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Clay County Care Center

Nursing Home Facility

86 Valley Hideaway Drive, Hayesville, NC 28904

Nursing Home Care Senior Living
Clay County Care Center

Clay County Care Center is a senior care community located in Hayesville, NC. It provides nursing home care and senior living for older adults in the Hayesville area. To learn more or schedule a tour, call (828)389-9941.

Clay County Care Center is licensed for 90 beds, about typical for the area, where senior care communities in Hayesville average about 75 beds.

Federal reporting puts occupancy at about 86% of its licensed beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2026 and recorded 11 deficiencies.

Residents receive about 3.2 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 49%.

The community is located in Clay County, NC.

Medicare five-star ratings

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

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 17 problems at Clay County Care Center. None of them caused harm to a resident.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Infection Control

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Inspected May 2026. Corrected by May 28, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected May 2026. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected May 2026. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Inspected May 2026. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected May 2026. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected May 2026. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected May 2026. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2026. Corrected by May 28, 2026.

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  • Could cause more than minimal harm, one or a few residents Infection Control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Inspected May 2026. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    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.

    Inspected May 2026. Corrected by May 28, 2026.

  • Minimal harm or the potential for it, a pattern Nursing and Physician Services

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Inspected May 2026. Corrected by May 28, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Clay County Care Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit limited liability corporation
  • Beds / units 90
  • Occupancy 86%
  • Nursing hours per resident/day 3.2
  • Annual staff turnover 49%
  • Last health inspection May 2026

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