Clay County Health and Rehabilitation
86 Valley Hideaway Drive, Hayesville, NC 28904
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Clay County Health and Rehabilitation, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Clay County Health and Rehabilitation Compares
Clay County Health and Rehabilitation is a 90-bed for-profit nursing facility in Hayesville, North Carolina. It holds an overall CMS rating of 2 out of 5 stars, below the North Carolina average of 2.9 stars. Its lowest sub-rating is health inspections at 2 stars. Its rate of falls resulting in major injury (5.7%) is above the North Carolina average of 3.5% — a measure worth asking the staff about. With 90 certified beds, it maintains moderate occupancy at roughly 86% occupied.
By the numbers vs. North Carolina average
- Long-stay antipsychotic medication use: 22.7% — worse than the North Carolina average of 14.0% (62% higher).
- Falls with major injury: 5.7% — worse than the North Carolina average of 3.5% (62% higher).
- High-risk pressure ulcers: 6.5% — worse than the North Carolina average of 5.5%.
- Short-stay rehospitalization: 15.9% — better than the North Carolina average of 22.8% (30% lower).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against North Carolina averages across 419 facilities tracked by ElderVoice.
Questions to Ask Clay County Health and Rehabilitation
Use these facility-specific questions when calling admissions, touring the building, or comparing Clay County Health and Rehabilitation with other nursing homes in Hayesville.
How is Clay County Health and Rehabilitation addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Clay County Health and Rehabilitation doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 22.7% here versus 14.0% across North Carolina. Lower is generally better for this CMS measure.
What is Clay County Health and Rehabilitation doing to reduce falls with major injury?
Falls with major injury is 5.7% here versus 3.5% across North Carolina. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Clay County Health and Rehabilitation?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Clay County Health and Rehabilitation?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Hayesville
Hayesville sits in Clay County, where adults 65 and older make up about 31.0% of the population — a higher share of seniors than North Carolina as a whole (16.3% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 3,462 (31.0%)
- Median age
- 53.6 years
- Median household income
- $42,160
- Median home value
- $197,600
Demographics for Clay County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Hayesville.
Facility Details
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