GoodStanding

Nursing home report

Clayton Rehabilitation and Healthcare Center

Clayton, NC · Medicare-certified · 90 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Clayton Rehabilitation and Healthcare Center in Clayton, NC has a 1-star overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It reports 3.11 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $166,075 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.1083 hrs/resident/day

Quality measures

Last inspection: February 13, 2026Penalties, last 24 months: $166,075recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1083.

Staffing detail

Registered nurses
0.45
Licensed practical nurses
0.97
Nurse aides
1.69
Weekend nursing
2.66

Hours per resident per day.

Total staff turnover: 78%
Registered nurse turnover: 75%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

4.4%13.3%Worsening

Residents with a fall causing major injury

3.2%0%Improving

Residents with pressure ulcers (bedsores)

9.5%7.2%Improving

Residents with a urinary tract infection

6.3%0%Improving

Residents who lost too much weight

10.5%12.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17%14.5%Improving

Residents whose ability to walk got worse

7.6%24.4%Worsening

Long-stay residents on antianxiety or sleep medication

8.8%11.9%Worsening

Short-stay residents newly given an antipsychotic

1.8%0%Improving

Residents with a long-term catheter

0.7%0%Improving

Residents with new or worsening incontinence

26.6%38.5%Worsening

Residents with depressive symptoms

11.1%10%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

94.4%

Long-stay residents given the pneumonia vaccine

95.2%98.5%Improving

Short-stay residents given the seasonal flu vaccine

89.9%

Short-stay residents given the pneumonia vaccine

92.1%93.4%Improving

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited October 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited October 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $166,075 was recorded.

  4. INSPECTION

    Health inspection found 15 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $166,075 in total fines.

  • Federal fine

    Oct 30, 2025

    $166,075

Operator & ownership

Recent ownership change · Jul 1, 2022

Now operated by Clayton Rehabilitation and Healthcare Center, previously Brian Center Health and Retirement / Clayton.

Ownership
For profit - Individual
Chain
Part of SIMCHA HYMAN & NAFTALI ZANZIPER · 84 homes · 2.5 stars avg
Occupancy
85.8 residents on an average day (95% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 36 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.