Clayton Rehabilitation and Healthcare Center: Staffing, Turnover, and Inspection Record
Clayton Rehabilitation and Healthcare Center is a 90-bed for-profit nursing home in Clayton, North Carolina, part of Simcha Hyman & Naftali Zanziper. In the CMS August 2026 release it reported 1.69 nurse aide hours per resident per day, 28% below the North Carolina average of 2.34, and 77.8% nursing staff turnover (North Carolina average 49.0%).
Clayton Rehabilitation and Healthcare Center
204 Dairy RoadClayton, NC 27520
Johnston County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Clayton Rehabilitation and Healthcare Center, nurse aides logged 1.69 hours per resident per day, 28% below the North Carolina average. With about 86 residents a day, that works out to roughly 145 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.69 | 2.34 | 2.32 |
| Licensed practical nurses | 0.97 | 0.89 | 0.86 |
| Registered nurses | 0.45 | 0.61 | 0.69 |
| All nursing staff | 3.11 | 3.83 | 3.86 |
| All nursing staff, weekends | 2.66 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
77.8% of nursing staff at Clayton Rehabilitation and Healthcare Center left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 75.0%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 13, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 20 health deficiencies (North Carolina average 4.8). CMS lists 1 fine totaling $166,075 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 30, 2025 | Fine | $166,075 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Clayton Rehabilitation and Healthcare Center holds 1 of 5 overall; the North Carolina average is 2.9.
About Clayton Rehabilitation and Healthcare Center
- Ownership: For profit - Individual
- Chain: Simcha Hyman & Naftali Zanziper, 79 homes
- Legal name: CLT Opco LLC
- Medicare and Medicaid certified since: Apr 16, 1990
- Councils: resident council
- Area: urban
Nursing homes near Clayton Rehabilitation and Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Springbrook Nursing and Rehabilitation Center Clayton | 1.5 | 100 | 2.44 | 3.95 | 50.9% | 3 | $25,625 |
| Bellarose Nursing And Rehab Garner | 7.7 | 100 | 2.60 | 4.46 | 25.0% | 5 | None |
| Barbour Court Nursing and Rehabilitation Center Smithfield | 9.2 | 165 | 1.74 | 3.15 | 33.0% | 4 | None |
| The Laurels of Forest Glenn Garner | 9.9 | 120 | 2.10 | 3.39 | 40.2% | 2 | $182,083 |
| Wellington Rehabilitation and Healthcare Knightdale · many days without an RN | 10.4 | 80 | 1.98 | 3.36 | 46.2% | 1 | $15,642 |
| Smithfield Manor Rehabilitation and Healthcare Cen Smithfield | 11.5 | 160 | 2.03 | 3.46 | 64.3% | 1 | $263,607 |
| Capital Nursing and Rehabilitation Center Raleigh | 12.0 | 125 | 2.08 | 3.40 | 36.5% | 4 | None |
| Sunnybrook Rehabilitation Center Raleigh | 12.2 | 95 | 2.21 | 3.65 | 51.5% | 1 | $50,447 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.