Clay County Health and Rehabilitation

Nursing Home · Hayesville, NC

CMS overall rating 2/5 For profit - Corporation

CMS certification number345433

Contact & location

86 Valley Hideaway Drive
Hayesville, NC 28904
Clay County
Phone
(828) 389-9941
ZIP code
28904 – all care providers

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Facility details

Certified beds
90
Residents per day
77.5 (86% occupied)
Ownership
For profit - Corporation
Legal name
86 Valley Hideaway Drive Opco LLC
Chain
Avardis Health (38 facilities, avg 2.0★)
Medicare certified since
March 30, 1993
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.9
Health inspections★★★★★ 2/5
State avg 2.9
Staffing★★★★★ 3/5
State avg 2.7
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.17 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.39 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.52 (state 0.89 · U.S. 0.86)
Nurse aides
2.26 (state 2.34 · U.S. 2.32)
Weekend total
2.87 (state 3.40 · U.S. 3.42)
Nursing staff turnover
49.4 (state 49.0 · U.S. 45.8)%
RN turnover
66.7 (state 45.7 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 1, 2026
Health deficiencies (last cycle)
11.0 (state 4.8 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
17 health · 5 fire safety
DateCitationSeverityStatus
2026-05-01 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 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.
F0887 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-28
2026-05-01 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2026-05-28
2025-02-27 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-25
2025-02-27 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-25
2025-02-27 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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-25
2023-10-26 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-21
2023-10-26 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-21
2023-10-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-21

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Chandross, Mark (individual)Administrator · NOT APPLICABLE
Garrett, Kathie (individual)Administrator · NOT APPLICABLE
Hoback, Tiffany (individual)Administrator · NOT APPLICABLE
Jones, Tequilla (individual)Administrator · NOT APPLICABLE
Semones, Brandi (individual)Administrator · NOT APPLICABLE
SNF MGR LLC (organization)Administrator · NOT APPLICABLE
Vargas, Carlos (individual)Administrator · NOT APPLICABLE
Hayesville Parentco LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Evh Holdco LLC (organization)Indirect Ownership Interest · 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
SNF Care Centers LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Zenith Holdco II LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Zenith Holdco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Hoback, Tiffany (individual)Managing Control - Governing Body · NOT APPLICABLE
Semones, Brandi (individual)Managing Control - Governing Body · NOT APPLICABLE
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

Frequently asked questions

What is the rating of Clay County Health and Rehabilitation?

Clay County Health and Rehabilitation has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.

How many beds does Clay County Health and Rehabilitation have?

It has 90 certified beds and cares for about 78 residents per day.

Has Clay County Health and Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Clay County Health and Rehabilitation?

It is part of Avardis Health and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Clay County Health and Rehabilitation?

(828) 389-9941. The facility is located at 86 Valley Hideaway Drive, Hayesville, NC 28904.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.