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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.
Lower than the North Carolina average: 76.4%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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 46 | 46 | This facility has total deficiencies in line with the North Carolina average (46 vs. NC avg 46).— At avg |
|
Deficiencies per year
Average deficiencies per year since 2015.
| 4.2 | 4.2 | This facility has deficiencies per year in line with the North Carolina average (4.2 vs. NC avg 4.2).— At avg |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.8 | 2.2 | This facility has 18% fewer deficiencies per inspection than a typical North Carolina nursing home (1.8 vs. NC avg 2.2).↓ 18% better |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 25 | 21 | This facility has 19% more total inspections than a typical North Carolina nursing home (25 vs. NC avg 21).↑ 19% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 20 | 19 | This facility has 5% more inspections with deficiencies than a typical North Carolina nursing home (20 vs. NC avg 19).↑ 5% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 80% | 90% | This facility has 10 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (80% vs. NC avg 90%).↓ 10% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 10, 2023, cited deficiencies related to staffing shortages across all three shifts, particularly on weekends. Earlier inspections showed a pattern of issues including physical plant safety hazards, fire safety equipment malfunctions, mold in resident rooms, and prior staffing shortages affecting resident care. Complaint investigations found substantiated allegations of staff misconduct in 2016, including failure to report abuse to the Health Care Personnel Registry, but more recent complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows recurring staffing and maintenance issues, with some improvements in fire safety and housekeeping noted over time but ongoing challenges in maintaining adequate staffing levels.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection Reports
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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Hayesville House is located in Hayesville, North Carolina.
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The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Carol Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Chapel Hill (Carol Woods) | 119 | 76.7% | 0% | 5.94 | +239% | +49% | $0 | 7 | 3.5 | - | 23 | A+ | 13 | The Chapel Hill Residential Retirement Center, Inc. | $46.7M | $18.0M | 38.5% | 345199 | ||||
| Brookdale Carriage Club Providence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charlotte (Olde Providence North) | 77 | 71.5% | -6% | 8.12 | +78% | +104% | $0 | 11 | 3.7 | - | 8 | A+ | 12 | Bkd Fm Holding Company LLC | $7.1M | $8.1M | 114.8% | 345482 | ||||
| Pineville Rehabilitation & Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pineville (Lakeview Drive) | 106 | 68.3% | -11% | 3.96 | +39% | 0% | $116.0k | 45 | 9.0 | 3 | 84 | A+ | 25 | Ncnh Holdings LLC | $12.1M | $5.7M | 47% | 345415 | ||||
| Walnut Ridge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Walnut Cove (Windmill Street) | 63 | 100.0% | +31% | 3.12 | -50% | -22% | $40.1k | 23 | 4.6 | 3 | 63 | A+ | 50 | Nita Davis | $12.9M | $3.9M | 29.9% | 345089 |
Hayesville House has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NC state health department records, Hayesville House's license number is HAL-022-005.
Hayesville House's occupancy is 60%.
Hayesville House received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Hayesville House has 60 beds.
Yes — there are 2 photos of Hayesville House in the photo gallery on this page.
Hayesville House is located at 480 Old 64 West Hayesville, NC 28904.
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