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Nursing home report card · Clayton, NC

Clayton Rehabilitation and Healthcare Center

204 Dairy Road, Clayton, NC 27520

Call this home: (919) 553-8232

View this home on Medicare.gov ↗

Infection-control problems noted

Quick summary

Below-average Medicare rating

Overall rating is 1 of 5 stars. Its health-inspection rating is 1 of 5. Read the dated inspection findings and separate staffing and care ratings below.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
Feb 13, 2026

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
1out of 5

Combines inspection, staffing, and care measures.

Among the lowest Medicare ratings

Health inspections
1out of 5

Based on problems found during health inspections.

Among the lowest Medicare ratings

Nursing staff
1out of 5

Based on staffing levels and related measures.

Among the lowest Medicare ratings

Health and care results
3out of 5

Based on reported health and care results.

About average for U.S. nursing homes

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
38

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$166,075

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 345317

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Immediate danger to residents · isolated case

    Oct 30, 2025 · Inspection rule 0678

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

  • Caused actual harm · isolated case

    Oct 30, 2025 · Inspection rule 0686

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

  • Could have caused harm · pattern case

    Feb 13, 2026 · Inspection rule 0812

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

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
0.45hours per resident per day

about 27 minutes per resident per day

All nursing staff
3.11hours per resident per day

about 3 hr 6 min per resident per day

Registered nurse time on weekends
0.29hours per resident per day

about 17 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 1 stars
  • Health inspection rating: 1 stars
  • Staffing rating: 1 stars
  • Registered nurse time per resident: 0.45 hours/day
  • Total nurse time per resident: 3.11 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; North Carolina averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Overall star rating is 2 or lower
  • Health inspection rating is 2 stars or lower
  • Recent citations include infection-control problems
  • Inspectors have listed an unusually high number of problems
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Immediate danger to residents1 citation
  • Caused actual harm1 citation
  • Could have caused harm36 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
38
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Individual.

  • We do not have individual owner names for this home.

Other homes in this group: All Simcha Hyman & Naftali Zanziper nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

February 13, 20264 findings
  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

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

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code D

    Ensure each resident receives an accurate assessment.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0756 · code D

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

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code D

    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.

October 30, 202515 findings
  • Quality of Life and Care problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0678 · code J

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

  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0686 · code G

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

  • Pharmacy Service problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code F

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

  • Quality of Life and Care problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code E

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

  • Nursing and Physician Services problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0726 · code E

    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.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0809 · code E

    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.

  • Resident Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0842 · code E

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

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0583 · code D

    Keep residents' personal and medical records private and confidential.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0658 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0693 · code D

    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.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0760 · code D

    Ensure that residents are free from significant medication errors.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0804 · code D

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

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0806 · code D

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

  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0849 · code D

    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.

  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0908 · code D

    Keep all essential equipment working safely.

August 25, 20251 finding
  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0925 · code D

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

July 3, 20254 findings
  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code E

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

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0760 · code E

    Ensure that residents are free from significant medication errors.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0584 · code D

    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.

  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0925 · code D

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

November 27, 20245 findings
  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

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

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code D

    Ensure each resident receives an accurate assessment.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0657 · code D

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

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0759 · code D

    Ensure medication error rates are not 5 percent or greater.

  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code D

    Provide and implement an infection prevention and control program.

October 23, 20246 findings
  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0660 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

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

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code D

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

  • Administration problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0770 · code D

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

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0842 · code D

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

July 30, 20243 findings
  • Environmental problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0925 · code E

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

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

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code D

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

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Fine · Oct 30, 2025$166,075

Other homes in this chain

Simcha Hyman & Naftali Zanziper · other locations in North Carolina

Related topics

Questions about Clayton Rehabilitation and Healthcare Center

What is Clayton Rehabilitation and Healthcare Center's Medicare star rating?
As of August 1, 2026, Clayton Rehabilitation and Healthcare Center in Clayton, North Carolina has an overall CMS rating of 1 out of 5 stars. Other CMS scores: health inspection 1 of 5, staffing 1 of 5, quality measures 3 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Clayton Rehabilitation and Healthcare Center been fined?
As of August 1, 2026, the imported penalty records list $166,075 in reported fines for Clayton Rehabilitation and Healthcare Center. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Clayton Rehabilitation and Healthcare Center have a Medicare abuse warning?
No. The current CMS Care Compare extract does not show an abuse warning icon for Clayton Rehabilitation and Healthcare Center in Clayton, North Carolina.
How does Clayton Rehabilitation and Healthcare Center compare with other nursing homes in North Carolina?
Its overall CMS rating is 1 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the North Carolina report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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