nursing home in Hayesville, NC
Clay County Health and Rehabilitation
86 Valley Hideaway Drive, Hayesville, NC 28904 · (828) 389-9941
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Clay County Health and Rehabilitation at a glance
Clay County Health and Rehabilitation is a 90-bed for-profit nursing home in Hayesville, North Carolina (Clay County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 3.2 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (May 1, 2026) found 11 health citations. The North Carolina average is 4.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 49.4% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avardis Health
- Medicare-certified since
- March 30, 1993
- Resident/family council
- Resident
- County
- Clay County
- CMS Certification Number
- 345433
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.17 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.39 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.26 hrs | 2.34 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.87 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 49.4% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 5 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 46 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 105 | 107 | |
| Average residents per day | 78 | 87 | 86 | |
| Occupancy | 86.1% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.7% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 6.5% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 22.7% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.9% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 14% | 15.6% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 17.1% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.7% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.9% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.2% | 21.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.7% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.5% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 86.8% | 92% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 88.9% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 67.4% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 1, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 1, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 1, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 1, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 1, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 1, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 1, 2026 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected May 28, 2026 |
| May 1, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected May 28, 2026 |
| May 1, 2026 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected May 28, 2026 |
| May 1, 2026 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected May 28, 2026 |
| May 1, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 28, 2026 |
| May 1, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected May 28, 2026 |
| May 1, 2026 Standard | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Tag F0711 | D Potential harm, isolated | Corrected May 28, 2026 |
| May 1, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected May 28, 2026 |
| May 1, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 28, 2026 |
| May 1, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 28, 2026 |
| May 1, 2026 Standard | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Tag F0712 | B No harm, pattern | Corrected May 28, 2026 |
| February 27, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected May 24, 2025 |
| February 27, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected May 24, 2025 |
| February 27, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected March 25, 2025 |
| February 27, 2025 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected March 25, 2025 |
| February 27, 2025 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected March 25, 2025 |
| October 26, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected December 27, 2023 |
| October 26, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 21, 2023 |
| October 26, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected November 21, 2023 |
| October 26, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected November 21, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CHANDROSS, MARK Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| GARRETT, KATHIE Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| JONES, TEQUILLA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SEMONES, BRANDI Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SNF MGR LLC Organization | adp of the snf | NOT APPLICABLE | 04/14/2025 |
| VARGAS, CARLOS Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| HAYESVILLE PARENTCO LLC Organization | direct ownership interest | NOT APPLICABLE | 06/01/2025 |
| EVH HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| NCOP HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| NU C II IRREVOCABLE TRUST Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| NU C IRREVOCABLE TRUST Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| SNF CARE CENTERS LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| ZENITH HOLDCO II LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| ZENITH HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| HOBACK, TIFFANY Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| SEMONES, BRANDI Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| CHANDROSS, MARK Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| GARRETT, KATHIE Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| JONES, TEQUILLA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| SEMONES, BRANDI Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| SNF MGR LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| VARGAS, CARLOS Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
Other nursing homes near Clay County Health and Rehabilitation
- ★★★★★1Much below average
Valley View Care and Rehabilitation
551 Kent Street, Andrews, NC 28901 · 10.7 mi
For-profit · 76 beds · Part of Avardis Health
★★★★★2Below averageUnion County Nursing Home
164 Nursing Home Circle, Blairsville, GA 30512 · 13.9 mi
Non-profit · 150 beds
★★★★★4Above average- ★★★★★4Above average
Graham Healthcare and Rehabilitation Center
811 Snowbird Road, Robbinsville, NC 28771 · 18.6 mi
For-profit · 80 beds · Part of Principle Long Term Care
- Abuse citation
★★★★★2Below averageMacon Valley Nursing and Rehabilitation Center
3195 Old Murphy Road, Franklin, NC 28734 · 22.9 mi
For-profit · 200 beds · Part of Principle Long Term Care
- Abuse citation
★★★★★2Below average
Frequently asked questions
What is Clay County Health and Rehabilitation's rating?
Clay County Health and Rehabilitation has 2 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Clay County Health and Rehabilitation receive?
Its most recent standard health inspection found 11 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Clay County Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Clay County Health and Rehabilitation?
It is for profit - corporation and part of Avardis Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Clay County Health and Rehabilitation and how do I contact it?
Clay County Health and Rehabilitation is at 86 Valley Hideaway Drive, Hayesville, NC 28904. Phone: (828) 389-9941.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.