Nursing homeActive
Clay County Health and Rehabilitation
86 Valley Hideaway Drive, Hayesville, NC 28904828389994190 certified beds · 78 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
17
● 1● 16● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-01
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-01 | Standard | 1100 | CMS-2567 (Care Compare) | — |
| 2025-02-27 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-10-26 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F692
F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F711
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F757
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F760
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F882
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F883
F887Educate 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.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 345433-20260501-F887
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2026-05-28Record 345433-20260501-F712
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 345433-20250227-F636
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 345433-20250227-F641
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-25Record 345433-20250227-F700
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 345433-20231026-F756
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 345433-20231026-F760
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 345433-20231026-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.39
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.17
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours2.87
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover49%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover67%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.5% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.7% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 22.7% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.0% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.7% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.2% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Chandross, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Garrett, Kathie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hoback, Tiffany Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jones, Tequilla Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Semones, Brandi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| SNF Mgr LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vargas, Carlos Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Chandross, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Evh Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Garrett, Kathie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hayesville Parentco LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Hoback, Tiffany Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hoback, Tiffany Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jones, Tequilla Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ncop Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Nu C II Irrevocable Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Nu C Irrevocable Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Semones, Brandi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Semones, Brandi Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| SNF Care Centers LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| SNF Mgr LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vargas, Carlos Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zenith Holdco II LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zenith Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Avardis Health — 38 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Clay.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Chatuge Regional Nursing Home Hiawassee | 7.4 mi | 2025-12-04 | 1195 |
| Valley View Care and Rehabilitation Andrews | 10.7 mi | 2026-06-04 | 1263 |
| Union County Nursing Home Blairsville | 13.9 mi | 2025-10-02 | 090 |
| Graham Healthcare and Rehabilitation Center Robbinsville | 18.6 mi | 2026-05-28 | 0101 |
| Murphy Rehabilitation & Nursing Murphy | 18.0 mi | 2026-03-05 | 090 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |