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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Village at Orchard Ridge is a continuing care retirement community in Winchester, Virginia, operated by National Lutheran Inc., a nonprofit. With 47 beds, the community offers independent living, assisted living, memory care, respite care, and skilled nursing on a single campus. Medicare and private pay are accepted in the skilled nursing unit. CMS rates the facility 5 stars overall, 31% above the Virginia average, driven by a 4-star Health Inspection score and staffing levels running 39% above the state benchmark. Nurse staffing averages 4 hours and 53 minutes per resident per day, ranking 22nd out of 85 Virginia skilled nursing facilities, with RN staffing more than double the state average. Quality Measures are at the Virginia average. Across inspections since 2021, the facility has averaged 4 deficiencies per year, 56% below Virginia’s annual average of 9.1. One substantiated self-reported violation was recorded in September 2021, a medication administration error involving a single resident. No fines, Immediate Jeopardy findings, or license actions appear in the record. Current occupancy is 79%, below the Virginia average of 85.7%, suggesting availability. The campus includes a secured unit and 24-hour staffing. National Lutheran’s nonprofit governance and CCRC structure are consistent with a long-term care model oriented toward continuity across care levels. The Village at Orchard Ridge fits older adults seeking a planned continuum of care, from independent living through skilled nursing, within a single nonprofit campus in Winchester.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 22nd out of 85 homes in Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 26m per day | ▲ 110% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 51m per day | ▼ 15% State avg: 1h 0m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 31m per day | ▲ 19% State avg: 2h 7m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 37m per day | ▲ 39% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 81% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 12m per day | ▲ 157% State avg: 28m per day · National avg: 28m per day |
Lower than the Virginia average: 85.7%The Village at Orchard Ridge is administrated by Melissa Sellers.
In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 16 | 32 | This facility has 50% fewer total deficiencies than a typical Virginia nursing home (16 vs. VA avg 32).↓ 50% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 3.2 | 6.4 | This facility has 50% fewer deficiencies per year than a typical Virginia nursing home (3.2 vs. VA avg 6.4).↓ 50% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1 | 2.3 | This facility has 57% fewer deficiencies per inspection than a typical Virginia nursing home (1 vs. VA avg 2.3).↓ 57% better |
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 14 | This facility has 14% more total inspections than a typical Virginia nursing home (16 vs. VA avg 14).↑ 14% worse |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 8 | 9 | This facility has 11% fewer inspections with violations than a typical Virginia nursing home (8 vs. VA avg 9).↓ 11% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 50% | 64% | This facility has 14 percentage points lower inspection violation rate than a typical Virginia nursing home (50% vs. VA avg 64%).↓ 14% better |
Complaints & Investigations
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 1 | 7 | This facility has 86% fewer total complaints than a typical Virginia nursing home (1 vs. VA avg 7).↓ 86% better |
|
Complaints per year
Average complaints per year since 2021.
| 0.2 | 1.4 | This facility has 86% fewer complaints per year than a typical Virginia nursing home (0.2 vs. VA avg 1.4).↓ 86% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Virginia average 4.2
Last Health inspection on Mar 2024
Virginia average 38.4
Virginia average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
100% better than Virginia averageVirginia average: 0.4
100% better than Virginia averageVirginia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
143% more staff per resident than Virginia average
20% worse than Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
14 total: 11 full-time employees and 3 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
34 total: 32 full-time employees and 2 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
628 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 2 | 34 | 4,412 | 92 | 100% | 8.4 |
| Registered Nurse | 9 | 0 | 9 | 1,961 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 11 | 3 | 14 | 1,496 | 91 | 99% | 9.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 717 | 67 | 73% | 5.5 |
| Nurse Practitioner | 1 | 0 | 1 | 492 | 69 | 75% | 7.1 |
| Physical Therapy Aide | 3 | 0 | 3 | 351 | 67 | 73% | 5.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 323 | 48 | 52% | 6.7 |
| Speech Language Pathologist | 5 | 0 | 5 | 303 | 72 | 78% | 1.6 |
| Administrator | 1 | 0 | 1 | 192 | 63 | 68% | 3 |
| Qualified Social Worker | 3 | 0 | 3 | 107 | 56 | 61% | 1.4 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 65 | 14 | 15% | 4.3 |
| Medical Director | 0 | 1 | 1 | 54 | 28 | 30% | 1.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 53 | 66 | 72% | 0.8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 27 | 33 | 36% | 0.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 6 | 7% | 2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.5
66% better than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.4
59% worse than Virginia averageVirginia average: 19.7
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.4%
39% worse than Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.9%
29% worse than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
2.9%
90% worse than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who have depressive symptoms
2.9%
80% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
25.0%
95% worse than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
In line with Virginia averageVirginia average: 91.3%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
64.5%
14% worse than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
64% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.3%
24% worse than Virginia averageVirginia average: 73.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.6%
15% better than Virginia averageVirginia average: 22.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.9%
19% worse than Virginia averageVirginia average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Virginia averageVirginia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.2%
29% better than Virginia averageVirginia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.1%
21% better than Virginia averageVirginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
79% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
20Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Village at Orchard Ridge based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #46 / 85Payroll — State benchmarkedThis home is ranked 46th out of 85 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Winchester's city center to The Village at Orchard Ridge's address, calculated via Google Maps.
Add your location
The Village at Orchard Ridge is located in WINCHESTER, Virginia.
Here are the financial assistance programs available to residents in Virginia.
The information below is reported by the Virginia Department of Social Services and Department of Health.
| The Village at Orchard Ridge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Winchester | 47
Facility
47
VA AVG
95
Rank
#313 / 371 |
78.7%
Facility
78.7%
VA AVG
85.7%
Rank
#125 / 311 | -8% | 4.88
Facility
4.88
VA AVG
3.74
Rank
#22 / 85 | +15% | +30% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 89 | 4
Facility
4
VA AVG
38.4
Rank
#1 / 86 | 4.0
Facility
4.0
VA AVG
8.9
Rank
#11 / 86 | - | 37 | - |
92
Facility
92
VA AVG
44
Rank
#12 / 449 | National Lutheran Inc | $26.8M
Facility
$26.8M
VA AVG
$18.3M
Rank
#38 / 85 | $8.6M
Facility
$8.6M
VA AVG
$6.9M
Rank
#46 / 85 | 32.2%
Facility
32.2%
VA AVG
39.7%
Rank
#74 / 85 | 495415 | ||||
| Our Lady of the Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Roanoke (Gainsboro) | 127
Facility
127
VA AVG
95
Rank
#78 / 371 |
87.4%
Facility
87.4%
VA AVG
85.7%
Rank
#63 / 311 | +2% | 3.79
Facility
3.79
VA AVG
3.74
Rank
#44 / 85 | -42% | +1% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 89 | 14
Facility
14
VA AVG
38.4
Rank
#15 / 86 | 4.7
Facility
4.7
VA AVG
8.9
Rank
#19 / 86 | - | 111 | A+ |
68
Facility
68
VA AVG
44
Rank
#74 / 449 | David Rawlings | $17.2M
Facility
$17.2M
VA AVG
$18.3M
Rank
#56 / 85 | $8.2M
Facility
$8.2M
VA AVG
$6.9M
Rank
#51 / 85 | 47.6%
Facility
47.6%
VA AVG
39.7%
Rank
#35 / 85 | 495357 |
The Village at Orchard Ridge is in the USA neighborhood of WINCHESTER.
The Village at Orchard Ridge has a walk score of 92. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
The Village at Orchard Ridge's occupancy is 79%.
Yes — see the floorplan options available at The Village at Orchard Ridge on this page.
Melissa Sellers is the administrator of The Village at Orchard Ridge.
The Village at Orchard Ridge has 47 beds.
The Village at Orchard Ridge has had 16 recently reported deficiencies.
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