Nursing Care Index

The Village At Orchard Ridge

Winchester, Frederick County, Virginia · CCN 495415 · Non-profit (Church related) · part of National Lutheran Communities & Services (2 facilities, chain average 4 stars)

CMS rates The Village At Orchard Ridge 5 of 5 overall as of August 2026. 20 certified beds, 18 residents a day on average. 4 citations on record from the current inspection cycles; no fines on record.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / 4 of 5

Staffing

Total nurse staffing5.04481 hours per resident per day
Registered nurses1.50428 hours per resident per day
Weekend total4.81669 hours per resident per day
Nursing staff turnover39.1% (registered nurses 20%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-03-06 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-04-01
2024-03-06 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-01
2024-03-06 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-01
2024-03-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-01

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
National Lutheran Inc.
Organization
5% or greater direct ownership interest100%2011-07-20
National Lutheran Inc.
Organization
operational/managerial control2011-07-20
Ault, Jared
Individual
adp of the snf2017-01-23
Blakemore, Victoria
Individual
adp of the snf2021-12-19
Casner, Donna
Individual
adp of the snf2018-06-25
Combs, Allison
Individual
adp of the snf2021-12-19
Coulter, Bonnie
Individual
adp of the snf2024-07-15
Cruz, Medardo
Individual
adp of the snf2019-04-01
Custer, William
Individual
adp of the snf2024-07-01
Gwinn, Lauren
Individual
adp of the snf2022-11-20
Hearn, Garri Ann
Individual
adp of the snf2018-05-01
Hollis, Michelle
Individual
adp of the snf2020-07-27
Isham, Sarah
Individual
adp of the snf2018-07-09
Loy, Shannon
Individual
adp of the snf2022-07-03
Mason, Susan
Individual
adp of the snf2021-01-11
Midolo, John
Individual
adp of the snf2022-08-14
Nastasi, Steven
Individual
adp of the snf2023-11-27
Palomo, Mary
Individual
adp of the snf2021-12-13
Patterson, Elizabeth
Individual
adp of the snf2025-02-24
Portalanza, Joanne
Individual
adp of the snf2018-12-03
Radigan, Erin
Individual
adp of the snf2023-09-29
Rosamond, Lori
Individual
adp of the snf2013-01-30
Rutz, Melissa
Individual
adp of the snf2021-10-10
Wagoner, Craig
Individual
adp of the snf2023-03-19
Walters, Cynthia
Individual
adp of the snf2021-08-21
Wood, Melissa
Individual
adp of the snf2019-10-14
Blakemore, Victoria
Individual
corporate director2021-12-19
Combs, Allison
Individual
corporate director2021-12-19
Midolo, John
Individual
corporate director2022-08-14
Nastasi, Steven
Individual
corporate director2023-11-27
Casner, Donna
Individual
corporate officer2018-06-25
Wagoner, Craig
Individual
corporate officer2023-03-19
Walters, Cynthia
Individual
corporate officer2021-08-21
Ault, Jared
Individual
operational/managerial control2017-01-23
Combs, Allison
Individual
operational/managerial control2021-12-19
Coulter, Bonnie
Individual
operational/managerial control2024-07-15
Cruz, Medardo
Individual
operational/managerial control2019-04-01
Custer, William
Individual
operational/managerial control2024-07-01
Gwinn, Lauren
Individual
operational/managerial control2022-11-20
Hearn, Garri Ann
Individual
operational/managerial control2018-05-01
Hollis, Michelle
Individual
operational/managerial control2020-07-27
Isham, Sarah
Individual
operational/managerial control2018-07-09
Loy, Shannon
Individual
operational/managerial control2022-07-03
Mason, Susan
Individual
operational/managerial control2021-01-11
Nastasi, Steven
Individual
operational/managerial control2023-11-27
Palomo, Mary
Individual
operational/managerial control2021-12-13
Patterson, Elizabeth
Individual
operational/managerial control2025-02-24
Portalanza, Joanne
Individual
operational/managerial control2018-12-03
Radigan, Erin
Individual
operational/managerial control2023-09-29
Rosamond, Lori
Individual
operational/managerial control2013-01-30
Rutz, Melissa
Individual
operational/managerial control2021-10-10
Wood, Melissa
Individual
operational/managerial control2019-10-14

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Frederick County.