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HomeNorth CarolinaClayton Rehabilitation and Healthcare Center

Clayton Rehabilitation and Healthcare Center

204 Dairy Road, Clayton, NC 275209195538232WebsiteGoogle Maps
3.6on Google(73 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
3/5
Beds
90
certified
1 fine(s) totaling $166,075

How Clayton Rehabilitation and Healthcare Center Compares in North Carolina

Facility results compared with averages for CMS-certified nursing homes in North Carolina. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
NC average
2.9/5
Below state average
Health inspection rating
1/5
NC average
2.9/5
Below state average
Staffing rating
1/5
NC average
2.7/5
Below state average
Nursing hours per resident
3.11 hrs/day
NC average
3.82 hrs/day
Below state average
RN hours per resident
0.45 hrs/day
NC average
0.61 hrs/day
Below state average
Staff turnover
77.8%
NC average
49.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the North Carolina average of 2.9/5.
Its 1/5 health inspection rating is below the North Carolina average of 2.9/5.
Reported nursing time is 3.11 hours per resident per day, below the state average of 3.82.
Reported RN time is 0.45 hours per resident per day, below the state average of 0.61.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
14
deficiency citations
Inspected Nov 27, 2024
Most recent cycle
24
deficiency citations
Inspected Feb 13, 2026
The most recent cycle recorded 10 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
North Carolina median
Private Room
$9,125/mo
North Carolina median
Johnston County 65+
29,727
13.6% of county
County Population
219,042
Johnston County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Clayton Rehabilitation and Healthcare Center is a 1-star Medicare and Medicaid certified nursing home in Clayton, North Carolina with 90 certified beds. It has been operating since 1990. Its overall CMS rating is 1 out of 5.

Beds
90
Avg Residents/Day
85.8
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 16, 1990
Sprinklers
Yes
Council
Resident
County
Johnston
Last Inspection
Feb 13, 2026
Deficiencies (Cycle 1)
24
Weighted Score
183.3
Infection Citations
0

Deficiency Citations (38)

F0812Potential for Harm

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

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0678Immediate Jeopardy

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0686Actual Harm

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

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0809Potential for Harm

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0693Potential for Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0849Potential for Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Aug 25, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 27, 2024Corrected: NoCycle: 2
F0660Potential for Harm

Plan the resident's discharge to meet the resident's goals and needs.

Survey: Oct 23, 2024Corrected: NoCycle: 2

+ 8 more deficiencies

Total Fines
$166,075
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineOct 30, 2025
$166,075

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.69 hrs
National avg: 2.32 hrs
LPN0.97 hrs
National avg: 0.86 hrs
RN0.45 hrs
National avg: 0.69 hrs
Total Nursing3.11 hrs
National avg: 3.86 hrs
Weekend Total2.66 hrs
National avg: 0.00 hrs
Physical Therapist0.19 hrs
National avg: 0.07 hrs
Total Turnover
77.8%
RN Turnover
75.0%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
NC EAST HOLDING LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 1, 2022
ALTER, TZVI5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual80%Jul 1, 2022
DAVIS, JENNIFERW-2 MANAGING EMPLOYEEIndividualN/AJul 1, 2022
ALTER, TZVICORPORATE DIRECTORIndividualN/AJul 1, 2022

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Clayton Rehabilitation and Healthcare Center and nearby alternatives.

All North Carolina facilities
Clayton Rehabilitation and Healthcare Center
Clayton, NCCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $166,075
Springbrook Nursing and Rehabilitation Center
Clayton, NC1.5 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: $25,625
Bellarose Nursing And Rehab
Garner, NC7.7 mi
CMS
5/5
Health
5/5
Staffing
4/5
Recorded fines: None
Barbour Court Nursing and Rehabilitation Center
Smithfield, NC9.2 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
The Laurels of Forest Glenn
Garner, NC9.9 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $182,083
Wellington Rehabilitation and Healthcare
Knightdale, NC10.4 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $15,642
Smithfield Manor Rehabilitation and Healthcare Cen
Smithfield, NC11.5 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $263,607
FacilityDistanceCMSHealthStaffingRecorded fines
Clayton Rehabilitation and Healthcare Center
Clayton, NC · Current facility
—1/51/51/5$166,075
Springbrook Nursing and Rehabilitation Center
Clayton, NC
1.5 mi3/53/54/5$25,625
Bellarose Nursing And Rehab
Garner, NC
7.7 mi5/55/54/5None recorded
Barbour Court Nursing and Rehabilitation Center
Smithfield, NC
9.2 mi4/54/53/5None recorded
The Laurels of Forest Glenn
Garner, NC
9.9 mi2/52/53/5$182,083
Wellington Rehabilitation and Healthcare
Knightdale, NC
10.4 mi1/52/51/5$15,642
Smithfield Manor Rehabilitation and Healthcare Cen
Smithfield, NC
11.5 mi1/51/52/5$263,607

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Clayton Rehabilitation and Healthcare Center?▾
Clayton Rehabilitation and Healthcare Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Clayton Rehabilitation and Healthcare Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in North Carolina is $8,122/month for a semi-private room and $9,125/month for a private room (Genworth/CareScout 2024). Clayton Rehabilitation and Healthcare Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Clayton Rehabilitation and Healthcare Center had any health inspection violations?▾
Clayton Rehabilitation and Healthcare Center had 24 deficiency citations in its most recent health inspection (Feb 13, 2026). The current CMS dataset records 1 fine(s) totaling $166,075.
What are the staffing levels at Clayton Rehabilitation and Healthcare Center?▾
Clayton Rehabilitation and Healthcare Center provides 3.11 total nursing staff hours per resident per day, including 0.45 RN hours, 0.97 LPN hours, and 1.69 nurse aide hours. The total staff turnover rate is 77.8%.
How many beds does Clayton Rehabilitation and Healthcare Center have?▾
Clayton Rehabilitation and Healthcare Center has 90 certified beds with an average of 85.8 residents per day, resulting in approximately 95% occupancy. The facility is For profit - Individual owned and is part of the Simcha Hyman & Naftali Zanziper chain.
Are there other nursing homes near Clayton Rehabilitation and Healthcare Center?▾
Yes. This page lists 6 nearby nursing homes in North Carolina, including 1 in Clayton. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Clayton Rehabilitation and Healthcare Center?▾
On Google Maps, Clayton Rehabilitation and Healthcare Center has a rating of 3.6 out of 5 based on 73 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Simcha Hyman & Naftali Zanziper

This chain operates 84 facilities. View all →