Nursing HomeInspections

Clayton Rehabilitation and Healthcare Center

Nursing home in Clayton, NC

Medicare & Medicaid certified1★ overall (CMS)

Call (919) 553-8232Send a messageMap ↗

Public-record details

Address
204 Dairy Road, Clayton, NC 27520
Phone
(919) 553-8232
Listed under
For-profit
Medicare CCN
345317
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
90
Average residents per day
86
Ownership
For-profit, individual
Legal business name
Clt Opco LLC
Chain
Simcha Hyman & Naftali Zanziper (79 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 16, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345317. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 13, 2026. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 30, 2024 to Feb 13, 2026): 29 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Feb 13, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 13, 2026Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Feb 13, 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Feb 13, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Oct 30, 2025Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 30, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 30, 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.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 30, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 30, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 30, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 30, 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.
Administration · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 30, 2025Keep all essential equipment working safely.
Environmental · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 38. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $166,075 in the last three years.

Oct 30, 2025Fine: $166,075

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.11 hours
Registered nurse (RN) time per resident per day
0.45 hours
Nurse aide time per resident per day
1.69 hours
Total nurse staffing on weekends
2.66 hours
Nursing staff turnover (yearly)
78%
RN turnover (yearly)
75%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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