Clay County


Learn more about the history of nursing in Clay County in Western NC

Quick Facts about Clay County 

  • 10,587 citizens (2010 Census)
  • 214.75 square mile; 49.3 people per sq mile
  • For more information, see the Clay County, North Carolina website

People and Biographies

  • Scott, B. (3-29-87) Healer of the Hills. Asheville Citizen Times. This article follows home health nurse Marilyn Augustin who worked in Clay, Cherokee and parts of Macon Counties.
  • Mention of Mabel Mullins, a Public Health Nurse in Brasstown, NC with the John C. Campbell Folk School (page 4)

Janice Fulbright Patterson is a lifelong resident of North Carolina.  She was born in Burke County and graduated from the Nursing Program at Western Carolina University in 1976.  Clay County has been her home since 1982 following a move from Raleigh.  She was appointed Clay County Health Director in 1985 and continues to serve in that position.  Some of her greatest professional achievements include successfully writing grants to establish a multi-county children’s dental practice operated by the health department, an American Diabetes Association approved Diabetes Self Management Education Program and Community Alternatives Program for Disabled Adults which keeps disabled and elderly adults in their homes rather than nursing homes.  She operates the agency on an open access basis with midlevel providers accepting appointments most days of the week.  The Clay County Health Department is an accredited agency and will begin construction of a new $2.7 million facility in the Fall of 2013.  Ms. Patterson serves on the Reach of Clay County Board, Clay County Communities in Schools Board, Clay County School Health Advisory Board and the regional Smoky Mountain Center Mental Health Board.  She is active in state and regional Public Health organizations.   According to Ms. Patterson, “Clay County is my home and I have been blessed to be a part of this community and do my part to assure quality healthcare for my friends and neighbors.”   Patterson also states, “my greatest personal achievement has been my wonderful children and grandson.” (From the 100 nurses/100 counties project in 2014).