All states › North Carolina › Clayton › Clayton Rehabilitation and Healthcare Center
204 Dairy Road Clayton, NC 27520 · Johnston County
All 2 nursing homes in Clayton, NC (2 take Medicaid)
CMS certification number 345317 · See this home on Medicare Care Compare
Is Clayton Rehabilitation and Healthcare Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Clayton Rehabilitation and Healthcare Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.18 hours per resident per day at Clayton Rehabilitation and Healthcare Center, below the North Carolina median of 3.57 (US median: 3.72). About 0.40 of those hours are from registered nurses. On weekends it falls to 2.74 hours, 14% below its all-week average. 75.2% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 4 administrators left in the past year.
About this nursing home
Paying for care at Clayton Rehabilitation and Healthcare Center: Medicare and Medicaid
Clayton Rehabilitation and Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 13, 2026 and found 4 deficiencies, plus 15 from complaint inspections in the same period. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at Clayton Rehabilitation and Healthcare Center across 7 inspection dates, 29 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 30, 2025 (complaint inspection). The most common areas cited were pharmacy service (9) and quality of life and care (7). The most serious was cited under the CMS rule to "provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives" (tag F0678, level J, October 30, 2025).
February 13, 2026 · 4 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure each resident receives an accurate assessment.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure 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, 2025 · 15 citations, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EEnsure 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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DKeep residents' personal and medical records private and confidential.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure 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.
DEnsure that residents are free from significant medication errors.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DKeep all essential equipment working safely.
August 25, 2025 · 1 citation · includes complaint inspection
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
July 3, 2025 · 4 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure that residents are free from significant medication errors.
DHonor 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.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
November 27, 2024 · 5 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
October 23, 2024 · 6 citations · includes complaint inspection
DPlan the resident's discharge to meet the resident's goals and needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 30, 2024 · 3 citations · includes complaint inspection
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Questions to ask on a tour of Clayton Rehabilitation and Healthcare Center
- Inspectors cited the home at the immediate-jeopardy level on October 30, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 75.2% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $166,075 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 30, 2025 | Fine | $166,075 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Clayton Rehabilitation and Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 5.8 mi
-
11.5 mi
Johnston Memorial Hospital SmithfieldEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 7m for patients treated and sent home
- 11.9 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Clayton Rehabilitation and Healthcare Center › All nursing homes in Clayton ›
Compare Clayton Rehabilitation and Healthcare Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Bellarose Nursing and Rehab · Garner · 5 stars · 7.7 mi
- Springbrook Nursing and Rehabilitation Center · Clayton · 3 stars · 1.5 mi
- Barbour Court Nursing and Rehabilitation Center · Smithfield · 3 stars · 9.2 mi
- The Laurels of Forest Glenn · Garner · 2 stars · 9.9 mi
Other Simcha Hyman & Naftali Zanziper nursing homes in North Carolina
- Wilson Healthcare and Rehabilitation Center · Wilson · 5 stars
- Wallace Rehabilitation and Healthcare Center · Wallace · 5 stars
- Goldsboro Rehabilitation and Healthcare Center · Goldsboro · 3 stars
- Yanceyville Rehabilitation and Healthcare Center · Yanceyville · 3 stars
- Accordius Health at Gastonia · Gastonia · 3 stars
- Hertford Rehabilitation and Healthcare Center · Hertford · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 79 Simcha Hyman & Naftali Zanziper nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.