Clay County Nursing Home

Name: Clay County Nursing Home
Address: 83825 HIGHWAY 9, Ashland, AL, 36251, US
Telephone: 2563542131

83825 Highway 9, Ashland, AL 36251 · Clay County · 83 certified beds · avg 71 residents/day · certified since Dec 1, 1974

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.39

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 (8)

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
Mar 16, 2022	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Mar 16, 2022	B · Minimal risk, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
May 16, 2019	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 16, 2019	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.
Jun 21, 2018	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 21, 2018	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 21, 2018	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.
Jun 21, 2018	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Worst severity that year
2018	4	F
2019	2	E
2022	2	D

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	Alabama avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.39	4.43	3.95	bottom 48% in Alabama; top 26% in the U.S.
Registered Nurse hours	0.75	0.74	0.69	top 44% in Alabama; top 32% in the U.S.
Weekend total nurse staffing	3.70	3.73	3.50	bottom 50% in Alabama; top 33% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.36	0.48	bottom 48% in Alabama; bottom 37% in the U.S.
Total nursing staff turnover (%)	39.7	46.9	45.8	top 27% in Alabama; top 35% in the U.S.
RN turnover (%)	20.0	39.5	42.9	top 16% in Alabama; top 13% 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 3.73, RN 0.64, weekend 3.14. Staffing rating: 4/5.

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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Burdette, Gerald	Individual	Corporate Director	NOT APPLICABLE	12/08/2009
Carpenter, Julia	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Clay County Healthcare Authority	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/1966
Crawford, Cynthia	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Crenshaw, Bobby	Individual	Corporate Director	NOT APPLICABLE	12/08/2009
Fetner, Larry	Individual	Corporate Director	NOT APPLICABLE	12/08/2009
Glenn, Donna	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Graben, Robin	Individual	W-2 Managing Employee	NOT APPLICABLE	11/06/2011
Harris, Dwight	Individual	Corporate Director	NOT APPLICABLE	12/08/2009
Jackson, Kathy	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Jarmon, Timothy	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Luker, Lennie	Individual	W-2 Managing Employee	NOT APPLICABLE	08/03/2009
Miller, David	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Perry, Belever	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Smith, Linda	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Tomlin, Kerry	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Wilkinson, Kattie	Individual	W-2 Managing Employee	NOT APPLICABLE	10/23/2011
Williams, Mary	Individual	W-2 Managing Employee	NOT APPLICABLE	12/08/2009
Wood, Ben	Individual	Corporate Director	NOT APPLICABLE	12/08/2009
Young, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2021

Questions to ask on your visit

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

"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you keep residents' medical records accurate, complete, and secure?"
"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
Lineville Health and Rehabilitation, LLC	4.1 mi	Lineville, AL	★★★★★	5/5
Talladega Healthcare Center, INC	18.6 mi	Talladega, AL	★★★☆☆	3/5
Goodwater Healthcare Center	19.6 mi	Goodwater, AL	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Ashland →

Facility data as of CMS processing date 2026-08-01. CCN 015124.

The Care File

Visit checklist — Clay County Nursing Home

83825 Highway 9, Ashland, AL 36251 · 2563542131

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "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 015124 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)