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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth CarolinaClayton Rehabilitation and Healthcare Center

Clayton Rehabilitation and Healthcare Center

204 Dairy Road, Clayton, NC 275209195538232
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
2/5
Beds
90
certified
1 fine(s) totaling $255,500

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 90 certified beds with an average of 82.2 residents per day (91% occupancy)

• Last health inspection found 25 deficiencies (inspected Nov 27, 2024)

• Has been fined a total of $255,500 across 1 fine(s)

• Total nursing staff: 3.28 hours per resident per day

• Staff turnover rate: 85.4% (high)

• Part of the Simcha Hyman & Naftali Zanziper chain (95 facilities)

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. The facility scored below average compared to North Carolina facilities.

Beds
90
Avg Residents/Day
82.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 16, 1990
Sprinklers
Yes
Council
Resident
County
Johnston
Last Inspection
Nov 27, 2024
Deficiencies (Cycle 1)
25
Weighted Score
180.3
Infection Citations
0

Deficiency Citations (48)

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
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
F0684Potential for Harm

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

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
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
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
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
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
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
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
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
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
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
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 27, 2024Corrected: NoCycle: 1
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: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Nov 27, 2024Corrected: 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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 27, 2024Corrected: NoCycle: 1
F0660Potential for Harm

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

Survey: Oct 23, 2024Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Oct 23, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Oct 23, 2024Corrected: NoCycle: 2
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 23, 2024Corrected: NoCycle: 2
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Oct 23, 2024Corrected: NoCycle: 2

+ 18 more deficiencies

Total Fines
$255,500
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineOct 30, 2025
$255,500

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

Nurse Aide1.95 hrs
National avg: 2.35 hrs
LPN0.90 hrs
National avg: 0.86 hrs
RN0.43 hrs
National avg: 0.68 hrs
Total Nursing3.28 hrs
National avg: 3.89 hrs
Weekend Total2.88 hrs
National avg: 0.00 hrs
Physical Therapist0.20 hrs
National avg: 0.07 hrs
Total Turnover
85.4%
RN Turnover
85.7%
Administrators Left
2

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (6)

NameRoleTypeOwnership %Since
NC EAST HOLDING LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 1, 2022
HC FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization10%Jul 1, 2022
ZANZIPER FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization10%Jul 1, 2022
ALTER, TZVI5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual80%Jul 1, 2022
ALTER, TZVICORPORATE DIRECTORIndividualN/AJul 1, 2022
DAVIS, JENNIFERW-2 MANAGING EMPLOYEEIndividualN/AJul 1, 2022

Nearby Nursing Homes

All North Carolina facilities

Springbrook Nursing and Rehabilitation Center

Clayton, NC · 100 beds

For profit$25,625 in finesAbuse
Health
Staffing
Quality
1.5 mi

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 2/5. This facility is rated below average.
Has Clayton Rehabilitation and Healthcare Center had any health inspection violations?▾
Clayton Rehabilitation and Healthcare Center had 25 deficiency citations in its most recent health inspection (Nov 27, 2024). The facility has been fined a total of $255,500 across 1 fine(s).
What are the staffing levels at Clayton Rehabilitation and Healthcare Center?▾
Clayton Rehabilitation and Healthcare Center provides 3.28 total nursing staff hours per resident per day, including 0.43 RN hours, 0.90 LPN hours, and 1.95 nurse aide hours. The total staff turnover rate is 85.4%.
How many beds does Clayton Rehabilitation and Healthcare Center have?▾
Clayton Rehabilitation and Healthcare Center has 90 certified beds with an average of 82.2 residents per day, resulting in approximately 91% occupancy. The facility is For profit - Limited Liability company owned and is part of the Simcha Hyman & Naftali Zanziper chain.
Are there other nursing homes near Clayton Rehabilitation and Healthcare Center?▾
Yes, there are 1 other nursing home in Clayton, North Carolina with an average rating of 1.5/5. You can compare all facilities on the Clayton nursing homes page.

Part of Simcha Hyman & Naftali Zanziper

This chain operates 95 facilities. View all →