Clayton House
State licensed145 Dairy Road, Clayton, NC 27520
Assisted Living
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
Clayton Rehabilitation and Healthcare Center
Clayton, North CarolinaMedicare inspection record
About Clayton Rehabilitation and Healthcare Center
Clayton Rehabilitation and Healthcare Center in Clayton, North Carolina provides skilled nursing and rehabilitation services designed for patients recovering from surgery, illness, or injury. Our experienced team focuses on helping residents regain strength and independence through personalized care plans and compassionate support.
Community at a glance
Capacity
90 residents
Location
Clayton, NC
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
204 Dairy Road, Clayton, North Carolina 27520
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 13, 2026, state inspectors cited 19 health deficiencies (the North Carolina average is 4.7).
Nurses and nurse aides spend 3 hours 6 minutes with each resident a day, below the North Carolina average of 3 hours 51 minutes.
Medicare fined Clayton Rehabilitation and Healthcare Center once in the last three years, $166,075 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 6 minutesBelow the North Carolina average |
| Registered nurse time per resident, per day | 27 minutesBelow the North Carolina average |
| Nursing staff who left in the past year | 78%Above the North Carolina average |
2 administrators have left the home in the past year.
Inspections
38 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 13, 2026 · Standard inspection · 4 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 6, 2026Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 6, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 6, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 6, 2026
October 30, 2025 · Complaint investigation · 15 citations
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Nov 17, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 21, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, widespread (level F)Pharmacy ServiceFrom a complaintCorrected Nov 25, 2025Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Nov 25, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 25, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Nov 25, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 25, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Nov 25, 2025Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 25, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Nov 25, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Nov 25, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Nov 25, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 25, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 25, 2025Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Nov 25, 2025
August 25, 2025 · Complaint investigation · 1 citation+
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Sep 8, 2025
July 3, 2025 · Complaint investigation · 4 citations+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jul 21, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jul 21, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Jul 21, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 21, 2025
November 27, 2024 · Standard inspection · 5 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 20, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 20, 2024Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 20, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Dec 20, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 20, 2024
October 23, 2024 · Complaint investigation · 6 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 8, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 8, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Nov 8, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 8, 2024Provide timely, quality laboratory services/tests to meet the needs of residents.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Nov 8, 2024Plan the resident's discharge to meet the resident's goals and needs.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 8, 2024
July 30, 2024 · Complaint investigation · 3 citations+
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Aug 14, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 14, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintAlready fixed by Feb 17, 2024
Fines and payment denials
1 fine totaling $166,075 in the last three years.
- October 30, 2025Fine: $166,075
About the home, per Medicare
- Ownership
- For profit - Individual
- Legal business name
- Clt Opco LLC
- Medicare-certified beds
- 90
- Average residents per day
- 86
- Accepts
- Medicare and Medicaid
- First certified
- April 16, 1990
- Part of a chain
- Simcha Hyman & Naftali Zanziper, 79 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 345317
Location
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204 Dairy RoadClayton, NC 27520
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Questions about Clayton Rehabilitation and Healthcare Center
How did Clayton Rehabilitation and Healthcare Center do on its last inspection?+
State inspectors visited on February 13, 2026 and cited 19 health deficiencies, 15 of them from complaint investigations. The North Carolina average is 4.7.
How much nursing care does each resident get at Clayton Rehabilitation and Healthcare Center?+
Nurses and aides spend 3 hours 6 minutes with each resident per day, including 27 minutes from registered nurses. 78% of nursing staff left over the past year.
Has Clayton Rehabilitation and Healthcare Center been fined by Medicare?+
Yes. Medicare fined Clayton Rehabilitation and Healthcare Center once in the last three years, totaling $166,075.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.