Clay County Nursing Home is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1974-12-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (256) 354-2131 or your local Medicaid office to verify current eligibility.

Clay County Nursing Home holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (3★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 71.5/100, placing it #7616 of 14703 facilities nationally and #107 of 224 in Alabama. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Clay County Nursing Home receives a reported average of 3 hours 23 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 32 minutes; Licensed Practical Nurse (LPN) — 51 minutes; Nurse Aide — 2 hours. On weekends, total nurse staffing is 2 hours 57 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 48.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 4 fine(s) over the 5-year period, totaling $11,316. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 7.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Clay County Nursing Home ranks 7616th out of 14,703 facilities (composite score: 71.5/100), placing it in the below average nationwide. Within AL, it ranks 107th out of 224 nursing homes. For 2026 staffing: total nurse hours rank #10,222 nationally and RN hours rank #8,043 nationally (#150 in AL). Our composite quality score of 71.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Ashland, visit: https://nursinghomesnearme.org/alabama/ashland/