Clay County Health and Rehabilitation
86 Valley Hideaway Drive, Hayesville, NC 28904
Clay County Health and Rehabilitation is a nursing home in Hayesville, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionMay 1, 2026 (6 months ago)
- Health citations since October 26, 202317 (North Carolina average 18)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
Health inspection on May 1, 2026
11 citationsCMS lists this as a standard inspection.
Show the 11 citations
Citation F0882. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS lists it as corrected on May 28, 2026.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on May 28, 2026.
CMS has cited this home for F0760 2 times since 2023.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on May 28, 2026.
Citation F0711. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
CMS lists it as corrected on May 28, 2026.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on May 28, 2026.
CMS has cited this home for F0756 2 times since 2023.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on May 28, 2026.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on May 28, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 28, 2026.
CMS has cited this home for F0880 2 times since 2023.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on May 28, 2026.
Citation F0887. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS lists it as corrected on May 28, 2026.
Citation F0712. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
CMS lists it as corrected on May 28, 2026.
Fire safety inspection on May 1, 2026
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on October 29, 2026.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on October 29, 2026.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on October 29, 2026.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on October 29, 2026.
CMS has cited this home for K0324 2 times since 2025.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 31, 2026.
CMS has cited this home for K0918 2 times since 2023.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on October 29, 2026.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Ownership
CMS lists this home under a new chain.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.6 to 3.2 hours per resident per day.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Name
CMS lists a new name for this home. It was CLAY COUNTY CARE CENTER.
Name
CMS lists a new legal business name for this home.
Ownership
CMS ownership records list new owners for this home.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Health inspection on February 27, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0641. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on March 25, 2025.
Citation F0636. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on March 25, 2025.
Citation F0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 25, 2025.
Fire safety inspection on February 27, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 24, 2025.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on May 24, 2025.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on October 26, 2023
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0756. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on November 21, 2023.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on November 21, 2023.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on November 21, 2023.
Fire safety inspection on October 26, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 27, 2023.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (828) 389-9941
- Last standard health inspection
- May 1, 2026 (6 months ago)
- Certified beds
- 90
- Residents per day, on average
- 79
- Ownership type
- For profit - Corporation
- Legal business name
- 86 Valley Hideaway Drive Opco LLC
- Chain
- Avardis Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the North Carolina average (17 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- HAYESVILLE PARENTCO LLCDirect ownership interest · not applicable · since 06/01/2025
- EVH HOLDCO LLCIndirect ownership interest · not applicable · since 06/01/2025
- NCOP HOLDCO LLCIndirect ownership interest · not applicable · since 06/01/2025
- NU C II IRREVOCABLE TRUSTIndirect ownership interest · not applicable · since 06/01/2025
- NU C IRREVOCABLE TRUSTIndirect ownership interest · not applicable · since 06/01/2025
Show 10 more
- SNF CARE CENTERS LLCIndirect ownership interest · not applicable · since 06/01/2025
- ZENITH HOLDCO II LLCIndirect ownership interest · not applicable · since 06/01/2025
- ZENITH HOLDCO LLCIndirect ownership interest · not applicable · since 06/01/2025
- SNF MGR LLCOperational/managerial control · not applicable · since 05/01/2025
- CHANDROSS, MARKOperational/managerial control · not applicable · since 05/01/2025
- GARRETT, KATHIEOperational/managerial control · not applicable · since 05/01/2025
- HOBACK, TIFFANYOperational/managerial control · not applicable · since 05/01/2025
- JONES, TEQUILLAOperational/managerial control · not applicable · since 05/01/2025
- SEMONES, BRANDIOperational/managerial control · not applicable · since 05/01/2025
- VARGAS, CARLOSOperational/managerial control · not applicable · since 05/01/2025
Questions
When was Clay County Health and Rehabilitation last inspected?
CMS lists May 1, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Clay County Health and Rehabilitation have?
CMS lists 17 health citations since October 26, 2023. CMS also calls these deficiencies.
Has Clay County Health and Rehabilitation been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Clay County Health and Rehabilitation?
Its CMS overall star rating is 2 of 5.
Is Clay County Health and Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.