Clayton Rehabilitation and Healthcare Center

204 Dairy Road, Clayton, NC 27520 · CCN 345317 · 90 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-10-30 IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2025-10-30 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.87

state median 3.11

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.30

registered nurses only

Contract (agency) staff

19%

share of all nursing hours

Days with zero RN hours reported

2

with residents present

Nursing staff turnover

78%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $166,075 in fines.

DateTypeAmount
2025-10-30Fine$166,075

Ownership

Ownership type: For profit - Individual. Part of the SIMCHA HYMAN & NAFTALI ZANZIPER chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 36 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-02-13F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2026-02-13F0756Pharmacy Service DeficienciesDnot recorded
2026-02-13F0761Pharmacy Service DeficienciesDnot recorded
2026-02-13F0812Nutrition and Dietary DeficienciesEnot recorded
2025-10-30F0583Resident Rights DeficienciesDnot recorded
2025-10-30F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-10-30F0678Quality of Life and Care DeficienciesJnot recorded
2025-10-30F0684Quality of Life and Care DeficienciesEnot recorded
2025-10-30F0686Quality of Life and Care DeficienciesGnot recorded
2025-10-30F0693Quality of Life and Care DeficienciesDnot recorded
2025-10-30F0726Nursing and Physician Services DeficienciesEnot recorded
2025-10-30F0755Pharmacy Service DeficienciesFnot recorded
2025-10-30F0760Pharmacy Service DeficienciesDnot recorded
2025-10-30F0804Nutrition and Dietary DeficienciesDnot recorded
2025-10-30F0806Nutrition and Dietary DeficienciesDnot recorded
2025-10-30F0809Nutrition and Dietary DeficienciesEnot recorded
2025-10-30F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2025-10-30F0849Administration DeficienciesDnot recorded
2025-10-30F0908Environmental DeficienciesDnot recorded
2025-08-25F0925Environmental DeficienciesDnot recorded
2025-07-03F0584Resident Rights DeficienciesDnot recorded
2025-07-03F0755Pharmacy Service DeficienciesEnot recorded
2025-07-03F0760Pharmacy Service DeficienciesEnot recorded
2025-07-03F0925Environmental DeficienciesDnot recorded
2024-11-27F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-27F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-27F0759Pharmacy Service DeficienciesDnot recorded
2024-11-27F0812Nutrition and Dietary DeficienciesEnot recorded
2024-11-27F0880Infection Control DeficienciesDnot recorded
2024-10-23F0660Resident Assessment and Care Planning DeficienciesDnot recorded
2024-10-23F0684Quality of Life and Care DeficienciesDnot recorded
2024-10-23F0689Quality of Life and Care DeficienciesDnot recorded
2024-10-23F0755Pharmacy Service DeficienciesDnot recorded
2024-10-23F0770Administration DeficienciesDnot recorded
2024-10-23F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-30F0684Quality of Life and Care DeficienciesDnot recorded
2024-07-30F0755Pharmacy Service DeficienciesDnot recorded
2024-07-30F0925Environmental DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Clayton Rehabilitation and Healthcare Center, Clayton” at medicare.gov/care-compare.