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
Nursing home report
Clay County Health and Rehabilitation
Hayesville, NC · Medicare-certified · 90 beds
In good standing
For-profitChain member
4 of 5 overall
Clay County Health and Rehabilitation in Hayesville, NC has an overall rating of 4 out of 5 stars, with 4-star health inspections and 3-star staffing and quality ratings. It reported 3.28 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $0 in fines over the last 24 months, and recent inspection citations related to assessment and medication review/error issues.
Facility ratings
Health inspections
Staffing
3.2844 hrs/resident/day
Quality measures
Last inspection: February 27, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2844.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.45
- Nurse aides
- 2.31
- Weekend nursing
- 2.83
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.7%Worsening
Residents with a fall causing major injury
5.9%Worsening
Residents with pressure ulcers (bedsores)
6.5%Improving
Residents with a urinary tract infection
0.7%Improving
Residents who lost too much weight
9.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.7%Worsening
Residents whose ability to walk got worse
12.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
11.2%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.9%Worsening
Residents with new or worsening incontinence
24.3%Improving
Residents with depressive symptoms
2.2%Worsening
Long-stay residents given the seasonal flu vaccine
97.5%Steady
Long-stay residents given the pneumonia vaccine
93.1%Worsening
Short-stay residents given the seasonal flu vaccine
88.9%Steady
Short-stay residents given the pneumonia vaccine
81.9%Worsening
What the inspectors found
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 ensure residents were free from significant medication errors. Cited October 2023 — 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 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
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: D
Recent history
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVARDIS HEALTH · 38 homes · 2 stars avg
- Occupancy
- 80.3 residents on an average day (89% 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.