Nursing homes across Henderson County, North Carolina, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Carolina Village in Hendersonville runs on 6.25 nurse staffing hours per resident day, roughly 62 percent above the national average, and weekend coverage holds within about 12 percent of its weekday level. Staff turnover sits at 22.2 percent against a national average of 45.8 percent, meaning aides and nurses tend to stay. The nonprofit's record shows three deficiencies total, none at the harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. All three CMS star ratings land at 5 out of 5. For a 58-bed home, the numbers describe steady hands and low churn rather than anything flashy.
Hendersonville Health and Rehabilitation runs 3.50 nurse hours per resident per day, about 9% under the national average of 3.86, and weekends dip roughly 15% below its own weekday staffing. That thinner weekend coverage is the number I'd ask about directly. Turnover sits at 37.1%, better than the 45.8% national figure, so the crew that is there tends to stay. The record is clean where it matters most: 11 deficiencies, none causing harm or jeopardy, none abuse-related, and a September 2025 inspection. Owned by a for-profit LLC with 130 beds. Ask how they cover a Saturday call-out.
The Lodge At Mills River just cleared a June 2025 inspection and holds a 5-star record on both health inspections and quality measures, the clinical side looks strong. But look at staffing and the picture shifts: 3.89 nurse hours per resident day sits barely above the national average, weekends run about 14% thinner than weekdays, and annual turnover of 55.6% means more than half the nursing staff leaves each year, well above the 45.8% national figure. Six deficiencies are on record, one serious enough to reach harm or jeopardy. A for-profit LLC runs the place, and with only 50 beds, every departure is felt. Good care when inspected, but keeping enough consistent hands is the real question.
The Laurels of Hendersonville runs 100 beds under corporate for-profit ownership, and its staffing sits about 7% under the national average at 3.60 nurse hours per resident day. Weekends are the bigger concern, coverage drops roughly 21% below the home's own weekday level, which is when problems tend to surface. Turnover at 44.4% is basically in line with the national rate, so that's not the outlier here.
What stands out is the inspection record: 23 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with four fines totaling $36,257. The most recent inspection was June 2026. Resident outcome measures score well, but that record is hard to overlook.
Valley Hill runs 150 certified beds as a for-profit corporation, and the numbers tell a mixed story. Nurse staffing sits at 3.43 hours per resident day, roughly 11% under the national average, and weekend coverage drops another 10% below its own weekday levels, which matters when families visit on Saturdays and Sundays. Staff turnover is 54.2%, well above the 45.8% national figure, so the people providing care keep changing.
The inspection record is the harder part to hear: 32 deficiencies on file, including 5 at harm or jeopardy level and 3 tied to abuse, plus three fines totaling $58,949, with the most recent inspection in June 2025. Quality measures score well, but that's a paper snapshot, not the daily staffing reality.
Life Care Center of Hendersonville runs 80 certified beds under a for-profit LLC, and the numbers tell a mixed story. Nurse staffing sits at 3.61 hours per resident day, about 7% under the national average, and weekends drop roughly 19% below the home's own weekday level, so care thins out precisely when families tend to visit. Staff turnover is 56.5%, well above the 45.8% national figure, which means familiar faces are hard to keep. The health inspection side carries 32 deficiencies, one serious enough to reach harm or jeopardy level, plus two fines totaling $40,986; the last inspection was August 2025. Quality measures score well, but staffing and inspection results are where the concerns sit.
The Greens at Hendersonville runs 3.35 nursing hours per resident day, roughly 13% under the national average, and weekend coverage drops about 8% below its own weekday level, so the thinnest shifts land exactly when families tend to visit. Staff turnover sits at 69.9% against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. On inspections, the record shows 34 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus three fines totaling $106,208. Corporate-owned and operating on a for-profit basis, this home keeps a 120-bed census. The most recent inspection was January 16, 2026.
Orchard Valley runs lean on nurses: 3.11 hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The bigger concern is continuity, 73.5% annual turnover means most of the people caring for your relative likely won't be there in a year. Its record shows 46 deficiencies, including one at the harm level and three tied to abuse, along with a $16,452 fine, and the most recent inspection was February 2026. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the low end.
Fletcher Rehabilitation and Healthcare Center runs on staffing that falls well short of what most homes provide, about 3.15 nurse hours per resident each day against a national figure closer to 3.86, with weekends noticeably thinner than weekdays. The bigger warning sign is turnover: roughly 78% of staff left over the past year, far above the 46% typical elsewhere, which means the people caring for residents are often new and still learning the building. Inspectors have cited 43 deficiencies, two involving actual harm and two tied to abuse, and fined the home twice for a combined $62,868. That record, paired with a one-star inspection history, is what drives the grade down.