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Clay County Health and Rehabilitation

All states › North Carolina › Hayesville › Clay County Health and Rehabilitation

86 Valley Hideaway Drive Hayesville, NC 28904 · Clay County

(828) 389-9941

Accepts Medicare Accepts Medicaid 90 certified beds For profit

CMS certification number 345433 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Clay County Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Clay County Health and Rehabilitation as of October 2026.

CMS rates it 2 out of 5 stars overall, below the North Carolina average of 3.0. Inspectors issued 17 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 2 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.22 hours per resident per day at Clay County Health and Rehabilitation, below the North Carolina median of 3.57 (US median: 3.72). About 0.36 of those hours are from registered nurses. On weekends it falls to 2.86 hours, 11% below its all-week average. 50% of nursing staff left within a year (North Carolina median 48.5%).

Nursing care per resident per day 3.22 hours
Below the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.36 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.86 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 50% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 73.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds90
Residents per day 79 About 88% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1993
Part of a chainAvardis Health
Legal business name86 VALLEY HIDEAWAY DRIVE OPCO LLC

Paying for care at Clay County Health and Rehabilitation: Medicare and Medicaid

Clay County Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 1, 2026 and found 11 deficiencies. In total, inspectors issued 17 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 17 citations at Clay County Health and Rehabilitation across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 16 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were pharmacy service (6) and infection control (5). The most serious was cited under the CMS rule to "designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home" (tag F0882, level F, May 1, 2026).

May 1, 2026 · 11 citations

FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0882 · Deficient, Provider has date of correction (May 28, 2026)

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (May 28, 2026)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (May 28, 2026)

DEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0711 · Deficient, Provider has date of correction (May 28, 2026)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (May 28, 2026)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (May 28, 2026)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 28, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 28, 2026)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (May 28, 2026)

DEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (May 28, 2026)

BEnsure that the resident and his/her doctor meet face-to-face at all required visits.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0712 · Deficient, Provider has plan of correction (May 28, 2026)

February 27, 2025 · 3 citations

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Mar 25, 2025)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Mar 25, 2025)

DTry 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Mar 25, 2025)

October 26, 2023 · 3 citations

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Nov 21, 2023)

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Nov 21, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 21, 2023)

Questions to ask on a tour of Clay County Health and Rehabilitation

  1. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 2/5 3/5
August 2026 2/5 2/5 3/5 3/5
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Location

Hospitals near Clay County Health and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 7.3 mi
    Chatuge Regional Hospital Hiawassee
    Emergency room
    Median ER visit 2h 36m for patients treated and sent home
  • 9.2 mi
    Erlanger Murphy Medical Center Murphy
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 57m for patients treated and sent home
  • 13.9 mi
    Union General Hospital Blairsville
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 45m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Valley View Care and Rehabilitation Andrews · 10.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 76 beds · Medicaid
Murphy Rehabilitation & Nursing Murphy · 18.0 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 134 beds · Medicaid
Graham Healthcare and Rehabilitation Center Robbinsville · 18.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 80 beds · Medicaid
Macon Valley Nursing and Rehabilitation Center Franklin · 22.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 200 beds · Medicaid
Mountain View Manor Nursing Center Bryson City · 32.4 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid

More nursing homes near Clay County Health and Rehabilitation ›   All nursing homes in Hayesville ›

Compare Clay County Health and Rehabilitation with the 3 closest homes side by side ›

Other Avardis Health nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 38 Avardis Health nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/hayesville/clay-county-health-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.