Hayesville House

Overview of Hayesville House

Hayesville House is a 60-bed assisted living facility at 480 Old 64 West, Hayesville, Clay County, North Carolina. Current occupancy is 60 percent (36 of 60 beds), reflecting declining demand.

Staffing shortages and a substantiated abuse allegation define Hayesville House’s regulatory challenges. Over five years, the facility averaged 9.2 deficiencies annually, 77 percent above North Carolina’s 5.2-deficiency benchmark. October 2023 annual survey documented critical staffing deficiency with required staffing hours not met on all three shifts for census of 35-36 residents, with shortage hours ranging from 2 to 13 hours across sampled shifts, particularly on weekends, impacting timely personal care delivery. Staffing shortages have persisted across years; March 2016 follow-up documented Special Care Unit staffing gaps that resulted in shortened or missed showers and delayed assistance.

A substantiated July 2016 complaint investigation revealed serious resident protection failure. Staff member J engaged in inappropriate touching during incontinence care of Resident #7. The facility failed to report the allegations of sexual abuse to the Health Care Personnel Registry as required, compounding the breach of resident protection.

Physical plant and fire safety deficiencies appear across construction surveys. August 2019 construction survey cited multiple deficiencies spanning unsafe premises, poor housekeeping, unsecured compressed gas cylinders, malfunctioning emergency and fire safety equipment, electrical hazards, blocked corridor doors, prohibited portable electric heaters, and non-functional exhaust ventilation. June 2017 construction survey documented lack of current fire safety inspection reports, chronic odors, housekeeping hazards, irregular fire safety rehearsals, and malfunctioning exit signs. May 2015 construction survey identified 14 deficiencies including sprinkler system maintenance issues, shower hose defects, sagging exit gate, malfunctioning smoke barrier doors, compromised fire-rated walls and ceilings, non-functional emergency lighting, and lack of fire extinguisher inspections; August 2015 follow-up confirmed defects persisted.

November 2016 annual survey documented mold in 10 of 28 resident rooms on heat pump air output vents with no set schedule for cleaning units. October 2015 documented unclean resident rooms and failure to ensure CPR-certified staff on third shift for 4 of 13 days. No fines or license suspensions appear in the record.

Families should ask about staffing levels and ratios, fire safety inspection reports and maintenance, medication and supervision protocols, and incident reporting procedures for resident protection.

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Facility Direct Line (828) 389-8700