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Nursing homeFAID #9169

Clay County Health and Rehabilitation

86 VALLEY HIDEAWAY DRIVE, HAYESVILLE, NC, 28904
(828) 389-9941
90 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

86 Valley Hideaway Drive
Hayesville, NC 28904
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Public record summary

What we can show you for free.
Bed capacity
90
CMS facility ID
345433
Care type
Nursing home
County
Clay
Facility name
Clay County Health and Rehabilitation
Street address
86 VALLEY HIDEAWAY DRIVE
City / state / ZIP
Hayesville, NC 28904
Phone
(828) 389-9941

About this facility — Clay County Health and Rehabilitation

Clay County Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Hayesville, North Carolina. It is licensed for 90 beds — close to the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 6 senior care facilities in Hayesville and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Clay County Health and Rehabilitation 22 times across 6 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Avardis Health
Ownership type
For profit - Corporation

Registered owners & officers

Chandross, Mark
Operational control · Additional disclosable party — since 2025
Evh Holdco Llc
Indirect owner — since 2025
Garrett, Kathie
Operational control · Additional disclosable party — since 2025
Hayesville Parentco Llc
Direct owner — since 2025
Hoback, Tiffany
Governing body · Operational control · Additional disclosable party — since 2025
Jones, Tequilla
Operational control · Additional disclosable party — since 2025
Ncop Holdco Llc
Indirect owner — since 2025
Nu C Ii Irrevocable Trust
Indirect owner — since 2025
Nu C Irrevocable Trust
Indirect owner — since 2025
Semones, Brandi
Governing body · Operational control · Additional disclosable party — since 2025
Snf Care Centers Llc
Indirect owner — since 2025
Snf Mgr Llc
Operational control · Additional disclosable party — since 2025
Vargas, Carlos
Operational control · Additional disclosable party — since 2025
Zenith Holdco Ii Llc
Indirect owner — since 2025
Zenith Holdco Llc
Indirect owner — since 2025

Regulatory standing

Licensed / certified since
1993-03-30
CMS overall rating
2 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-05-01
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$295 per day (≈ $8,970/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
68% Medicaid · 8% Medicare · 24% private/other
Occupancy
82% (fiscal year 2023)
Vs. state median
21% below the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
90
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-05-01Health inspection11 citations
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-05-28
F-0711
D · No harm found
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2026-05-28
F-0712
B · No harm found
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2026-05-28
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2026-05-28
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-05-28
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2026-05-28
F-0761
D · No harm found
Ensure 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.
Corrected 2026-05-28
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-28
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2026-05-28
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-05-28
F-0887
D · No harm found
Educate 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.
Corrected 2026-05-28
2025-02-27Health inspection3 citations
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-03-25
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-03-25
F-0700
D · No harm found
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.
Corrected 2025-03-25
4 earlier / fire-safety inspections (8 citations)
2023-10-26Health inspection3 citations
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-11-21
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-11-21
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-11-21
2025-02-27Fire-safety inspection2 citations
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-05-24
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-05-24
2023-10-26Fire-safety inspection1 citation
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-27
2022-05-05Fire-safety inspection2 citations
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-07-22
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-07-22
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345433.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 22 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered