Clayton Rehabilitation and Healthcare CenterCMS ratings, inspections and fines
- Address
- 204 Dairy Road, Clayton, NC 27520
- CCN
- 345317
- Ownership type
- For-profit, individual
- Certified beds
- 90
- Chain
- Chain name not shown
- Residents per day
- 86
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Clayton Rehabilitation and Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 13 Feb 2026. The latest survey cycle has 20 health citations. The median for nursing homes in North Carolina is 3. CMS lists 1 fine of $166,075 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Johnston County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 2.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 13 Feb 2026 | 20 | 3 |
| Cycle 2 | 27 Nov 2024 | 15 | 5 |
| Cycle 3 | No date | 3 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Mar 2026 |
| 13 Feb 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 6 Mar 2026 |
| 13 Feb 2026 | F0761 | 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. | D | Standard survey | 6 Mar 2026 |
| 13 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Mar 2026 |
| 30 Oct 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 17 Nov 2025 |
| 30 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 21 Nov 2025 |
| 30 Oct 2025 | F0693 | Ensure 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. | D | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0726 | 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. | E | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0809 | 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. | E | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint investigation | 25 Nov 2025 |
| 30 Oct 2025 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 25 Nov 2025 |
| 25 Aug 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 8 Sep 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Jul 2025 | F0584 | Honor 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. | D | Complaint investigation | 21 Jul 2025 |
| 3 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 21 Jul 2025 |
| 3 Jul 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 21 Jul 2025 |
| 3 Jul 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 21 Jul 2025 |
| 27 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Dec 2024 |
| 27 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Dec 2024 |
| 27 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Dec 2024 |
| 27 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Dec 2024 |
| 27 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Dec 2024 |
| 23 Oct 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 8 Nov 2024 |
| 23 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Nov 2024 |
| 23 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Nov 2024 |
| 23 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 8 Nov 2024 |
| 23 Oct 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 8 Nov 2024 |
| 23 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 8 Nov 2024 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Aug 2024 |
| 30 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 17 Feb 2024 |
| 30 Jul 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 14 Aug 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 30 Oct 2025 | Fine | $166,075 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.11 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.45 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.97 | 0.89 | |
| Nurse aides | 1.69 | 2.34 | |
| All nurse staff, weekends | 2.66 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 77.8%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 75.0%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.4% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.8% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.8% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.3% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| NC East Holding LLC | 5% or greater direct ownership interest | 100% | 1 Jul 2022 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
Other homes in Johnston County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Springbrook Nursing and Rehabilitation Center | Clayton | 3 of 5 | 0 | $25,625 | 24 Apr 2025 | |
| Barbour Court Nursing and Rehabilitation Center | Smithfield | 4 of 5 | 3 | $0 | 26 Feb 2026 | |
| Smithfield Manor Rehabilitation and Healthcare Cen | Smithfield | 1 of 5 | 12 | $263,607 | 23 Apr 2026 | |
| Liberty Commons Nursing & Rehabilitation Center Of | Benson | 2 of 5 | 7 | $15,593 | 20 Nov 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Clayton Rehabilitation and Healthcare Center (CCN 345317). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/clayton-rehabilitation-and-healthcare-center-clayton-nc-345317/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Clayton Rehabilitation and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 13 Feb 2026. It was a standard survey. It gave 4 citations. The standard survey before the last one was on 27 Nov 2024.
- Who operates Clayton Rehabilitation and Healthcare Center?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Clayton Rehabilitation and Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.