Clay County Health and Rehabilitation

86 Valley Hideaway Drive · Hayesville, NC · 28904 · 8283899941

90 certified beds For profit - Limited Liability company Chain: Avardis Health

  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 75
Serious harm & abuse 20% 100
Staffing 20% 60
Federal penalties 15% 100
Trend 10% 71
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.283.48 min · 4.1 strong
RN hours / resident-day0.520.55–0.75
Weekend hours / resident-day2.83≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (6 in the current record)

  • Potential for harm · D February 27, 2025

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

    Corrected March 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 27, 2025

    Ensure each resident receives an accurate assessment.

    Corrected March 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2025

    Try 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.

    Corrected March 25, 2025 · Quality of Life and Care

  • Potential for harm · E October 26, 2023

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

    Corrected November 21, 2023 · Pharmacy Service

  • Potential for harm · E October 26, 2023

    Ensure that residents are free from significant medication errors.

    Corrected November 21, 2023 · Pharmacy Service

  • Potential for harm · E October 26, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 21, 2023 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345433 · certified since March 30, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.