing accumulation of dried white material in 1 of 2 nourishment room refrigerators (Life Enrichment Unit nourishment room). This practice had the potential to affect food served to the residents.
Inspectors wroteBased on observations, record review, and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions previously put in place following the recertification and complaint survey conducted on 07/01/21. This was for two deficiencies in the areas of Drug Regimen/Review/Report Irregular/Act on (F756) and Food Procurement, Storage/Preparation/Serve under Sanitary Conditions (F812) originally cited on 07/01/21 and again on the current recertification and complaint survey of 01/20/23. Additionally, the QAA committee failed to maintain implemented procedures and monitor interventions put in place following the focused infection control and complaint survey conducted on 11/30/20. [...]
Inspectors wroteBased on record review and staff interviews the facility failed to retain documentation in the resident's medical record to include the date covid-19 testing was completed and the results for 5 of 5 residents reviewed for covid-19 (Resident #3, #15, #33, #54, and #60).
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code Minimum Data Set (MDS) assessments in the areas of Preadmission Screening and Resident Review (PASRR), parenteral (nutrition administered by a route other than the mouth)/intravenous (through a vein) feeding, hospice and prognosis for 3 of 22 sampled residents reviewed for MDS accuracy (Resident #24, #59, and #178).
Inspectors wroteBased on observations, record review, and staff and Medical Director #1 interviews the facility failed to obtain treatment orders for 2 skin tears for 1 of 3 residents reviewed for skin conditions (Resident #68).
Inspectors wroteBased on record review and interviews with staff, the Consultant Pharmacist, and Medical Doctor (MD), the Consultant Pharmacist failed to identify drug irregularities and provide recommendations for 1 of 1 resident reviewed for mood/behavior (Resident #60).
Inspectors wroteBased on record review and interviews with staff, Consultant Pharmacist, and Medical Doctor (MD), the facility failed to monitor lithium levels for 1 of 1 resident reviewed for mood/behavior (Resident #60).
Inspectors wroteBased on record review, staff interviews, Medical Director #2 interview, and facility Pharmacy Consultant interview the facility failed to ensure an as needed (PRN) psychotropic medication (medication that affects the brain and mental processes) was limited to 14 days or document the rationale (reason) and duration for continued use for 1 of 5 residents reviewed for unnecessary medications (Resident #33).
Inspectors wroteBased on observation, record review, and interviews with staff the facility failed to ensure the snack provided was the correct texture for a resident with a physician's order for mechanical soft food for 1 of 4 residents reviewed for nutrition (Resident #54).
Inspectors wroteBased on observations, record review, and interviews with staff the facility failed to ensure the Activity Assistant was trained to review physician diet orders prior to giving a snack to a resident that received foods of a mechanical soft texture for 1 of 4 residents reviewed for nutrition (Resident #54).
Inspectors wroteBased on record review and staff interviews the facility failed notify residents' representatives and family members by 5:00 PM the next calendar day when a confirmed case of Covid-19 was identified for 1 of 5 residents (Resident #224) reviewed for reporting.
Inspectors wroteBased on record review and staff interviews, the facility failed to maintain daily nurse staffing sheets for 68 of 122 days during the period reviewed of 09/01/22 to 12/31/22. The facility also failed to ensure the daily nurse staffing sheets were maintained for a minimum of 18 months.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete baseline care plans within 48 hours of admission to address the immediate needs for 2 of 22 sampled residents reviewed (Resident #4 and #59).
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure Nurse Practitioner progress notes were maintained in residents' medical records for 2 of 10 sampled residents reviewed for physician visits (Residents #60 and #177).
30 fire safety citations on file: 10 on April 10, 2024, 18 on January 20, 2023, 2 on July 1, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| April 10, 2024 | Fine | $43,303 |
| January 17, 2024 | Fine | $7,823 |
| January 17, 2024 | Fine | $7,823 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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 | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.43 | 3.85 | 3.86 |
| Registered nurses | 0.51 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.42 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 54.2% | 49.0% | 45.8% |
| Registered nurse turnover | 54.5% | 45.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.57 on weekdays and 3.07 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.63 in April to June 2025 to 3.43 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 | 3.43 | 0.51 | 3.57 | 3.07 | 16.3% | 0 of 90 | 85 |
| Oct to Dec 2025 | 3.36 | 0.47 | 3.50 | 3.01 | 14.3% | 1 of 92 | 83 |
| Jul to Sep 2025 | 3.39 | 0.45 | 3.55 | 2.96 | 12.4% | 0 of 92 | 80 |
| Apr to Jun 2025 | 3.63 | 0.43 | 3.79 | 3.23 | 33.2% | 2 of 91 | 77 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.4 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.0 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.8 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.3 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.3 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Valley Hill Health & Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (29.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
29.7% this home
Worse than the national rate
US median of homes 51.5% · North Carolina: 93 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 31 eligible stays.
12.3% this home
No different from the national rate
US median of homes 10.7% · North Carolina: 1 better, 4 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 35 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · North Carolina: 1 better, 3 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 15 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: North Carolina54.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 17 residents counted.
0.0% this home
Median of homes: North Carolina0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 27 residents counted.
3.9% this home
Median of homes: North Carolina2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 27 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: North Carolina97.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: VALLEY HILL HEALTH & REHAB CENTER, LLC. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Wwbv Holdings LLC | 5% or greater indirect ownership interest | Organization | 100% | 11/01/2022 |
| Murray, Chris | W-2 managing employee | Individual | 11/01/2022 | |
| Volpe, Benjamin | Corporate director | Individual | 11/01/2022 | |
| Weisberg, William | Corporate director | Individual | 11/01/2022 | |
| Nicoluzakis, Gregory | Corporate officer | Individual | 11/01/2022 | |
| Volpe, Benjamin | Corporate officer | Individual | 11/01/2022 | |
| Weisberg, William | Corporate officer | Individual | 11/01/2022 | |
| Saber Governance LLC | Operational/managerial control | Organization | 11/01/2022 | |
| Hopping, Darin | Operational/managerial control | Individual | 11/01/2022 |
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.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.