Clay County Health And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-03-30. 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 (828) 389-9941 or your local Medicaid office to verify current eligibility.

Clay County Health And Rehabilitation 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 (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 74.2/100, placing it #6295 of 14703 facilities nationally and #133 of 418 in North Carolina. 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 Health And Rehabilitation receives a reported average of 3 hours 9 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 33 minutes; Licensed Practical Nurse (LPN) — 22 minutes; Nurse Aide — 2 hours 14 minutes. On weekends, total nurse staffing is 2 hours 55 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 44.9%. Families are encouraged to ask about current staffing schedules during their facility visit.

Clay County Health And Rehabilitation has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. 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 18.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Clay County Health And Rehabilitation ranks 6295th out of 14,703 facilities (composite score: 74.2/100), placing it in the above average nationwide. Within NC, it ranks 133rd out of 418 nursing homes. For 2026 staffing: total nurse hours rank #12,271 nationally and RN hours rank #7,548 nationally (#167 in NC). Our composite quality score of 74.2/100 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 Hayesville, visit: https://nursinghomesnearme.org/north_carolina/hayesville/