Nursing home
Clay County Health and Rehabilitation
86 Valley Hideaway Drive, Hayesville, NC 28904 · Map
For profit - Limited Liability company · Part of Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (36 facilities) · 90 certified beds
Clay County Health and Rehabilitation is a Medicare-certified nursing home in Hayesville, North Carolina. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.16 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Feb 27, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Clay County Health and Rehabilitation compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.16 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.56 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.23 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 44.9% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Clay County Health and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Feb 27, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 26, 2023 - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Oct 26, 2023
Show all 6 deficiencies
- Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Oct 26, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 86 Valley Hideaway Drive
Hayesville, NC 28904 - CMS certification #
- 345433
- Ownership
- For profit - Limited Liability company
- Certified beds
- 90
- Avg residents/day
- 76.4
- Provider type
- Medicare and Medicaid
- First certified
- 1993-03-30
- Chain
- Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (36 facilities)
- Setting
- Rural
Part of Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care operates 36 nursing facilities across the United States. View all Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Clay County Health and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Chatuge Regional Hospital, Hiawassee. 7.4 miles away, straight line.
- Nearest Medicare nursing home
- Chatuge Regional Nursing Home, Hiawassee. 7.4 miles away, straight line.
- Nearest home health agency office
- Mountain Home Health, Hayesville. 3.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28904 as rural (rural area).
- Dialysis within 15 miles
- Davita Smoky Mountain Dialysis, Murphy, 12.2 miles away, straight line (CMS rating 4 of 5 stars)
Union County Dialysis, Blairsville, 14.0 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 28904.
Hospice Of North Carolina, office in Murphy, 9.1 miles away, straight line - Nearest geriatric medicine practice
- Northeast Georgia Diagnostic Associates And Clinic, LLC, Gainesville. 51.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Hayesville, NC, risk to homes is greater than 84% of communities in North Carolina and 79% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively moderate, tornado relatively high, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Clay County Health and Rehabilitation a good nursing home?
CMS gives Clay County Health and Rehabilitation an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Clay County Health and Rehabilitation staffed?
Clay County Health and Rehabilitation reports 3.16 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Clay County Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Clay County Health and Rehabilitation have?
Clay County Health and Rehabilitation is certified for 90 beds.