Clay County Nursing Home
83825 Highway 9, Ashland, AL 36251 · Clay County · (256) 354-2131
83 certified beds, about 71 residents a day · Non profit - Other · Medicare and Medicaid since 1974
Last standard inspection more than 2 years ago Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015124 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 16, 2022, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 8 health citations since June 2018 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.73 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
39.7% of nursing staff left within the year CMS measured (Alabama average 46.9%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
406/18
205/19
203/22
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
2E
1F
Potential for minimal harm
0A
1B
0C
March 16, 2022Standard inspection · 2 citations
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on record review, observations, interviews, review of a Facility Assessment and Activity Calendars, and review of an Activities policy, the facility failed to provide adequate facility-sponsored group or individual/independent activities to meet the interests of and support the physical, mental, and psychosocial well-being of Resident Identifier (RI) #65, one of two residents reviewed for activities in the secured Memory Care Unit (MCU).
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interviews, review of SNF Beneficiary Protection Notification Review forms, and review of a policy titled Skilled Nursing Facility Advance Beneficiary Notice of Coverage (SNFABN), the facility failed to provide SNFABN forms to Resident Identifier (RI) #36, RI #66, or RI #216, three of three residents reviewed for proper SNFABN.
May 16, 2019Standard inspection · 2 citations
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, interviews, and review of [NAME] and [NAME], FUNDAMENTALS OF NURSING, Ninth Edition, Chapter 48 Skin Integrity and Wound Care, the facility failed to ensure: 1) a Registered Nurse (RN) cleaned Resident Identifier (RI) #57's wound and washed hands and changed gloves prior to applying treatment (Venelex ointment); and 2) an RN removed gloves and washed hands after cleaning RI #169's wound, prior to applying the treatment. This affected two of two sampled residents reviewed for pressure ulcers and two of two wound care observations.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and review of the facility's policies titled Medication Administration Route: Nebulizers and Infection Control Hand Hygiene, the facility failed to ensure: 1) Licensed staff washed and dried a nebulizer cup prior to placing it in a plastic bag after completing the nebulizer treatment for Resident Identifier (RI) # 5; 2) a Registered Nurse (RN) washed hands prior to applying gloves after completing wound care for RI # 169; and 3) an RN washed hands after completing wound care for RI # 57. These failures affected RI # 5, one of one resident observed for a nebulizer treatment, and RI #s 169 and 57, two of two residents observed for wound care. Findings Include: 1) A review of a facility Policy Titled : Medication Administration Route: Nebulizers, with a revised date of July 22, 2014, documented: . 9. Clean . nebulizer cup with a clean paper towel. [...]
June 21, 2018Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interview, review of facility policies titled DEFROSTING MEATS and MIGHTY SHAKES, and review of the 2017 Food Code, the facility failed to ensure: 1) frozen raw chicken was not thawed under running water exceeding 70 degrees Fahrenheit (F). Further, at the time staff was preparing the chicken for the meal, the chicken measured 75.6 degrees F; and 2) thawed nutritional health shakes were labeled in a manner such that the use by date was evident. These failures had the potential to affect all 72 residents receiving meals from the dietary department.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, medical record review and a review of the facility's policy titled, SAFETY FROM SKIN TEARS, the facility failed to ensure Resident Identifier (RI) #31's geri-chair bilateral armrest did not have tattered, torn and exposed areas. This affected one of 1 resident observed in a gerichair. Findings Include: A review of the facility's policy titled, SAFETY FROM SKIN TEARS with a review date of June 2017, revealed the following: POLICY . It is the policy of (name of facility) to attempt to keep residents safe from skin tears and bruising. PROCEDURE 1. Residents . at risk for skin tears or bruising will have protective padding applied to sharp/hard edges of devices that may cause harm. ( . side rails, arm rests .) RI #31 was admitted to the facility on [DATE] with diagnoses including: [...]
- D 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.
Inspectors wroteBased on observation, interview, medical record review and a review of the facility's policy titled, MEDICATION ADMINISTRATION, the facility failed to ensure licensed staff did not leave the medication cart unlocked, unattended and out of staff's view at all times. This affected one of 8 residents and one of 4 nurses observed during medication pass. Findings Include: A review of the facility's policy titled, MEDICATION ADMINISTRATION with a revised date of May 2018, revealed the following: . PROCEDURES; . 4. Medication carts should be in sight of nurse during preparation time and locked when unattended. RI # 8 was admitted to the facility on [DATE] with diagnoses including: Diabetes, Dementia, Anxiety Disorder and Parkinson's Disease. [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interviews, medical record review, and a review of the facility's policy titled NOTIFICATION OF CONDITION/ORDER CHANGES, the facility failed to ensure a licensed nurse documented Resident Identifier (RI) #29's left heel wound status and measurements were documented. This affected RI #29, one of 23 sampled resident reviewed documentation. Findings Include: A review of the facility's policy titled, NOTIFICATION OF CONDITION/ORDER CHANGES, with a revised date of November 2016, revealed the following: POLICY . E. The nurse . shall document changes on the resident's medical record. RI #29 was admitted to the facility on [DATE] with diagnoses including: Diabetic Type II, Left Hemiparesis, Cerebrovascular Accident and Degenerative Arthritis. [...]
Fire safety inspections
5 fire safety citations on file: 3 on May 16, 2019, 2 on June 21, 2018.
Every fire safety citation5 citations
- F Provide a written emergency evacuation plan.
- D Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Install corridor and hallway doors that block smoke.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.73 | 3.88 | 3.86 |
| Registered nurses | 0.64 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.14 | 3.26 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 39.7% | 46.9% | 45.8% |
| Registered nurse turnover | 20.0% | 39.5% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.25 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.97 on weekdays and 3.14 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.73 in April to June 2025 to 3.73 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.73 | 0.64 | 3.97 | 3.14 | 0.4% | 2 of 90 | 71 |
| Oct to Dec 2025 | 3.75 | 0.61 | 3.99 | 3.15 | 0.5% | 3 of 92 | 73 |
| Jul to Sep 2025 | 3.39 | 0.53 | 3.56 | 2.96 | 0.6% | 0 of 92 | 75 |
| Apr to Jun 2025 | 3.73 | 0.64 | 3.97 | 3.13 | 0.2% | 0 of 91 | 71 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.1 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 11.5 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.1 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.1 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.6 | 21.2 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.7 | 1.8 |
Owners and operators
Legal business name: CLAY COUNTY HEALTHCARE AUTHORITY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Carpenter, Julia | W-2 managing employee | Individual | 12/08/2009 | |
| Crawford, Cynthia | W-2 managing employee | Individual | 12/08/2009 | |
| Glenn, Donna | W-2 managing employee | Individual | 12/08/2009 | |
| Graben, Robin | W-2 managing employee | Individual | 11/06/2011 | |
| Jackson, Kathy | W-2 managing employee | Individual | 12/08/2009 | |
| Jarmon, Timothy | W-2 managing employee | Individual | 12/08/2009 | |
| Luker, Lennie | W-2 managing employee | Individual | 08/03/2009 | |
| Miller, David | W-2 managing employee | Individual | 12/08/2009 | |
| Perry, Belever | W-2 managing employee | Individual | 12/08/2009 | |
| Smith, Linda | W-2 managing employee | Individual | 12/08/2009 | |
| Tomlin, Kerry | W-2 managing employee | Individual | 12/08/2009 | |
| Wilkinson, Kattie | W-2 managing employee | Individual | 10/23/2011 | |
| Williams, Mary | W-2 managing employee | Individual | 12/08/2009 | |
| Burdette, Gerald | Corporate director | Individual | 12/08/2009 | |
| Crenshaw, Bobby | Corporate director | Individual | 12/08/2009 | |
| Fetner, Larry | Corporate director | Individual | 12/08/2009 | |
| Harris, Dwight | Corporate director | Individual | 12/08/2009 | |
| Wood, Ben | Corporate director | Individual | 12/08/2009 | |
| Clay County Healthcare Authority | Operational/managerial control | Organization | 01/01/1966 | |
| Young, Stephen | Operational/managerial control | Individual | 05/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 16, 2022: "Provide activities to meet all resident's needs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 16, 2022: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 16, 2019: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on June 21, 2018: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.14 hours per resident per day, below the Alabama average of 3.26.
Other nursing homes nearby
- Lineville Health and Rehabilitation, LLC Lineville, 4.1 mi · 5 of 5 stars · 5 citations
- Talladega Healthcare Center, Inc Talladega, 18.6 mi · 3 of 5 stars · 9 citations
- Goodwater Healthcare Center Goodwater, 19.6 mi · 5 of 5 stars · 5 citations
- Diversicare of Oxford Oxford, 22.9 mi · 1 of 5 stars · 18 citations
- Adams Rehabilitation and Healthcare Center Alexander City, 24 mi · 5 of 5 stars · 4 citations
- Brown Nursing Home Alexander City, 24.2 mi · 4 of 5 stars · 7 citations
- NHC Healthcare, Anniston Anniston, 24.5 mi · 2 of 5 stars · 10 citations
Alabama contacts for a concern about a nursing home
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.
Common questions
- What is Clay County Nursing Home's Medicare star rating?
- CMS rates Clay County Nursing Home 3 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Clay County Nursing Home get at its last inspection?
- 2 health deficiencies at the standard inspection on March 16, 2022. The Alabama average is 4.
- Has Clay County Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Clay County Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Clay County Nursing Home?
- CMS lists 20 owners and managers. Legal business name: CLAY COUNTY HEALTHCARE AUTHORITY.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.