Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.52 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Orchard View Post-Acute and Rehabilitation Center
KINGSPORT, TN
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.52 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jan 8, 2025 cited 0 deficiencies.
View inspection evidenceCMS-published records list 18 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 11 facilities across 3 states or territories.
View chain evidenceCMS records show a $44,702 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2021
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TN.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2018
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Nov 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2021
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2018
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 0 across TN.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 42.5%
Association date reported to CMS: Nov 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Nov 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 42.5%
Association date reported to CMS: Nov 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2018
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across TN.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 657 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 11 | 2.1 | 2.2 |
| Mon Jun | 12 | 1.8 | 2.3 |
| Fri May | 12 | 1.8 | 2.3 |
| Wed Apr | 15 | 1.9 | 2.5 |
| Sun Mar | 14 | 1.9 | 1.8 |
| Sun Feb | 14 | 1.9 | 1.8 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 12, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 12, 2024)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2024)
Ensure that residents are free from significant medication errors.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2024)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 18, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 29, 2021)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 29, 2021)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 29, 2021)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 29, 2021)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 29, 2021)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 29, 2021)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
Published fine amount: $44,702.00
Payment denial length: 7 days
Published fine amount: $12,529.00
Published fine amount: $37,674.00
Payment denial length: 69 days
Questions to ask
Facility history
16 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 3.80 to 3.39 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.80 → 3.39
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.36 to 3.80 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.36 → 3.80
CMS · Reported in a source release · View related evidence
RN staffing decreased from 0.58 to 0.44 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.58 → 0.44
CMS · Reported in a source release · View related evidence
RN staffing decreased from 0.77 to 0.58 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.77 → 0.58
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 3.90 to 3.36 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.90 → 3.36
CMS · Reported in a source release · View related evidence
CMS recorded a $44,702 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 7 days.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $12,529 civil monetary penalty.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.395 | 3.383 |
| RN categories | 0.535 | 0.476 |
Contract staff accounted for 17.4% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.078 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.898 | 0.769 | 0.751 | 2.378 | 0% | 91 |
| 2025Q3 | 3.364 | 0.577 | 0.872 | 1.915 | 11.8% | 92 |
| 2025Q4 | 3.795 | 0.439 | 1.077 | 2.274 | 34.1% | 92 |
| 2026Q1 | 3.392 | 0.518 | 0.845 | 2.028 | 17.4% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
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