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C
Below Standard

CLAY COUNTY NURSING HOME

83825 HIGHWAY 9 · ASHLAND, AL 36251

2563542131 · Non profit - Other

83 beds74.7 residents81 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CLAY COUNTY NURSING HOME receives an overall staffing grade of C (Below Standard). With 3.3885 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5323 HPRD, below the recommended 0.75. It is 0.51 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.88% compared to weekdays. The facility has low agency staff usage (0.6% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3885 HPRD — needs 0.09 more hours per resident per day.
⚠️RN staffing (0.5323 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.6%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3885hrs/resident/day▼ 0.51
CMS benchmark: 3.48
RN HPRD
0.5323hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
16.88%
3.5582 weekday → 2.9576 weekend
Agency Staff
0.6%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.003hrs/resident/day
Direct care aides
LPN HPRD
0.8531hrs/resident/day
Licensed practical nurses
Consistency
0.3683std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Clay County Average-0.49 HPRD
3.87
03.39 HPRD
vs. Alabama State Average-0.53 HPRD
3.92
03.39 HPRD
vs. National Average-0.51 HPRD
3.90
03.39 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CLAY COUNTY NURSING HOME ★
ASHLAND · This facility
—
C
3.38850.5323★★★★☆
LINEVILLE HEALTH AND REHABILITATION, LLC
LINEVILLE
4.1 mi
C
4.360.4958★★★★★
TALLADEGA HEALTHCARE CENTER, INC
TALLADEGA
18.6 mi
C
4.60790.4497★★★☆☆
GOODWATER HEALTHCARE CENTER
GOODWATER
19.6 mi
C
4.76390.5496★★★★★
DIVERSICARE OF OXFORD
OXFORD
22.9 mi
C
3.27550.5603★★☆☆☆
ADAMS REHABILITATION AND HEALTHCARE CENTER
ALEXANDER CITY
24 mi
A
4.25080.9104★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
8
Total Deficiencies
$0
Fines Assessed
Mar 16, 2022Health
2 deficiencies cited
▼
May 16, 2019Health
2 deficiencies cited
▼
Jun 21, 2018Health
4 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.