Alabama › Clay County › Ashland
Clay County Nursing Home
83825 Highway 9, Ashland, AL 36251
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 83 beds, Clay County Nursing Home serves Ashland in Clay County, Alabama and has taken Medicare and Medicaid residents since 1974.
CMS gives it 3 of 5 stars overall, equal to the Alabama median; the health inspection rating is 4, staffing 4 and quality measures 1.
Inspectors recorded 8 health deficiencies across the three most recent survey cycles (2, 2, 4 by cycle, most recent first), none at the actual-harm level. That is 9.6 per 100 beds, about the same as the state median of 7.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the Alabama median of 3.9; nursing staff turnover is 39.7%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Clay Co. median | Alabama median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 8 | 8 | 9 | 28.7 |
| Citations per 100 beds | 9.6 | 9.6 | 7.7 | 26.8 |
| Total nurse hours per resident day | 3.7 | 4.0 | 3.9 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 39.7% | 54.9% | 46.7% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (2 in the county, 224 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Alabama average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Mar 2022, 16 May 2019.
Severity mix: D ×4 E ×2 F ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Mar 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 20 Apr 2022 |
| 16 Mar 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 19 Mar 2022 |
| 16 May 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 20 Jun 2019 |
| 16 May 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Jun 2019 |
| 21 Jun 2018 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Jul 2018 |
| 21 Jun 2018 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 Jul 2018 |
| 21 Jun 2018 | 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 | 26 Jul 2018 |
| 21 Jun 2018 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 26 Jul 2018 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Alabama average. Turnover: nursing staff 39.7%, RNs 20.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Alabama median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.1% | 11.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.5% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.4% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 11.5% | 1.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.1% | 11.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.6% | 20.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, other. Legal business name: Clay County Healthcare Authority.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Clay County Healthcare Authority | Operational/managerial control | NOT APPLICABLE | 01/01/1966 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Clay County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lineville Health and Rehabilitation, LLC | Lineville | 101 | 5 | 5 | 4 | 5 | 5.0 | — | 13 Jun 2019 |
All 2 facilities in Clay County
Questions and answers
How many deficiencies has Clay County Nursing Home been cited for?
8 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Alabama median is 9 per facility.
Has Clay County Nursing Home been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Clay County Nursing Home compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Alabama median of 3.9 and a national average of 3.9.
Who operates Clay County Nursing Home?
Ownership type is non-profit, other. Organisations in the CMS ownership record include Clay County Healthcare Authority. Individual owners and managers are not listed on this site.
When was Clay County Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 16 Mar 2022; the most recent standard health survey was 16 Mar 2022.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.