Clay County Health and Rehabilitation
86 Valley Hideaway Drive, Hayesville, NC 28904
Hayesville, North Carolina · CMS verdict
Clay County Health and Rehabilitation's CMS overall star rating runs above the North Carolina state average (2.9) and reflects above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Clay County Health and Rehabilitation in Hayesville, North Carolina holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 72 of 100 (grade C). Its CMS inspection record lists a moderate number of deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
Its CMS deficiency count sits in the lighter U.S. deficiency tercile (≤16). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 72 is built
Each segment is a dimension's weighted points toward the score, summing to 72.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Clay County Health and Rehabilitation's lighter CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Clay County Health and Rehabilitation on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the North Carolina average below.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Hayesville, North Carolina. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 84%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within North Carolina, Clay County Health and Rehabilitation is one of 157 for profit - limited liability company nursing homes CMS rates. Its 4-star overall rating sits above the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 76% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility; the counts are in Facility details below. CMS has levied no enforcement penalties over the equivalent window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Clay County Health and Rehabilitation compares to North Carolina
CMS five-star sub-ratings (0–5) for this facility against the North Carolina facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = North Carolina state average. Higher is better on all four CMS measures.
Where Clay County Health and Rehabilitation ranks in North Carolina
Among the 417 CMS-rated nursing homes in North Carolina, Clay County Health and Rehabilitation’s 4-star overall rating is higher than 66% of them. The bars show how all North Carolina homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
61 North Carolina homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 90 |
| Residents | 76 |
| Ownership | For profit - Limited Liability company |
| County | Clay |
| Penalties | 0 |
| Deficiencies | 6 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Clay County Health and Rehabilitation? ▾
CMS rates Clay County Health and Rehabilitation at 4 out of 5 stars overall. How its three sub-ratings compare with the North Carolina average is charted above.
How much does a nursing home cost per month in North Carolina? ▾
In North Carolina, a semi-private nursing home room runs a median $9,733/month ($116,800/year) per the CareScout 2025 survey; private rooms average $10,798/month.
What services does Clay County Health and Rehabilitation offer? ▾
CMS classifies Clay County Health and Rehabilitation as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does Clay County Health and Rehabilitation have any deficiencies or penalties? ▾
Clay County Health and Rehabilitation has multiple deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in North Carolina? ▾
In North Carolina, alternatives include assisted living ($6,496/mo), home health aides ($5,720/mo), and adult day care ($1,831/mo).
Keep reading
Also see the North Carolina elder-care overview and highest-rated states. Provider ID: 345433.
Read our methodology - how this data is sourced, computed, and verified.