Nursing Home Lookup

Federal inspection record · CMS data as of October 1, 2026

The Village At Orchard Ridge

100 Procession Way, Winchester, VA · (540) 431-2800

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
20
Residents per day
18
Ownership
Non-Profit
Chain
National Lutheran Communities & Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 31, 2014

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Virginia homes

The Village At Orchard Ridge carries 15 inspection points. That is fewer than 91% of Virginia's 287 rated homes.

5★4★3★2★1★+9 homes above 494.7505102550100200400inspection points → fewer is better on the leftThis home · 15 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–16 pts
  • 4★ 16–45 pts
  • 3★ 45–76.5 pts
  • 2★ 76.5–168.75 pts
  • 1★ over 168.75 pts

Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

4 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 3 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning2D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 6, 2024 · Standard · F657 · Corrected April 1, 2024

  2. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 6, 2024 · Standard · F658 · Corrected April 1, 2024

Infection Control1E
  1. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    March 6, 2024 · Standard · F883 · Corrected April 1, 2024

Quality of Life and Care1D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 6, 2024 · Standard · F684 · Corrected April 1, 2024

Inspection history

  1. 2024-03-06

    4 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (2 deficiencies)

  2. 2022-06-01

    0 health deficiencies · 0 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2021-02-25

    0 health deficiencies · 0 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 5 h 2 min of nursing staff time a day, 1 h 33 min of it from a registered nurse.

This home

5 h 2 min

Virginia average

3 h 53 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 48% of nursing staff and 43% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine21.2 pts worse70.0%91.2%93.7%
Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts better0.0%3.5%3.2%
Percentage of long-stay residents who have depressive symptoms20.5 pts better0.0%20.5%13.5%
Percentage of long-stay residents who lose too much weight15.4 pts worse20.7%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication30.8 pts worse51.5%20.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.2 pts better0.0%14.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts better14.3%14.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.0%0.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.6 pts better0.0%1.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.1 pts worse28.4%21.3%18.3%
Percentage of long-stay residents with pressure ulcers8.6 pts worse13.0%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better77.5%74.2%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit9.8 pts worse21.3%11.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better0.8%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.4 pts worse64.9%73.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts better18.3%22.0%23.4%

·

Who owns and runs it

52 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
National Lutheran Inc5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Ault, JaredOperational/Managerial Control · Individual0%1 facilities
Ault, JaredAdp Of The SNF · Individual0%1 facilities
Blakemore, VictoriaCorporate Director · Individual0%1 facilities
Blakemore, VictoriaAdp Of The SNF · Individual0%1 facilities
Casner, DonnaCorporate Officer · Individual0%2 facilities
Casner, DonnaAdp Of The SNF · Individual0%2 facilities
Combs, AllisonCorporate Director · Individual0%1 facilities
Combs, AllisonOperational/Managerial Control · Individual0%1 facilities
Combs, AllisonAdp Of The SNF · Individual0%1 facilities
Coulter, BonnieOperational/Managerial Control · Individual0%1 facilities
Coulter, BonnieAdp Of The SNF · Individual0%1 facilities
Cruz, MedardoOperational/Managerial Control · Individual0%1 facilities
Cruz, MedardoAdp Of The SNF · Individual0%1 facilities
Custer, WilliamOperational/Managerial Control · Individual0%1 facilities
Custer, WilliamAdp Of The SNF · Individual0%1 facilities
Gwinn, LaurenOperational/Managerial Control · Individual0%1 facilities
Gwinn, LaurenAdp Of The SNF · Individual0%1 facilities
Hearn, Garri AnnOperational/Managerial Control · Individual0%1 facilities
Hearn, Garri AnnAdp Of The SNF · Individual0%1 facilities
Hollis, MichelleOperational/Managerial Control · Individual0%1 facilities
Hollis, MichelleAdp Of The SNF · Individual0%1 facilities
Isham, SarahOperational/Managerial Control · Individual0%1 facilities
Isham, SarahAdp Of The SNF · Individual0%1 facilities
Loy, ShannonOperational/Managerial Control · Individual0%1 facilities
Loy, ShannonAdp Of The SNF · Individual0%1 facilities
Mason, SusanOperational/Managerial Control · Individual0%1 facilities
Mason, SusanAdp Of The SNF · Individual0%1 facilities
Midolo, JohnCorporate Director · Individual0%1 facilities
Midolo, JohnAdp Of The SNF · Individual0%1 facilities
Nastasi, StevenCorporate Director · Individual0%1 facilities
Nastasi, StevenOperational/Managerial Control · Individual0%1 facilities
Nastasi, StevenAdp Of The SNF · Individual0%1 facilities
National Lutheran IncOperational/Managerial Control · Organization0%1 facilities
Palomo, MaryOperational/Managerial Control · Individual0%1 facilities
Palomo, MaryAdp Of The SNF · Individual0%1 facilities
Patterson, ElizabethOperational/Managerial Control · Individual0%1 facilities
Patterson, ElizabethAdp Of The SNF · Individual0%1 facilities
Portalanza, JoanneOperational/Managerial Control · Individual0%1 facilities
Portalanza, JoanneAdp Of The SNF · Individual0%1 facilities
Radigan, ErinOperational/Managerial Control · Individual0%1 facilities
Radigan, ErinAdp Of The SNF · Individual0%1 facilities
Rosamond, LoriOperational/Managerial Control · Individual0%1 facilities
Rosamond, LoriAdp Of The SNF · Individual0%1 facilities
Rutz, MelissaOperational/Managerial Control · Individual0%1 facilities
Rutz, MelissaAdp Of The SNF · Individual0%1 facilities
Wagoner, CraigCorporate Officer · Individual0%2 facilities
Wagoner, CraigAdp Of The SNF · Individual0%2 facilities
Walters, CynthiaCorporate Officer · Individual0%5 facilities
Walters, CynthiaAdp Of The SNF · Individual0%5 facilities
Wood, MelissaOperational/Managerial Control · Individual0%1 facilities
Wood, MelissaAdp Of The SNF · Individual0%1 facilities

·

Other homes nearby

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All homes in Winchester → All of Virginia →