Nursing homeActive

Orchard Rehabilitation & Healthcare Center

629 State Highway 21 South, Hayneville, AL 36040334548599572 certified beds · 60 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
4
022
Penalties · 3 yrs
none on file
Last survey
2021-04-11
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 5
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Alabama Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2021-04-11Standard000CMS-2567 (Care Compare)
2019-01-31Standard010CMS-2567 (Care Compare)
2018-03-16Standard012CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Alabama Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2019-01-31Standard survey · 1 deficiencyOfficial report
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-03-01Record 015442-20190131-F770
2018-03-16Standard survey · 3 deficienciesOfficial report
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity JHarm
Dignity & rights
Isolated; immediate jeopardy to resident health or safety.Corrected 2018-04-09Record 015442-20180316-F578
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2018-04-09Record 015442-20180316-F678
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-04-09Record 015442-20180316-F609

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.64
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day3.03
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours2.58
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover31%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover18%
Facility
Alabama
National
Alabama 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityAlabamaNational
Percentage of long-stay residents with pressure ulcers
lower is better
8.6%5.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
6.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.2%21.2%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.4%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.5%0.6%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
25.4%12.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.7%5.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.2%24.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Ball, Clarence
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Cash, Cassandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Greene, Jacquelyn
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Holt, Thomas
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ball Healthcare - Lowndes, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ball Healthcare Service, Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Ball, Clarence
Individual
CORPORATE DIRECTORNOT APPLICABLE
Cash, Cassandra
Individual
ADP OF THE SNFNOT APPLICABLE
Greene, Jacquelyn
Individual
ADP OF THE SNFNOT APPLICABLE
Hall, Matthew
Individual
CORPORATE OFFICERNOT APPLICABLE
Hall, Matthew
Individual
ADP OF THE SNFNOT APPLICABLE
Holt, Thomas
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Ball Healthcare Services9 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Alabama.

No county cost figures on file for Lowndes.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Father Purcell Memorial Exceptional Children's Ctr
Montgomery
18.1 mi2022-12-22000
John Knox Manor Inc I I
Montgomery
19.2 mi2024-01-04030
Capitol Hill Healthcare Center
Montgomery
20.0 mi2021-04-01000
Prattville Health And Rehabilitation, LLC
Prattville
21.8 mi2022-06-10000
Diversicare Of Montgomery
Montgomery
20.7 mi2023-04-05000
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01