North Carolina ›Hayesville

Clay County Health and Rehabilitation

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86 Valley Hideaway Drive, Hayesville, NC 28904 (opens Google Maps) · Clay County · (828) 389-9941· 90 certified beds · avg 78 residents/day · certified since Mar 30, 1993 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

2/5
Health inspection rating (on-site)
inspected May 1, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.96
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. F-0882

  2. E · Potential for more than minimal harm, pattern

    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. F-0760

  3. D · Potential for more than minimal harm, isolated

    The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692

View all 17 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 1, 2026F · Potential for more than minimal harm, widespreadThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
May 1, 2026E · Potential for more than minimal harm, patternThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
May 1, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
May 1, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0711
May 1, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0756
May 1, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0757
May 1, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0761
May 1, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0880
May 1, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
May 1, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0887
May 1, 2026B · Potential for minimal harm, patternThe 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. · F-0712
Feb 27, 2025E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0636
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0700
Oct 26, 2023E · Potential for more than minimal harm, patternThe 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. · F-0756
Oct 26, 2023E · Potential for more than minimal harm, patternThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Oct 26, 2023E · Potential for more than minimal harm, patternThe 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. · F-0880

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 3
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 11
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202330E
202530E
2026110F

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.96
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 0.49
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.59
North Carolina average: 3.56
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNorth Carolina avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.964.013.95top 33% in North Carolina; top 41% in the U.S.
Registered Nurse hours0.490.640.69bottom 42% in North Carolina; bottom 36% in the U.S.
Weekend total nurse staffing3.593.563.50top 31% in North Carolina; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)0.270.410.48bottom 38% in North Carolina; bottom 26% in the U.S.
Total nursing staff turnover (%)49.449.045.8bottom 48% in North Carolina; bottom 38% in the U.S.
RN turnover (%)66.745.742.9bottom 21% in North Carolina; bottom 15% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.17 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Clay County Health and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Evh Holdco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/01/2025
Hayesville Parentco LLCOrganizationDirect Ownership InterestNOT APPLICABLE06/01/2025
Ncop Holdco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/01/2025
Nu C II Irrevocable TrustOrganizationIndirect Ownership InterestNOT APPLICABLE06/01/2025
Nu C Irrevocable TrustOrganizationIndirect Ownership InterestNOT APPLICABLE06/01/2025
SNF Care Centers LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/01/2025
Zenith Holdco II LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/01/2025
Zenith Holdco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/01/2025
Chandross, MarkIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Chandross, MarkIndividualADP of the SNFNOT APPLICABLE05/01/2025
Garrett, KathieIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Garrett, KathieIndividualADP of the SNFNOT APPLICABLE05/01/2025
Hoback, TiffanyIndividualManaging Control - Governing BodyNOT APPLICABLE05/01/2025
Hoback, TiffanyIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Hoback, TiffanyIndividualADP of the SNFNOT APPLICABLE05/01/2025
Jones, TequillaIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Jones, TequillaIndividualADP of the SNFNOT APPLICABLE05/01/2025
Semones, BrandiIndividualManaging Control - Governing BodyNOT APPLICABLE05/01/2025
Semones, BrandiIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2025
Semones, BrandiIndividualADP of the SNFNOT APPLICABLE05/01/2025

Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Avardis Health — 38 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 37 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Chatuge Regional Nursing Home7.4 miHiawassee, GA★☆☆☆☆1/5
Valley View Care and Rehabilitation10.7 miAndrews, NC★★☆☆☆2/5
Union County Nursing Home13.9 miBlairsville, GA★★★★☆4/5
Murphy Rehabilitation & Nursing18.0 miMurphy, NC★★★★☆4/5
Graham Healthcare and Rehabilitation Center18.6 miRobbinsville, NC★★☆☆☆2/5abuse

Compare this facility with the 3 closest →

All facilities in Hayesville →

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

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