How to file a complaint about care →
No fines or payment denials in the published 3-year window.
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★)
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.
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. F-0882
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
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 1, 2026 | 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 |
| May 1, 2026 | 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 |
| May 1, 2026 | 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 |
| May 1, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0711 |
| May 1, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| May 1, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| May 1, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| May 1, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 1, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| May 1, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0887 |
| May 1, 2026 | B · Potential for minimal harm, pattern | 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. · F-0712 |
| Feb 27, 2025 | E · Potential for more than minimal harm, pattern | The 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, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
| Feb 27, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0756 |
| Oct 26, 2023 | 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 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
Citations from standard inspections increased between the last two inspection cycles (3 → 11).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2025 | 3 | 0 | E |
| 2026 | 11 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 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.
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
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.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 / 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 |
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.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 345433.
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