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Nursing homesNorth Carolina › Clay County Health and Rehabilitation

Clay County Health and Rehabilitation

86 Valley Hideaway Drive, Hayesville, NC 28904 · 8283899941 · 90 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★☆☆☆ 2/5
Staffing★★★☆☆ 3/5
Quality measures★★★☆☆ 3/5

Ownership group

Per CMS filings, this facility is affiliated with Avardis Health, a group operating 38 facilities in 4 states. Group record: average rating 2.0/5, 9 abuse citation icons, 5 facilities on the Special Focus list, $1,579,025 in federal fines. This facility rates above its group average (2.0/5).

See all 38 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.17 (North Carolina median: 3.53). RN hours: 0.39. Weekend total: 2.87. Nursing staff turnover: 49%.

Inspection deficiencies

All-time on record: 17 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-01Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. FHealthcorrected 2026-05-28
2026-05-01Ensure that residents are free from significant medication errors. EHealthcorrected 2026-05-28
2026-05-01Provide enough food/fluids to maintain a resident's health. DHealthcorrected 2026-05-28
2026-05-01Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. DHealthcorrected 2026-05-28
2026-05-01Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. DHealthcorrected 2026-05-28
2026-05-01Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2026-05-28
2026-05-01Ensure 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. DHealthcorrected 2026-05-28
2026-05-01Provide and implement an infection prevention and control program. DHealthcorrected 2026-05-28
2026-05-01Develop and implement policies and procedures for flu and pneumonia vaccinations. DHealthcorrected 2026-05-28
2026-05-01Educate 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. DHealthcorrected 2026-05-28
2026-05-01Ensure that the resident and his/her doctor meet face-to-face at all required visits. BHealthcorrected 2026-05-28
2025-02-27Ensure each resident receives an accurate assessment. EHealthcorrected 2025-03-25
2025-02-27Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. DHealthcorrected 2025-03-25
2025-02-27Try 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. DHealthcorrected 2025-03-25
2023-10-26Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. EHealthcorrected 2023-11-21
2023-10-26Ensure that residents are free from significant medication errors. EHealthcorrected 2023-11-21
2023-10-26Provide and implement an infection prevention and control program. EHealthcorrected 2023-11-21

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
HAYESVILLE PARENTCO LLCDirect Ownership InterestOrganizationNOT APPLICABLEsince 06/01/2025
EVH HOLDCO LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 06/01/2025
NCOP HOLDCO LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 06/01/2025
NU C II IRREVOCABLE TRUSTIndirect Ownership InterestOrganizationNOT APPLICABLEsince 06/01/2025
NU C IRREVOCABLE TRUSTIndirect Ownership InterestOrganizationNOT APPLICABLEsince 06/01/2025
SNF CARE CENTERS LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 06/01/2025
ZENITH HOLDCO II LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 06/01/2025
ZENITH HOLDCO LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 06/01/2025
HOBACK, TIFFANYManaging Control - Governing BodyIndividualNOT APPLICABLEsince 05/01/2025
SEMONES, BRANDIManaging Control - Governing BodyIndividualNOT APPLICABLEsince 05/01/2025
SNF MGR LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 05/01/2025
CHANDROSS, MARKOperational/Managerial ControlIndividualNOT APPLICABLEsince 05/01/2025
GARRETT, KATHIEOperational/Managerial ControlIndividualNOT APPLICABLEsince 05/01/2025
HOBACK, TIFFANYOperational/Managerial ControlIndividualNOT APPLICABLEsince 05/01/2025
JONES, TEQUILLAOperational/Managerial ControlIndividualNOT APPLICABLEsince 05/01/2025
SEMONES, BRANDIOperational/Managerial ControlIndividualNOT APPLICABLEsince 05/01/2025
VARGAS, CARLOSOperational/Managerial ControlIndividualNOT APPLICABLEsince 05/01/2025

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345433. Corrections: data@carerecords.org.