PlainNursing
CMS Nursing Home Compare · August 2026

Clay County Nursing Home

83825 Highway 9, Ashland, AL 36251

Clay County Nursing Home, a 83-bed non profit - other nursing facility in Ashland, AL, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #112 of 223 rated homes in AL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2563542131

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3 / 5
Average · CMS overall · nat'l 3.0
#112 of 223
In-state rank among rated AL homes
3.73
About average · nurse hrs/day · nat'l 3.86
8
Inspection findings

The verdict

Clay County Nursing Home, a 83-bed non profit - other nursing facility in Ashland, AL, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #112 of 223 rated homes in AL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

3 / 5
CMS overall · national 3.0
#112 of 223
In-state rank among rated AL homes
3.73
Nurse hrs/resident-day · national 3.86
8
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 224 AL nursing homes split by ownership sector

This facility is recorded as Non profit - Other. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
015124
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
83
Residents
71
In Hospital
Yes
County
Clay
Last Inspection
Mar 16, 2022

Staffing Data

How the 3.73 total nursing hours per resident-day are staffed:

RN Hours
0.64 (nat'l avg: 0.69)
LPN Hours
0.86
CNA Hours
2.23
Total Nursing Hours
3.73 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
39.7%
RN Turnover
20.0%

What the CMS Record Reveals About Clay County Nursing Home

According to CMS Nursing Home Compare, Clay County Nursing Home ranks #112 of 223 rated nursing homes in AL on overall stars (tie-broken by health+staffing+quality, then fewer fines). Clay County Nursing Home operates 83 certified beds in Ashland, AL with approximately 71 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 4★ · staffing 4★ · quality 1★).

The inspection file contains 8 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Per resident day, this facility reports 3.73 total nursing hours (national average 3.86) and 0.64 RN hours.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Clay County Nursing Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 39.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (8 most recent)

B - Pattern - No harm Mar 16, 2022 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 19, 2022

D - Isolated - Minimal harm Mar 16, 2022 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 20, 2022

E - Pattern - Minimal harm May 16, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 20, 2019

E - Pattern - Minimal harm May 16, 2019 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 20, 2019

D - Isolated - Minimal harm Jun 21, 2018 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 26, 2018

D - Isolated - Minimal harm Jun 21, 2018 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 26, 2018

D - Isolated - Minimal harm Jun 21, 2018 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 26, 2018

F - Widespread - Minimal harm Jun 21, 2018 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 26, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 28.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 11.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 83.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Clay County Nursing Home, both outside AL so the neighborhoods are not the same-state geography list below.

What the CMS records show for Clay County Nursing Home

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The AL registry aggregates state averages and the highest-rated homes in this cohort. View AL registry
  • Peer homes near 83 beds show how CMS stars vary at a similar scale in AL. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Clay County Nursing Home?
Clay County Nursing Home has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (1★).
Where does Clay County Nursing Home rank among nursing homes in AL?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Clay County Nursing Home ranks 112th among 223 rated nursing homes in AL (#112 of 223). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Clay County Nursing Home?
Clay County Nursing Home reports 3.73 total nursing hours per resident day (national average: 3.86). RN hours are 0.64 per resident day (national average: 0.69). Nursing staff turnover is 39.7%.
How many beds does Clay County Nursing Home have?
Clay County Nursing Home has 83 certified beds with approximately 71 residents. The facility is located at 83825 Highway 9, Ashland, AL 36251.
Does Clay County Nursing Home have any deficiencies on record?
Yes, Clay County Nursing Home has 8 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Clay County Nursing Home received any fines or penalties?
No, Clay County Nursing Home has no fines or penalties on record.
Who owns Clay County Nursing Home?
Clay County Nursing Home is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was Clay County Nursing Home last inspected?
The most recent health inspection for Clay County Nursing Home was on Mar 16, 2022. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Clay County Nursing Home?
Clay County Nursing Home is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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