The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited May 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
Nursing home report
Clay County Health and Rehabilitation
Hayesville, NC · Medicare-certified · 90 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Clay County Health and Rehabilitation in Hayesville, NC has an overall rating of 2 out of 5 stars, with a 2-star health inspection rating and 3-star staffing and quality ratings. Reported nurse staffing is 3.17 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1677 hrs/resident/day
Quality measures
Last inspection: May 1, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1677.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 0.52
- Nurse aides
- 2.26
- Weekend nursing
- 2.87
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
23.7%23.8%No change
Residents with a fall causing major injury
5.7%2.9%Improving
Residents with pressure ulcers (bedsores)
9.3%6.9%Improving
Residents with a urinary tract infection
1.5%1.4%No change
Residents who lost too much weight
10.4%7.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.7%16.9%Worsening
Residents whose ability to walk got worse
16.6%36.5%Worsening
Long-stay residents on antianxiety or sleep medication
8.6%13.2%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.1%1.2%No change
Residents with new or worsening incontinence
21%27.6%Worsening
Residents with depressive symptoms
1.5%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.5%—
Long-stay residents given the pneumonia vaccine
100%74.3%Worsening
Short-stay residents given the seasonal flu vaccine
—88.9%—
Short-stay residents given the pneumonia vaccine
92.6%43.3%Worsening
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 1, 2025
Now operated by Clay County Health and Rehabilitation, previously Clay County Care Center.
- Ownership
- For profit - Corporation
- Chain
- Part of AVARDIS HEALTH · 38 homes · 2 stars avg
- Occupancy
- 77.5 residents on an average day (86% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.