Clay County Health and Rehabilitation

Name: Clay County Health and Rehabilitation
Address: 86 Valley Hideaway Drive, Hayesville, NC, 28904, US
Telephone: 8283899941

86 Valley Hideaway Drive, Hayesville, NC 28904 · Clay County · 90 certified beds · avg 78 residents/day · certified since Mar 30, 1993

Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (17)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 1, 2026	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
May 1, 2026	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 1, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 1, 2026	D · Potential for harm, one-off	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
May 1, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 1, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
May 1, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 1, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 1, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 1, 2026	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
May 1, 2026	B · Minimal risk, repeated	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule.
Feb 27, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 27, 2025	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Feb 27, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Oct 26, 2023	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 26, 2023	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Oct 26, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 11).

Year	Citations	Worst severity that year
2023	3	E
2025	3	E
2026	11	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.96	4.01	3.95	top 33% in North Carolina; top 41% in the U.S.
Registered Nurse hours	0.49	0.64	0.69	bottom 42% in North Carolina; bottom 36% in the U.S.
Weekend total nurse staffing	3.59	3.56	3.50	top 31% in North Carolina; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.41	0.48	bottom 38% in North Carolina; bottom 26% in the U.S.
Total nursing staff turnover (%)	49.4	49.0	45.8	bottom 48% in North Carolina; bottom 38% in the U.S.
RN turnover (%)	66.7	45.7	42.9	bottom 21% in North Carolina; bottom 15% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.17, RN 0.39, weekend 2.87. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Evh Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2025
Hayesville Parentco LLC	Organization	Direct 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
Chandross, Mark	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Chandross, Mark	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Garrett, Kathie	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Garrett, Kathie	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Jones, Tequilla	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Jones, Tequilla	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Semones, Brandi	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2025
Semones, Brandi	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Semones, Brandi	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who is your infection preventionist, and what training do they have?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How often does each resident's doctor visit and review their care in person?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Chatuge Regional Nursing Home	7.4 mi	Hiawassee, GA	★☆☆☆☆	1/5
Valley View Care and Rehabilitation	10.7 mi	Andrews, NC	★★☆☆☆	2/5
Union County Nursing Home	13.9 mi	Blairsville, GA	★★★★☆	4/5
Murphy Rehabilitation & Nursing	18.0 mi	Murphy, NC	★★★★☆	4/5
Graham Healthcare and Rehabilitation Center	18.6 mi	Robbinsville, NC	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Hayesville →

Facility data as of CMS processing date 2026-08-01. CCN 345433.

The Care File

Visit checklist — Clay County Health and Rehabilitation

86 Valley Hideaway Drive, Hayesville, NC 28904 · 8283899941

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Who is your infection preventionist, and what training do they have?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How often does each resident's doctor visit and review their care in person?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345433 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)