Nursing Homes · Medicare certified
Clay County Health and Rehabilitation
86 Valley Hideaway Drive · Hayesville, NC 28904 · 90 certified beds
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About Clay County Health and Rehabilitation
Clay County Health and Rehabilitation is a nursing home in Hayesville, North Carolina. Its capacity is 90 beds, below the North Carolina median of 102 for nursing homes. It is run by a for-profit operator and is part of Avardis Health. It is Medicare certified. Its public inspection record shows 17 citations, the most recent on May 1, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.22 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
2.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (17)
Records from October 2023 to May 2026.
May 1, 2026
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 1, 2026
Tag F0887Educate 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
February 27, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 25, 2025.
February 27, 2025
Tag F0700Try 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 25, 2025.
February 27, 2025
Tag F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 25, 2025.
October 26, 2023
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2023.
October 26, 2023
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2023.
October 26, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2023.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
3.22 nurse hours per resident per day in Q2 2026, down from 3.28 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Avardis Health, a chain of 38 nursing homes.
Average CMS star ratings across the chain: 2.1 overall, 2.0 for health inspections, 2.6 for staffing, 3.2 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in North Carolina.
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