Clay County Health and RehabilitationCMS ratings, inspections and fines
- Address
- 86 Valley Hideaway Drive, Hayesville, NC 28904
- CCN
- 345433
- Ownership type
- For-profit, corporation
- Certified beds
- 90
- Chain
- Avardis Health
- Residents per day
- 78
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Clay County Health and Rehabilitation an overall rating of 2 of 5 stars. The last standard survey was on 1 May 2026. The latest survey cycle has 11 health citations. The median for nursing homes in North Carolina is 3. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | North Carolina median | US average (CMS) |
|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 1 May 2026 | 11 | 3 |
| Cycle 2 | 27 Feb 2025 | 3 | 5 |
| Cycle 3 | No date | 3 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 28 May 2026 |
| 1 May 2026 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 28 May 2026 |
| 1 May 2026 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | B | Standard survey | 28 May 2026 |
| 1 May 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 28 May 2026 |
| 1 May 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 28 May 2026 |
| 1 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 28 May 2026 |
| 1 May 2026 | F0761 | 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. | D | Standard survey | 28 May 2026 |
| 1 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 May 2026 |
| 1 May 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 28 May 2026 |
| 1 May 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 28 May 2026 |
| 1 May 2026 | F0887 | 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. | D | Standard survey | 28 May 2026 |
Survey cycle 2: 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Feb 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 25 Mar 2025 |
| 27 Feb 2025 | F0700 | 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. | D | Standard survey | 25 Mar 2025 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Oct 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 21 Nov 2023 |
| 26 Oct 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 21 Nov 2023 |
| 26 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Nov 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.17 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.39 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.52 | 0.89 | |
| Nurse aides | 2.26 | 2.34 | |
| All nurse staff, weekends | 2.87 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 49.4%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.0% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.1% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.7% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- 86 Valley Hideaway Drive Opco LLC
- Chain
- Avardis Health (38 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hayesville Parentco LLC | Direct ownership interest | 1 Jun 2025 | |
| Evh Holdco LLC | Indirect ownership interest | 1 Jun 2025 | |
| Ncop Holdco LLC | Indirect ownership interest | 1 Jun 2025 | |
| SNF Care Centers LLC | Indirect ownership interest | 1 Jun 2025 | |
| Zenith Holdco LLC | Indirect ownership interest | 1 Jun 2025 | |
| SNF Mgr LLC | Operational/managerial control | 1 May 2025 | |
| SNF Mgr LLC | Adp of the snf | 14 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Clay County Health and Rehabilitation (CCN 345433). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/clay-county-health-and-rehabilitation-hayesville-nc-345433/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Clay County Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 1 May 2026. It was a standard survey. It gave 11 citations. The standard survey before the last one was on 27 Feb 2025.
- Who operates Clay County Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Avardis Health. The CMS ownership file names SNF Mgr LLC for operational or managerial control. This site does not show the names of persons.
- Is Clay County Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.