Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Clay County Health And Rehabilitation during CMS and state inspections, most recent first.
The facility inaccurately coded MDS assessments, marking bed rails as restraints for several residents who used them for mobility. Additionally, active diagnoses were incorrectly documented, such as pneumonia and hypertension, due to misunderstandings by the MDS Coordinator. Interviews revealed a lack of adherence to proper coding procedures, despite expectations for accuracy from the Administrator and DON.
The facility failed to complete comprehensive Care Area Assessments (CAA) for two residents, leading to deficiencies in addressing triggered care areas. A resident with pressure ulcers and another on psychotropic medication did not have detailed analyses of their conditions. The MDS Coordinator admitted to initially not understanding CAA requirements, resulting in incomplete assessments.
The facility failed to conduct necessary bed rail assessments for three residents, leading to a deficiency in safety protocol compliance. A resident with a history of falls and another with moderate cognitive impairment had not been assessed since late 2023, despite using bed rails. Another resident with paraplegia also lacked a recent assessment. The DON cited staff changes as a reason for the oversight, while both the DON and Administrator expected assessments to be done quarterly or annually per policy.
Inaccurate MDS Coding for Bed Rails and Diagnoses
Penalty
Summary
The facility failed to accurately code Minimum Data Set (MDS) assessments for several residents, leading to incorrect documentation of bed rails as physical restraints. For multiple residents, including those with conditions such as muscle weakness, respiratory issues, and paraplegia, the MDS assessments incorrectly indicated the use of bed rails as restraints. Observations and interviews revealed that these bed rails were actually used for independent bed mobility and repositioning, not as restraints. The MDS Coordinator admitted to misunderstanding the MDS questions regarding bed rail use, resulting in incorrect coding. In addition to the bed rail coding errors, the facility also failed to accurately document active diagnoses for some residents. For instance, a resident with a history of pneumonia was incorrectly coded as having an active diagnosis of pneumonia on the MDS, despite no supporting documentation or physician orders indicating such a condition at the time of assessment. Similarly, another resident was not coded for hypertension as an active diagnosis, even though they were on medications for hypertension, which was confirmed by the MDS Coordinator and the Director of Nursing (DON). Interviews with the MDS Coordinator, DON, and Administrator highlighted a lack of understanding and adherence to proper MDS coding procedures. The Administrator and DON both expressed expectations for accurate MDS assessments, yet the repeated errors in coding suggest a systemic issue in the facility's assessment process. These inaccuracies in MDS coding could potentially impact the care and treatment plans for the residents involved.
Incomplete Care Area Assessments for Two Residents
Penalty
Summary
The facility failed to complete Care Area Assessments (CAA) comprehensively for two residents, leading to deficiencies in addressing the underlying causes and contributing factors of triggered care areas. Resident #46, who was admitted with diagnoses including diabetes, stroke, and end-stage renal disease, had a care area for pressure ulcers triggered. However, the MDS Coordinator did not provide a comprehensive analysis of findings, such as the nature of the problem, possible causes, contributing factors, and risk factors. It was merely noted that pressure ulcers would be addressed in the care plan due to the resident's admission with wounds. Similarly, Resident #51, admitted with debility, respiratory failure, and asthma with acute exacerbation, had a care area for psychotropic medication use triggered. Again, the MDS Coordinator failed to provide a detailed analysis of findings for this care area. During interviews, the MDS Coordinator admitted to not understanding the requirements for CAAs when she first started the position but acknowledged the deficiency in the assessments for these residents. The Administrator confirmed that it was expected for CAAs to be completed with a comprehensive analysis of findings for triggered care areas.
Failure to Complete Bed Rail Assessments for Residents
Penalty
Summary
The facility failed to complete necessary bed rail assessments for three residents, leading to a deficiency in compliance with safety protocols. Resident #1, who had a history of falling and required substantial assistance with bed mobility, had not had a bed rail assessment since November 2023, despite using bed rails for repositioning and sitting up. Similarly, Resident #51, with moderate cognitive impairment and requiring partial assistance, had not had a bed rail assessment since October 2023. Both residents were observed using bed rails without recent assessments to determine their safety and necessity. Resident #13, diagnosed with paraplegia and requiring maximum assistance with bed mobility, also lacked a recent bed rail assessment, with the last one completed in December 2023. The Director of Nursing acknowledged the lapse in completing these assessments, attributing it to changes in administrative nursing staff. Both the DON and the Administrator expressed expectations that bed rail assessments should be conducted quarterly or at least annually, in accordance with facility policy, but these expectations were not met, resulting in the deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hayesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Chatuge Regional Nursing Home | 7.4 mi | — | 9 | 0 |
| Valley View Care And Rehabilitation | 10.7 mi | — | 0 | 0 |
| Union County Nursing Home | 13.9 mi | — | 3 | 0 |
| Murphy Rehabilitation & Nursing | 18 mi | — | 0 | 0 |
| Graham Healthcare And Rehabilitation Center | 18.6 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.