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Nursing HomeMedicaid

Clay County Health and Rehabilitation

Strong Medicare quality ratings; families often praise warm, compassionate nursing staff. Still worth an in-person visit.

86 Valley Hideaway Drive, Hayesville, NC 2890490 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 34 Google reviews

5
4
3
2
1

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What this means for your family

This facility is widely praised for its compassionate staff and effective rehabilitation services, making it a strong candidate for recovery. However, given reports of staffing and supply issues, we recommend asking the administration directly about their current staffing ratios and how they manage supply inventory to ensure your loved one's needs are consistently met.

Google Reviews

Google Reviews

34 reviews on Google
Clay County Health and Rehabilitation is highly regarded by many families for its warm, compassionate staff and family-like atmosphere. While most reviewers praise the quality of care and therapy services, there are isolated concerns regarding staffing levels and supply shortages that prospective families should investigate.

Quality Themes

Tap a score for details
Food9.0Staff9.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Warm, compassionate nursing staff
  • Effective rehabilitation therapy team
  • Clean, odor-free facility
  • Welcoming, family-like environment

Concerns

  • Chronic understaffing (mentioned by 2 reviewers)
  • Occasional shortages of essential supplies (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.82025(29)5.02026(9)

Distribution · 38 analyzed

5
35
4
2
3
0
2
0
1
1
10 reviews posted between Oct 8, 2025Oct 11, 2025 · 10 were 5-star
10 reviews posted between Sep 22, 2025Sep 26, 2025 · 9 were 5-star

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the facility's 3-star staffing rating, how do you ensure that residents receive consistent attention and timely assistance throughout the day?
  • 2I noticed some feedback regarding occasional supply shortages; what systems do you have in place to ensure that essential care items are always readily available for residents?
  • 3With your strong reputation for a family-like environment, what specific daily activities or social programs are available to help residents feel connected and engaged?
  • 4Since you have a 4-star health inspection rating, could you walk us through your process for maintaining such high standards of cleanliness and resident safety?
  • 5In the event of a medical emergency, what is your protocol for coordinating care and communicating with family members during off-hours?
  • 6I appreciate that you actively engage with families online; how do you incorporate feedback from those digital conversations into your daily operations and care improvements?

Personalized based on this facility's data


Key Review Excerpts

The rehab therapists worked hard and got my mom back to strength and now she is happy at home.

Rehab patient's family · 2025★★★★★

I am overwhelmed at the love a support they show my mom. The staff is friendly and attentive. I can tell they truly love my mom.

Long-term resident's family · 2026★★★★★

The nursing home is in a beautiful mountain setting away from busy streets and traffic, residents can sit out on front porch in rocking chairs and be safe there.

Family member · 2025★★★★★
Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.52hrs
69%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
19.5%
NC
21.5%
Clay
20.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
12.1%
NC
5.4%
Clay
11.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.4%
Better than Avg
Here
12.4%
US
15.3%
NC
20.2%
Clay
14.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.7%
Worse than Avg
Here
20.7%
US
15.5%
NC
14.1%
Clay
17.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
14.4%
NC
16.4%
Clay
15.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.3%
Worse than Avg
Here
24.3%
US
19.4%
NC
21.0%
Clay
18.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.9%
Better than Avg
Here
88.9%
US
79.8%
NC
78.1%
Clay
81.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility81.9%
Mixed vs Avgs
Here
81.9%
US
81.8%
NC
80.1%
Clay
85.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
1.5%
Clay
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Near state avg (5.6)

Clay County Health and Rehabilitation shows a mixed record with 11 deficiencies across three surveys, all corrected by the facility. The most recent 2025 survey identified concerns with resident assessments and care planning, while a 2023 survey found issues with medication management and infection control. Building safety and maintenance problems have appeared consistently across surveys, suggesting ongoing facility management challenges that families should discuss during visits.

Feb 27, 2025Routine
5
0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Oct 26, 2023Routine
4
0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

May 5, 2022Routine
2
0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Clay County Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Avardis Health

Chain Size

38 facilities nationwide

Chain avg rating: 2.3/5 · Rank 9 of 35

Ownership & Management

Owners

Hayesville Parentco LLC

Owner · Organization

Evh Holdco LLC

Owner (parent company) · Organization

Ncop Holdco LLC

Owner (parent company) · Organization

Nu C II Irrevocable Trust

Owner (parent company) · Organization

Nu C Irrevocable Trust

Owner (parent company) · Organization

Snf Care Centers LLC

Owner (parent company) · Organization

Zenith Holdco II LLC

Owner (parent company) · Organization

Zenith Holdco LLC

Owner (parent company) · Organization

Key personnel

Hoback, TiffanyManaging Control - Governing BodySemones, BrandiManaging Control - Governing BodySnf Mgr LLCManagerChandross, MarkManagerGarrett, KathieManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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