Clayton Rehabilitation and Healthcare Center
Nursing Home Facility
204 Dairy Road, Clayton, NC 27520
Clayton Rehabilitation and Healthcare Center is a senior care community located in Clayton, NC. It provides nursing home care, retirement living, and senior living for older adults in the Clayton area. To learn more or schedule a tour, call (919)553-8232.
With 90 beds, Clayton Rehabilitation and Healthcare Center is one of the larger communities in the area, senior care communities in Clayton average about 52 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 95% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in February 2026 and recorded 20 deficiencies.
Residents receive about 3.1 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 78%, which is high and can affect continuity of care.
The community is located in Johnston County, NC.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 38 problems at Clayton Rehabilitation and Healthcare Center. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 29 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $166,075.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, widespread
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Show 12 more
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Could cause more than minimal harm, one or a few residents
Administration
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.
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Could cause more than minimal harm, one or a few residents
Environmental
Keep all essential equipment working safely.
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Could cause more than minimal harm, one or a few residents
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Clayton Rehabilitation and Healthcare Center offers nursing home care, retirement living, and senior living.
Facility details
- Organization type for-profit limited liability corporation
- Beds / units 90
- Occupancy 95%
- Nursing hours per resident/day 3.1
- Annual staff turnover 78%
- Last health inspection February 2026
Resident & family reviews
No one has shared a review of Clayton Rehabilitation and Healthcare Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.