Clayton Rehabilitation and Healthcare Center

Nursing Home · Clayton, NC

CMS overall rating 1/5 For profit - Individual

CMS certification number345317

Contact & location

204 Dairy Road
Clayton, NC 27520
Johnston County
Phone
(919) 553-8232
ZIP code
27520 – all care providers

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Facility details

Certified beds
90
Residents per day
85.8 (95% occupied)
Ownership
For profit - Individual
Legal name
CLT Opco LLC
Chain
Simcha Hyman & Naftali Zanziper (79 facilities, avg 2.6★)
Medicare certified since
April 16, 1990
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.9
Health inspections★★★★★ 1/5
State avg 2.9
Staffing★★★★★ 1/5
State avg 2.7
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.11 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.45 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.97 (state 0.89 · U.S. 0.86)
Nurse aides
1.69 (state 2.34 · U.S. 2.32)
Weekend total
2.66 (state 3.40 · U.S. 3.42)
Nursing staff turnover
77.8 (state 49.0 · U.S. 45.8)%
RN turnover
75.0 (state 45.7 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
February 13, 2026
Health deficiencies (last cycle)
20.0 (state 4.8 · U.S. 9.3)
From complaints
16
Citations on record (3 years)
38 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-06
2026-02-13 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-06
2026-02-13 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-06
2026-02-13 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-06
2025-10-30 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-11-17
2025-10-30 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-11-21
2025-10-30 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 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.
F0809 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 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.
F0693 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 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.
F0849 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-10-30 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-25
2025-08-25 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-08
2025-07-03 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-07-03 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-07-03 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.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2025-07-03 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-21
2024-11-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-20
2024-11-27 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-20
2024-11-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-20
2024-11-27 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-20
2024-11-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-20
2024-10-23 Plan the resident's discharge to meet the resident's goals and needs.
F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-23 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-23 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-23 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-23 Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-07-30 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-14
2024-07-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-14
2024-07-30 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-17

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $166,075 in fines.

DateTypeAmount
2025-10-30Fine$166,075

Ownership & management

NameRoleSince
NC East Holding LLC (organization)5%+ Direct Ownership Interest · 100%
Alter, Tzvi (individual)5%+ Indirect Ownership Interest · 80%
Alter, Tzvi (individual)Corporate Director · NOT APPLICABLE
Davis, Jennifer (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Clayton Rehabilitation and Healthcare Center?

Clayton Rehabilitation and Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.

How many beds does Clayton Rehabilitation and Healthcare Center have?

It has 90 certified beds and cares for about 86 residents per day.

Has Clayton Rehabilitation and Healthcare Center been fined?

Yes. CMS lists 1 penalty totaling $166,075 in the last three years.

Who owns Clayton Rehabilitation and Healthcare Center?

It is part of Simcha Hyman & Naftali Zanziper and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Clayton Rehabilitation and Healthcare Center?

(919) 553-8232. The facility is located at 204 Dairy Road, Clayton, NC 27520.

Other nursing homes in Clayton

Compare all nursing homes in Clayton, NC →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.