The Village at Orchard Ridge
A nursing home in Winchester, Virginia 22603
100 Procession Way, Winchester, Virginia 22603. (540) 431-2800.
- Not fully inspected in over two years (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 4 health citations at the latest inspection cycle Virginia average: 14.0
- 5.04 nurse hours per resident per day Virginia average: 3.88
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
4 health citations at the latest inspection cycle
The Virginia average is 14.0.
Last standard inspection Mar 6, 2024.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
4 citations in 1 month of the last 36. Last cited Mar 2024. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 4 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 6, 2024: standard inspection4 citations
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 31, 2014.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, church related.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
5.04 nurse hours per resident per day
The Virginia average is 3.88.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Virginia average |
|---|---|---|
| Nurse hours per resident per day | 5.04 | 3.88 |
| Of which registered nurses | 1.55 | 0.71 |
| At weekends | 4.92 | 3.35 |
| Nursing staff turnover | 48.1% | 47.5% |
| Registered nurse turnover | 42.9% | 46.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- National Lutheran Inc. owns 100% directly since Jul 20, 2011.
- National Lutheran Inc. runs it.
- 57 owners or officers are people: A person CMS lists without a name (trustee); Victoria Blakemore (corporate director, 0%); Victoria Blakemore (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Mason (runs it (operational or managerial control)); Susan Mason (additional disclosable party (controls, leases property to, or provides services to the home)); William Custer (runs it (operational or managerial control)); William Custer (additional disclosable party (controls, leases property to, or provides services to the home)); Steven Nastasi (corporate director, 0%); Steven Nastasi (runs it (operational or managerial control)); Steven Nastasi (additional disclosable party (controls, leases property to, or provides services to the home)); Lori Rosamond (runs it (operational or managerial control)); Lori Rosamond (additional disclosable party (controls, leases property to, or provides services to the home)); Craig Wagoner (corporate officer, 0%); Craig Wagoner (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (trustee); Erin Radigan (runs it (operational or managerial control)); Erin Radigan (additional disclosable party (controls, leases property to, or provides services to the home)); Medardo Cruz (runs it (operational or managerial control)); Medardo Cruz (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (trustee); Mary Palomo (runs it (operational or managerial control)); Mary Palomo (additional disclosable party (controls, leases property to, or provides services to the home)); Allison Combs (corporate director, 0%); Allison Combs (runs it (operational or managerial control)); Allison Combs (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (trustee); Sarah Isham (runs it (operational or managerial control)); Sarah Isham (additional disclosable party (controls, leases property to, or provides services to the home)); Shannon Loy (runs it (operational or managerial control)); Shannon Loy (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (trustee); Melissa Rutz (runs it (operational or managerial control)); Melissa Rutz (additional disclosable party (controls, leases property to, or provides services to the home)); Melissa Wood (runs it (operational or managerial control)); Melissa Wood (additional disclosable party (controls, leases property to, or provides services to the home)); Bonnie Coulter (runs it (operational or managerial control)); Bonnie Coulter (additional disclosable party (controls, leases property to, or provides services to the home)); Jared Ault (runs it (operational or managerial control)); Jared Ault (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Patterson (runs it (operational or managerial control)); Elizabeth Patterson (additional disclosable party (controls, leases property to, or provides services to the home)); Michelle Hollis (runs it (operational or managerial control)); Michelle Hollis (additional disclosable party (controls, leases property to, or provides services to the home)); John Midolo (corporate director, 0%); John Midolo (additional disclosable party (controls, leases property to, or provides services to the home)); Donna Burkett Casner (corporate officer, 0%); Donna Burkett Casner (additional disclosable party (controls, leases property to, or provides services to the home)); Garri Ann Hearn (runs it (operational or managerial control)); Garri Ann Hearn (additional disclosable party (controls, leases property to, or provides services to the home)); Cynthia Walters (corporate officer, 0%); Cynthia Walters (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (trustee); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Lauren Gwinn (runs it (operational or managerial control)); Lauren Gwinn (additional disclosable party (controls, leases property to, or provides services to the home)); Joanne Portalanza (runs it (operational or managerial control)); Joanne Portalanza (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of National Lutheran Communities & Services (2 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| National Lutheran Inc. | Owns 5% or more directly | 100% | Jul 20, 2011 |
| National Lutheran Inc. | Runs it (operational or managerial control) | 17.5% | Jul 20, 2011 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 15, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 15, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 21, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 19, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 15, 2025 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Virginia average 4.0).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 5 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 24.1 miles, this one had the 9th most health citations at the latest inspection cycle (4; the middle value was 8.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| The Village at Orchard Ridge This nursing home | 4 | |
| Shenandoah Valley Westminster Canterbury | 1.9 | 3 |
| Winchester Health & Rehabilitation | 2.4 | 27 |
| Evergreen Health and Rehabilitation Center | 3.3 | 28 |
| Rose Hill Health and Rehab | 12.9 | 19 |
| Heritage Hall Front Royal | 17.5 | 3 |
| Lynn Care Center | 18.7 | 19 |
| Willow Tree Healthcare Center | 20.1 | 12 |
| Shenandoah Center | 20.6 | 9 |
| Care Haven Center | 21.3 | 6 |
| Martinsburg Healthcare Center | 23.7 | 8 |
| War Memorial Hospital | 24.1 | 1 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.