Clayton Rehabilitation and Healthcare Center – Clayton, NC

CMS Verified | 2026-03-01

Clayton Rehabilitation And Healthcare Center

204 Dairy Road, Clayton, NC 27520
(919) 553-8232
90 beds
All Clayton facilities
1.0*
Overall
1.0*
Health Inspection
2.0*
Quality Care
1.0*
Staffing
50.27
Score /100
#13977
National Rank

#13977
of 14703 facilities
National
4.9% position
#377
of 418 in NC
State Rank
#4
of 5 in Johnston
County Rank
#1
of 2 in Clayton
City Rank
#1
of 2 in ZIP 27520
ZIP Rank






About Clayton Rehabilitation And Healthcare CenterClayton Rehabilitation And Healthcare Center is located at 204 Dairy Road, Clayton, NC, reachable at (919) 553-8232. This For profit – Limited Liability company facility operates 90.0 certified beds and serves an average of 82 residents per day. It is part of the Simcha Hyman & Naftali Zanziper network (94 facilities nationwide). Medicare and Medicaid services have been provided since 1990-04-16. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Clayton Rehabilitation And Healthcare Center

Address

204 Dairy Road, Clayton, NC 27520

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 90 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: SIMCHA HYMAN & NAFTALI ZANZIPER

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 7 fine(s) over 5 years
5-Year Trend
Declining over 5 years
50.27
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#13977 of 14703 nationally – #377 of 418 in North Carolina

Who Is This Facility Best For?

Clayton Rehabilitation And Healthcare Center may be considered for families with limited options in Clayton, NC, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightClayton Rehabilitation And Healthcare Center currently provides 3 hours 17 minutes of total nurse staffing per resident per day, including 26 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 85.4%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 17 minutes
Nurse Aide Hours1 hour 57 minutes
Licensed Practical Nurse (LPN) Hours54 minutes
Registered Nurse (RN) Hours26 minutes
Physical Therapist Hours12 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 53 minutes
Weekend Registered Nurse (RN) Hours15 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $255,500. 21 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $255500.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 180.25 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#13,977
of 14,703
National
Bottom 5%
#377
of 418
NC State
Bottom 10% in NC
#4
of 5
️ Johnston County
#4 of 5
#1
of 2
️ Clayton
Best in city
#1
of 2
ZIP 27520
Best in ZIP

Nationally, Clayton Rehabilitation And Healthcare Center ranks 13977th out of 14,703 facilities (composite score: 50.3/100), placing it in the bottom 25% nationwide. Within NC, it ranks 377th out of 418 nursing homes. In Clayton, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #11,240 nationally and RN hours rank #10,261 nationally (#267 in NC).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank NC State Rank Note
2022 3.75 #5,956 / 14,703 #115 / 418 Above average
2023 3.36 #9,029 / 14,703 #237 / 418 Below average
2024 3.05 #12,182 / 14,703 #348 / 418 ⚠️ Bottom 25%
2025 3.13 #12,182 / 14,703 #351 / 418 ⚠️ Bottom 25%
2026 3.28 #11,240 / 14,703 #309 / 418 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank NC State Rank Note
2022 0.56 #7,517 / 14,703 #159 / 418 Below average
2023 0.63 #5,715 / 14,703 #120 / 418 Above average
2024 0.55 #7,109 / 14,703 #152 / 418 Above average
2025 0.50 #8,435 / 14,703 #194 / 418 Below average
2026 0.43 #10,261 / 14,703 #267 / 418 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Clayton Rehabilitation And Healthcare Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1990-04-16. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (919) 553-8232 or your local Medicaid office to verify current eligibility.

Clayton Rehabilitation And Healthcare Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 50.3/100, placing it #13977 of 14703 facilities nationally and #377 of 418 in North Carolina. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Clayton Rehabilitation And Healthcare Center receives a reported average of 3 hours 17 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 26 minutes; Licensed Practical Nurse (LPN) — 54 minutes; Nurse Aide — 1 hour 57 minutes. On weekends, total nurse staffing is 2 hours 53 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 85.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $255,500. 21 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $255,500, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 180.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Clayton Rehabilitation And Healthcare Center ranks 13977th out of 14,703 facilities (composite score: 50.3/100), placing it in the bottom 25% nationwide. Within NC, it ranks 377th out of 418 nursing homes. In Clayton, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #11,240 nationally and RN hours rank #10,261 nationally (#267 in NC). Our composite quality score of 50.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Clayton, visit: https://nursinghomesnearme.org/north_carolina/clayton/

Contact and Location

ADR
Address

204 Dairy Road, Clayton, NC 27520
Get directions on Google Maps

TEL
LLC
Legal Name

CLT OPCO LLC

MAP
Browse by Location

All North Carolina ·
Johnston County ·
Clayton ·
ZIP 27520

Facility Details

Number of Certified Beds 90
Average Residents / Day 82 (91% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Johnston County, NC
City Clayton, NC
ZIP Code 27520
Approved Since April 16, 1990
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 345317
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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