Clayton Rehabilitation and Healthcare Center
204 Dairy Road · Clayton, NC · 27520 · 9195538232
90 certified beds For profit - Individual Chain: Simcha Hyman & Naftali Zanziper
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$166,075 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
80% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 80% | median 45% |
| Fines (3-yr window) | 1 · $166,075 |
Inspection citations (38 in the current record)
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Potential for harm · D February 13, 2026
Ensure each resident receives an accurate assessment.
Corrected March 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 6, 2026 · Pharmacy Service
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Potential for harm · D February 13, 2026
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.
Corrected March 6, 2026 · Pharmacy Service
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Potential for harm · E February 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 6, 2026 · Nutrition and Dietary
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Immediate jeopardy · J October 30, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected November 17, 2025 · Quality of Life and Care
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Actual harm · G October 30, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D October 30, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 25, 2025 · Resident Rights
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Potential for harm · D October 30, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E October 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 25, 2025 · Quality of Life and Care
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Potential for harm · D October 30, 2025 · found via complaint
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.
Corrected November 25, 2025 · Quality of Life and Care
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Potential for harm · E October 30, 2025 · found via complaint
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.
Corrected November 25, 2025 · Nursing and Physician Services
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Potential for harm · F October 30, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 25, 2025 · Pharmacy Service
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Potential for harm · D October 30, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 25, 2025 · Pharmacy Service
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Potential for harm · D October 30, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 25, 2025 · Nutrition and Dietary
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Potential for harm · D October 30, 2025 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected November 25, 2025 · Nutrition and Dietary
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Potential for harm · E October 30, 2025 · found via complaint
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.
Corrected November 25, 2025 · Nutrition and Dietary
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Potential for harm · E October 30, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2025 · found via complaint
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.
Corrected November 25, 2025 · Administration
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Potential for harm · D October 30, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected November 25, 2025 · Environmental
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Potential for harm · D August 25, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 8, 2025 · Environmental
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Potential for harm · D July 3, 2025 · found via complaint
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.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · E July 3, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 21, 2025 · Pharmacy Service
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Potential for harm · E July 3, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 21, 2025 · Pharmacy Service
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Potential for harm · D July 3, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 21, 2025 · Environmental
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Potential for harm · D November 27, 2024
Ensure each resident receives an accurate assessment.
Corrected December 20, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 30, 2025 | Fine | $166,075 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345317 · certified since April 16, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.