Nursing homes › North Carolina › Clayton Rehabilitation and Healthcare Center
204 Dairy Road, Clayton, NC 27520 · 9195538232 · 90 certified beds
Per CMS filings, this facility is affiliated with Simcha Hyman & Naftali Zanziper, a group operating 84 facilities in 6 states. Group record: average rating 2.5/5, 6 abuse citation icons, 4 facilities on the Special Focus list, $2,963,532 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.11 (North Carolina median: 3.53). RN hours: 0.45. Weekend total: 2.66. Nursing staff turnover: 78%.
All-time on record: 38 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-03-06 |
| 2026-02-13 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | 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. | D | Health | 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. | J | complaint | corrected 2025-11-17 |
| 2025-10-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | 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. | F | complaint | corrected 2025-11-25 |
| 2025-10-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | 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. | E | complaint | 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. | E | complaint | 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. | E | complaint | corrected 2025-11-25 |
| 2025-10-30 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2025-11-25 |
| 2025-10-30 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | 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. | D | complaint | corrected 2025-11-25 |
| 2025-10-30 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-11-25 |
| 2025-10-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-11-25 |
| 2025-10-30 | Keep all essential equipment working safely. | D | complaint | corrected 2025-11-25 |
| 2025-08-25 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | complaint | 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. | E | complaint | corrected 2025-07-21 |
| 2025-07-03 | Ensure that residents are free from significant medication errors. | E | complaint | 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. | D | complaint | corrected 2025-07-21 |
| 2025-07-03 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | complaint | 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. | E | Health | corrected 2024-12-20 |
| 2024-11-27 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | corrected 2024-12-20 |
| 2024-11-27 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-12-20 |
| 2024-11-27 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-12-20 |
| 2024-10-23 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2024-11-08 |
| 2024-10-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2024-11-08 |
| 2024-10-23 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | complaint | 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. | D | complaint | corrected 2024-11-08 |
| 2024-07-30 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2024-08-14 |
| 2024-07-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | 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. | D | complaint | corrected 2024-02-17 |
| Date | Type | Amount |
|---|---|---|
| 2025-10-30 | Fine | $166,075 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NC EAST HOLDING LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/01/2022 |
| ALTER, TZVI | 5% Or Greater Indirect Ownership Interest | Individual | 80% | since 07/01/2022 |
| ALTER, TZVI | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345317. Corrections: data@carerecords.org.