Smaller home · May offer a more intimate, personalized care environment.
Hayesville House
Located at 480 Old 64 West in Hayesville within Clay County, Hayesville House operates as a senior living home with 60 beds for memory support and short-term stays. Since the area has a Walk Score of 37, living there without a car is only slightly easy because you can reach a few shops on foot, but you will usually need a ride for most trips. Right now, the building is about 60 percent full, which means that 36 out of the 60 total beds currently have people living in them.
The main focus of the care here is on nursing help and temporary breaks for families, and there are always workers on site during the day and night to keep everyone safe. Residents enjoy eating their meals in a large dining room that feels like a real restaurant, and they also have the choice to relax in the library, watch shows in the media room, or sit outside in the fresh air. To make life much simpler for the seniors, the staff takes care of cleaning the rooms, fixing things that break, and providing bus rides when people need to go out.
Official state checks of the home have looked at fire alarms, the training of the workers, how clean the building is, and how well they protect the rights of the people who live there. Because the home takes Medicaid payments, it is easier for families to figure out how they will pay for the high costs of long-term care over many years. This place is a good fit for families who want a small home for memory care where nurses and a set daily schedule are part of the house.
Community insights.
About this community
Inspection History
In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
Includes all inspection records for this property, which could include management/ownership changes. 46 deficiencies 9 inspections 0 penalties 20 inspections with deficiencies
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2015 vs. North Carolina state average• Deficiencies per inspection (2% above)
• Inspection deficiency rate (9% above) 1 At Avg Metrics at North Carolina average:
• Total deficiencies (at NC avg) 1 Better Metrics better than North Carolina average:
• Inspections with deficiencies (53% below)
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
| 46 | 46 | This facility has total deficiencies in line with the North Carolina average (46 vs. NC avg 46).— At avg |
|
Deficiencies per inspection
| 5.1 | 5.01 | This facility has 2% more deficiencies per inspection than a typical North Carolina assisted living residence (5.1 vs. NC avg 5.01).↑ 2% worse |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
| 9 | 21 | This facility has had 57% fewer total inspections than the North Carolina average (9 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 57% fewer |
|
Inspections with deficiencies
| 9 | 19 | This facility has 53% fewer inspections with deficiencies than a typical North Carolina assisted living residence (9 vs. NC avg 19).↓ 53% better |
|
Inspection deficiency rate
| 100% | 92% | This facility has 8 percentage points higher inspection deficiency rate than a typical North Carolina assisted living residence (100% vs. NC avg 92%).↑ 8% worse |
Places of interest near Hayesville House
0.0 miles from city center
Estimated distance in miles from Hayesville's city center to Hayesville House's address, calculated via Google Maps.
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Compare Memory Care around the area
Info below is compiled from the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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City and state of the facility. Used for mapping and state-average comparisons.
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Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
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Indicates whether residents are allowed to have pets in the facility.
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Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
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Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
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Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
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DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
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Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
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Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
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Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Terrabella Lake Norman | MC AL IL | Mooresville | 120
Facility
120
NC AVG
70
Rank
#29 / 368 | Yes |
46
Facility
46
NC AVG
35
Rank
#173 / 508 |
100.0%
Facility
100.0%
NC AVG
69.5%
Rank
#1 / 213 | C+ | 96.00/200
Facility
96.00/200
NC AVG
92.2
Rank
#205 / 321 | 13 | 92%
Facility
92%
NC AVG
91.8%
Rank
#97 / 333 | Suite / 1 Bed / 2 Bed | |
| Brighton Gardens of Winston-Salem | MC AL HOS RC | Winston-Salem | 115
Facility
115
NC AVG
70
Rank
#45 / 368 | Yes |
47
Facility
47
NC AVG
35
Rank
#164 / 508 |
100.0%
Facility
100.0%
NC AVG
69.5%
Rank
#1 / 213 | A+ | 73.75/200
Facility
73.75/200
NC AVG
92.2
Rank
#299 / 321 | 15 | 93%
Facility
93%
NC AVG
91.8%
Rank
#117 / 333 | Studio / 1 Bed | |
| Brookdale Meadowmont | MC AL | Chapel Hill (Glen Lennox Appartments) | 64
Facility
64
NC AVG
70
Rank
#197 / 368 | Yes |
53
Facility
53
NC AVG
35
Rank
#121 / 508 |
100.0%
Facility
100.0%
NC AVG
69.5%
Rank
#1 / 213 | - | 103.50/200
Facility
103.50/200
NC AVG
92.2
Rank
#31 / 321 | 6 | 83%
Facility
83%
NC AVG
91.8%
Rank
#40 / 333 | Studio / Suite | |
| Walnut Ridge | MC AL NH | Walnut Cove | 63
Facility
63
NC AVG
70
Rank
#205 / 368 | No |
50
Facility
50
NC AVG
35
Rank
#142 / 508 |
100.0%
Facility
100.0%
NC AVG
69.5%
Rank
#1 / 213 | A+ | 103.50/200
Facility
103.50/200
NC AVG
92.2
Rank
#31 / 321 | 5 | 80%
Facility
80%
NC AVG
91.8%
Rank
#33 / 333 | Studio / Suite | |
| Hayesville House | MC RC | Hayesville | 60
Facility
60
NC AVG
70
Rank
#214 / 368 | No |
37
Facility
37
NC AVG
35
Rank
#228 / 508 |
60.0%
Facility
60.0%
NC AVG
69.5%
Rank
#141 / 213 | - | 102.00/200
Facility
102.00/200
NC AVG
92.2
Rank
#96 / 321 | 9 | 100%
Facility
100%
NC AVG
91.8%
Rank
#138 / 333 | - |
Rank badges are statewide: each community is ranked against every NC community we track that reports that metric, not just the 5 on this page. See how we rank facilities
Frequently Asked Questions about Hayesville House
Is Hayesville House in a walkable area?
Hayesville House has a walk score of 37. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Hayesville House?
According to NC state health department records, Hayesville House's license number is HAL-022-005.
What is the occupancy rate at Hayesville House?
Hayesville House's occupancy is 60%.
Are pets allowed at Hayesville House?
No, Hayesville House has a no-pet policy.
How many beds does Hayesville House have?
Hayesville House has 60 beds.
Has Hayesville House had any deficiencies?
Hayesville House has had 46 reported deficiencies according to records from NC Dept. of Health and Human Services (NCDHHS).
Are there photos of Hayesville House?
Yes — there is 1 photo of Hayesville House in the photo gallery on this page.





