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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 78th out of 90 homes in North Carolina for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 31m per day | ▼ 16% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▲ 15% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 56m per day | ▼ 17% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 1m per day | ▼ 12% State avg: 3h 26m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 11m per day | ▲ 110% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 21m per day | ▼ 13% State avg: 24m per day · National avg: 29m per day |
Lower than the North Carolina average: 76.4%In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 103 | 46 | This facility has 124% more total deficiencies than a typical North Carolina nursing home (103 vs. NC avg 46).↑ 124% worse |
|
Deficiencies per year
Average deficiencies per year since 2016.
| 10.3 | 4.6 | This facility has 124% more deficiencies per year than a typical North Carolina nursing home (10.3 vs. NC avg 4.6).↑ 124% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.3 | 2.2 | This facility has 5% more deficiencies per inspection than a typical North Carolina nursing home (2.3 vs. NC avg 2.2).↑ 5% worse |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 45 | 21 | This facility has 114% more total inspections than a typical North Carolina nursing home (45 vs. NC avg 21).↑ 114% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 41 | 19 | This facility has 116% more inspections with deficiencies than a typical North Carolina nursing home (41 vs. NC avg 19).↑ 116% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 91% | 90% | This facility has 1 percentage point higher inspection deficiency rate than a typical North Carolina nursing home (91% vs. NC avg 90%).↑ 1% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
North Carolina average 4
Last Health inspection on Oct 2025
North Carolina average 20.9
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 48 citations resulted from standard inspections; and 29 of 48 resulted from complaint investigations.
23% better than North Carolina averageNorth Carolina average: 1.3
11% worse than North Carolina averageNorth Carolina average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
41% more staff per resident than North Carolina average
0% compared with North Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
38 total: 13 full-time employees and 25 contractors.
38
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
66 total: 21 full-time employees and 45 contractors.
66
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
81 total: 43 full-time employees and 38 contractors.
81
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,155 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 38 | 81 | 14,070 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 21 | 45 | 66 | 6,905 | 92 | 100% | 8.5 |
| Registered Nurse | 13 | 25 | 38 | 2,511 | 89 | 97% | 8.7 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,347 | 79 | 86% | 7.2 |
| Physical Therapy Assistant | 4 | 0 | 4 | 915 | 72 | 78% | 7.1 |
| Physical Therapy Aide | 2 | 0 | 2 | 845 | 67 | 73% | 7.7 |
| Nurse Practitioner | 3 | 1 | 4 | 605 | 50 | 54% | 8.2 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 596 | 71 | 77% | 6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 537 | 66 | 72% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 537 | 56 | 61% | 9.6 |
| Dietitian | 1 | 0 | 1 | 490 | 64 | 70% | 7.6 |
| Speech Language Pathologist | 2 | 0 | 2 | 453 | 56 | 61% | 7.6 |
| Administrator | 2 | 0 | 2 | 432 | 54 | 59% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 392 | 56 | 61% | 7 |
| Qualified Social Worker | 2 | 0 | 2 | 376 | 60 | 65% | 6.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 165 | 24 | 26% | 6.9 |
| Medical Director | 1 | 0 | 1 | 48 | 6 | 7% | 8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.1
In line with North Carolina averageNorth Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
7% better than North Carolina averageNorth Carolina average: 20.6
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
20% better than North Carolina averageNorth Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
16.4%
29% better than North Carolina averageNorth Carolina average: 23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.1%
26% worse than North Carolina averageNorth Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
77% worse than North Carolina averageNorth Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
9.0%
43% worse than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
3.8%
45% worse than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
9.7%
31% worse than North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
2.6%
42% better than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
8.3%
38% better than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
6% better than North Carolina averageNorth Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with North Carolina averageNorth Carolina average: 94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.2%
13% better than North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.6%
74% worse than North Carolina averageNorth Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.9%
15% better than North Carolina averageNorth Carolina average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
87% of new residents, usually for short-term rehab.
4% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
86Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Clayton House based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #77 / 97Payroll — State benchmarkedThis home is ranked 77th out of 97 homes in North Carolina. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
3.6 miles from city center
Estimated distance in miles from Clayton's city center to Clayton House's address, calculated via Google Maps.
Add your location
Clayton House is located in Clayton, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Carol Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Chapel Hill (Carol Woods) | 30
Facility
30
NC AVG
72
Rank
#329 / 390 |
76.7%
Facility
76.7%
NC AVG
76.4%
Rank
#120 / 264 | 0% | 5.94
Facility
5.94
NC AVG
3.98
Rank
#10 / 90 | +239% | +49% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 97 | 7
Facility
7
NC AVG
20.9
Rank
#23 / 95 | 3.5
Facility
3.5
NC AVG
5.0
Rank
#36 / 95 | - | 22 | - |
13
Facility
13
NC AVG
33
Rank
#432 / 572 | The Chapel Hill Residential Retirement Center, Inc. | $46.7M
Facility
$46.7M
NC AVG
$13.2M
Rank
#7 / 97 | $18.0M
Facility
$18.0M
NC AVG
$4.9M
Rank
#7 / 97 | 38.5%
Facility
38.5%
NC AVG
39.8%
Rank
#78 / 97 | 345199 | ||||
| Brookdale Carriage Club Providence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charlotte (Olde Providence North) | 77
Facility
77
NC AVG
72
Rank
#168 / 390 |
71.5%
Facility
71.5%
NC AVG
76.4%
Rank
#140 / 264 | -6% | 8.12
Facility
8.12
NC AVG
3.98
Rank
#3 / 90 | +78% | +104% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 97 | 11
Facility
11
NC AVG
20.9
Rank
#35 / 95 | 3.7
Facility
3.7
NC AVG
5.0
Rank
#38 / 95 | - | 7 | A+ |
12
Facility
12
NC AVG
33
Rank
#440 / 572 | Bkd Fm Holding Company LLC | $7.1M
Facility
$7.1M
NC AVG
$13.2M
Rank
#92 / 97 | $8.1M
Facility
$8.1M
NC AVG
$4.9M
Rank
#38 / 97 | 114.8%
Facility
114.8%
NC AVG
39.8%
Rank
#1 / 97 | 345482 | ||||
| Pineville Rehabilitation & Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pineville (Lakeview Drive) | 106
Facility
106
NC AVG
72
Rank
#68 / 390 | - | - | 3.96
Facility
3.96
NC AVG
3.98
Rank
#39 / 90 | +39% | 0% | $15.5k
Facility
$15.5k
NC AVG
$74.6k
Rank
#85 / 97 | 45
Facility
45
NC AVG
20.9
Rank
#89 / 95 | 9.0
Facility
9.0
NC AVG
5.0
Rank
#91 / 95 | 3 | 96 | A+ |
25
Facility
25
NC AVG
33
Rank
#346 / 572 | Ncnh Holdings LLC | $12.1M
Facility
$12.1M
NC AVG
$13.2M
Rank
#67 / 97 | $5.7M
Facility
$5.7M
NC AVG
$4.9M
Rank
#69 / 97 | 47%
Facility
47%
NC AVG
39.8%
Rank
#39 / 97 | 345415 | ||||
| Walnut Ridge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Walnut Cove (Windmill Street) | 63
Facility
63
NC AVG
72
Rank
#224 / 390 |
100.0%
Facility
100.0%
NC AVG
76.4%
Rank
#1 / 264 | +31% | 3.12
Facility
3.12
NC AVG
3.98
Rank
#87 / 90 | -50% | -22% | $40.1k
Facility
$40.1k
NC AVG
$74.6k
Rank
#77 / 97 | 23
Facility
23
NC AVG
20.9
Rank
#67 / 95 | 4.6
Facility
4.6
NC AVG
5.0
Rank
#52 / 95 | 3 | 63 | A+ |
50
Facility
50
NC AVG
33
Rank
#149 / 572 | Nita Davis | $12.9M
Facility
$12.9M
NC AVG
$13.2M
Rank
#62 / 97 | $3.9M
Facility
$3.9M
NC AVG
$4.9M
Rank
#90 / 97 | 29.9%
Facility
29.9%
NC AVG
39.8%
Rank
#93 / 97 | 345089 | ||||
| Clayton House |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Clayton | 60
Facility
60
NC AVG
72
Rank
#233 / 390 |
43.3%
Facility
43.3%
NC AVG
76.4%
Rank
#211 / 264 | -43% | 3.27
Facility
3.27
NC AVG
3.98
Rank
#78 / 90 | +90% | -18% | $166.1k
Facility
$166.1k
NC AVG
$74.6k
Rank
#1 / 97 | 48
Facility
48
NC AVG
20.9
Rank
#92 / 95 | 6.9
Facility
6.9
NC AVG
5.0
Rank
#82 / 95 | 2 | 26 | - |
0
Facility
0
NC AVG
33
Rank
#548 / 572 | - | $12.4M
Facility
$12.4M
NC AVG
$13.2M
Rank
#64 / 97 | $5.1M
Facility
$5.1M
NC AVG
$4.9M
Rank
#77 / 97 | 40.9%
Facility
40.9%
NC AVG
39.8%
Rank
#65 / 97 | 345317 |
According to NC state health department records, Clayton House's license number is HAL-051-041.
Clayton House's occupancy is 43%.
Clayton House received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Clayton House has 60 beds.
Yes — there are 10 photos of Clayton House in the photo gallery on this page.
Clayton House is located at 145 Dairy Road Clayton, NC 27520.
(919) 553-6144 will put you in contact with the team at Clayton House.
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