Nursing home
Clayton Rehabilitation and Healthcare Center
204 Dairy Road, Clayton, NC 27520 · Map
For profit - Limited Liability company · Part of Simcha Hyman & Naftali Zanziper (94 facilities) · 90 certified beds
Clayton Rehabilitation and Healthcare Center is a Medicare-certified nursing home in Clayton, North Carolina. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.28 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Nov 27, 2024 cited 25 deficiencies.
- 1 fine totaling $255,500In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Clayton Rehabilitation and Healthcare Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.28 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.43 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.95 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 85.4% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 25.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 13, 2026 inspection was corrected by March 6, 2026
Penalties in CMS records: 1 fine totaling $255,500, 1 total penalty.
What inspectors found at Clayton Rehabilitation and Healthcare Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
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 Deficiencies · Feb 13, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 13, 2026 · Full report (PDF) - Immediate 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.
Quality of Life and Care Deficiencies · Oct 30, 2025 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Oct 30, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Oct 30, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Oct 30, 2025 · Full report (PDF) - Potential 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.
Nutrition and Dietary Deficiencies · Oct 30, 2025 · Full report (PDF) - Potential 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.
Nursing and Physician Services Deficiencies · Oct 30, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 30, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Oct 30, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 204 Dairy Road
Clayton, NC 27520 - CMS certification #
- 345317
- Ownership
- For profit - Limited Liability company
- Certified beds
- 90
- Avg residents/day
- 82.2
- Provider type
- Medicare and Medicaid
- First certified
- 1990-04-16
- Chain
- Simcha Hyman & Naftali Zanziper (94 facilities)
- Setting
- Urban
Part of Simcha Hyman & Naftali Zanziper
Simcha Hyman & Naftali Zanziper operates 94 nursing facilities across the United States. View all Simcha Hyman & Naftali Zanziper facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Clayton Rehabilitation and Healthcare Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Clayton Rehabilitation and Healthcare Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
RESPITE CARE
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
Our skilled nursing staff is available 24/7 to provide the highest level of personalized care for each resident.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
HOSPICE &
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Wakemed, Raleigh Campus, Raleigh. 12.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Springbrook Nursing and Rehabilitation Center, Clayton. 1.5 miles away, straight line.
- Nearest home health agency office
- Unc Health Johnston Home Care And Hospice, Smithfield. 11.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Windsor Point Pharmacy. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 27520 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Clayton Dialysis, Clayton, 1.4 miles away, straight line
Fresenius Medical Care Stallings Station, Clayton, 1.8 miles away, straight line (CMS rating 5 of 5 stars)
Fresenius Kidney Care West Johnston, Garner, 6.2 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 27520.
Johnston Health Home Care And Hospice, office in Smithfield, 11.6 miles away, straight line (CMS family survey rating 5 of 5 stars)
Heartland Hospice (Raleigh ), office in Raleigh, 16.3 miles away, straight line (CMS family survey rating 2 of 5 stars)
Transitions Lifecare, office in Raleigh, 19.2 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Wakemed Specialists Group LLC, Raleigh. 12.2 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively high, wildfire very low, tornado very high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Clayton Rehabilitation and Healthcare Center a good nursing home?
CMS gives Clayton Rehabilitation and Healthcare Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Clayton Rehabilitation and Healthcare Center staffed?
Clayton Rehabilitation and Healthcare Center reports 3.28 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Clayton Rehabilitation and Healthcare Center had inspection problems?
Its most recent CMS inspection cited 25 deficiencies.
How many beds does Clayton Rehabilitation and Healthcare Center have?
Clayton Rehabilitation and Healthcare Center is certified for 90 beds.