Clay County Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Clay County Health and Rehabilitation is a 90-bed for-profit nursing home in Hayesville, North Carolina, part of Avardis Health. In the CMS August 2026 release it reported 2.26 nurse aide hours per resident per day, 4% below the North Carolina average of 2.34, and 49.4% nursing staff turnover (North Carolina average 49.0%).
Clay County Health and Rehabilitation
86 Valley Hideaway DriveHayesville, NC 28904
Clay County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Clay County Health and Rehabilitation, nurse aides logged 2.26 hours per resident per day, 4% below the North Carolina average. With about 78 residents a day, that works out to roughly 175 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.26 | 2.34 | 2.32 |
| Licensed practical nurses | 0.52 | 0.89 | 0.86 |
| Registered nurses | 0.39 | 0.61 | 0.69 |
| All nursing staff | 3.17 | 3.83 | 3.86 |
| All nursing staff, weekends | 2.87 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
49.4% of nursing staff at Clay County Health and Rehabilitation left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 66.7%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 1, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (North Carolina average 4.8). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Clay County Health and Rehabilitation holds 2 of 5 overall; the North Carolina average is 2.9.
About Clay County Health and Rehabilitation
- Ownership: For profit - Corporation
- Chain: Avardis Health, 38 homes
- Legal name: 86 Valley Hideaway Drive Opco LLC
- Medicare and Medicaid certified since: Mar 30, 1993
- Councils: resident council
- Area: rural
Nursing homes near Clay County Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Chatuge Regional Nursing Home Hiawassee | 7.4 | 112 | 2.02 | 3.78 | 46.3% | 1 | $64,214 |
| Valley View Care and Rehabilitation Andrews | 10.7 | 76 | 1.76 | 3.23 | 50.0% | 2 | $9,770 |
| Union County Nursing Home Blairsville | 13.9 | 150 | 1.92 | 3.54 | 37.3% | 4 | None |
| Murphy Rehabilitation & Nursing Murphy | 18.0 | 134 | 2.16 | 3.40 | 37.0% | 4 | None |
| Graham Healthcare and Rehabilitation Center Robbinsville · abuse citation | 18.6 | 80 | 2.26 | 3.67 | 70.0% | 2 | None |
| Macon Valley Nursing and Rehabilitation Center Franklin · abuse citation | 22.9 | 200 | 2.62 | 3.78 | 76.5% | 2 | $5,689 |
| Mountain View Health Care Clayton · abuse citation | 26.3 | 117 | 1.90 | 3.08 | 36.1% | 1 | None |
| Friendship Health and Rehab Cleveland | 28.7 | 89 | 2.15 | 3.55 | 32.1% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.