Clayton Nursing and Rehab Center

Nursing Home & Assisted Living · Clayton, NM

CMS overall rating

419 Harding Street, Clayton, NM 88415 View map

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Clayton Nursing and Rehab Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Clayton Nursing and Rehab Center accepts Medicaid, Medicare, and private pay.

Overview of Clayton Nursing and Rehab Center

Clayton Nursing and Rehab Center sits at 419 Harding Street in downtown Clayton, a rural seat of Union County in northeastern New Mexico. Operated by 419 Harding Street Operations LLC under administrator Carolyn Kear, it is a 45-bed skilled nursing facility built around short-term post-acute care. Amenities include an in-house pharmacy, professional podiatry and vision services, a beauty and barber shop, an open courtyard, and a named Family Cares Program designed to keep family members engaged in care decisions. The facility accepts Medicare, Medicaid, and private pay, and its doors are open to adults 18 and older who need skilled nursing or specialized rehabilitation.

The clinical lineup here is what you’d expect from a facility whose admitted population is predominantly Medicare-covered: orthopedic rehab, stroke and neuro recovery, cardiac care, sub-acute management, wound care, IV therapy, pulmonary care, and bariatric care are all listed services. Physical therapy, occupational therapy, and speech-language pathology are represented in the staffing mix. Total nursing care runs 3 hours and 48 minutes per resident per day across a 24-hour staffing model, with 50 total staff including 8 registered nurses, 5 LPNs, and 15 certified nursing assistants. A nurse practitioner and a mental health service worker are also on the payroll, a pairing that’s not universal in facilities this size.

Thirty-one of 45 beds are currently filled, an occupancy rate of 69%, which suggests placement is generally available without a waitlist. The average stay runs about 280 days, a figure that reflects a mix: some residents cycle through quickly on Medicare rehabilitation stays, while others settle into longer Medicaid-covered tenure.

The Walk Score of 63 places the surrounding area in moderately walkable territory. Clayton’s city center and the facility’s address are essentially the same point, which makes access straightforward for families coming in from town.

State inspections over the four-year data window have been conducted by the New Mexico Department of Health’s Division of Health Improvement. The inspection record shows no critical or serious citations during that period; findings have been confined to moderate categories covering areas such as infection control, nutrition, and quality of life standards.

For adults leaving a hospital after surgery, cardiac events, or neurological episodes, Clayton Nursing and Rehab Center offers a focused short-stay rehabilitation model in a small-town facility with direct access to a diversified clinical team.

Facility Direct Line (575) 374-2353 info@claytonrehabcenter.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 48m per day

vs avg

4 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +24% above state avg

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.	46m per day	▲ 24% 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.	41m per day	▼ 5% State avg: 43m 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 59m per day	▼ 11% State avg: 2h 14m 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.	2h 52m per day	▼ 8% State avg: 3h 7m per day · National avg: 3h 26m 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.	0m per day	▼ 91% 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.	29m per day	▲ 5% State avg: 28m per day · National avg: 28m per day

Capacity and availability

280 days

45-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 63 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

69%

Lower than the New Mexico average: 78.9%

Occupied beds

31 / 45

Average occupied beds in New Mexico homes 82 beds

Facility TypeNursing Home

CMS Certification Number325100

Clayton Nursing and Rehab Center is administered by Carolyn Kear.

Owner Name419 Harding Street Operations LLC

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Sub-Acute

Orthopedic Rehab

Hospice & Palliative Care

Stroke & Neuro Recovery

Cardiac Care

Iv Therapy

Pulmonary Care

Bariatric Care

Wound Care

Fax(575) 374-2915

Admission CriteriaMust be at least 18 years or older, requiring skilled nursing care for their condition, and/or needing specialized services or rehabilitation.

Comfort-Enhancing Amenities

Full In-House Pharmaceutical Service

Personal Beauty & Barber Shop

Professional Podiatry & Vision Services

Holiday Events & Celebrations

Laundry Services And Room Cleaning

Expansive Open Courtyard

Delicious Meals And Dietary Monitoring

Family Cares Program

Since 2022 · 4 years of data 17 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Mexico state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. New Mexico state average

Overall vs. NM average

Latest Inspection October 31, 2024 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NM Average	vs. NM Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	17	30	This facility has 43% fewer total deficiencies than a typical New Mexico assisted living residence (17 vs. NM avg 30).↓ 43% better
Deficiencies per year Average deficiencies per year since 2022.	4.3	7.5	This facility has 43% fewer deficiencies per year than a typical New Mexico assisted living residence (4.3 vs. NM avg 7.5).↓ 43% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

October 31, 2024 inspection found 8 deficiencies including failure to accommodate call light needs, incomplete grievance notifications, poor food safety, and lack of enhanced barrier precautions for residents with wounds.
October 5, 2023 inspection identified 8 deficiencies involving medication errors, unsecured medication storage, infection control failures, and unsafe environmental conditions like unrepaired room damage.
July 13, 2022 inspection cited failure to provide proper care for a resident’s contractures, showing ongoing issues with individualized resident care plans.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average N/A

Last Health inspection on Oct 2024

Total health citations

State average N/A

Citations per inspection

5.67

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 17 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

17 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Infection Control moderate citation Oct 31, 2024

Corrected

Nutrition moderate citation Oct 31, 2024

Corrected

Nutrition moderate citation Oct 31, 2024

Corrected

Nutrition moderate citation Oct 31, 2024

Corrected

Total staff 50

Employees 44

Contractors 6

Staff to resident ratio 1.67 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 17

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 12,609

Nursing staff breakdown

7.7 hours

10.1 hours

9.1 hours

Contractor staffing

1,116 contractor hours this quarter

Licensed Practical Nurse: 2 Occupational Therapy Assistant: 2 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category


Certified Nursing Assistant	15	0	15	4,718	92	100%	9.1
Licensed Practical Nurse	3	2	5	1,659	92	100%	10.1
Registered Nurse	8	0	8	1,321	88	96%	7.7
Nurse Aide in Training	6	0	6	1,144	74	80%	9.4
Other Dietary Services Staff	2	0	2	557	75	82%	6
Clinical Nurse Specialist	1	0	1	483	58	63%	8.3
Other Social Services Staff	1	0	1	468	66	72%	7.1
Nurse Practitioner	1	0	1	464	58	63%	8
Physical Therapy Assistant	1	0	1	464	58	63%	8
RN Director of Nursing	1	0	1	363	49	53%	7.4
Speech Language Pathologist	1	0	1	324	48	52%	6.8
Administrator	1	0	1	296	37	40%	8
Mental Health Service Worker	1	0	1	200	49	53%	4.1
Medical Director	0	1	1	52	13	14%	4
Occupational Therapy Aide	0	1	1	49	10	11%	4.9
Occupational Therapy Assistant	0	2	2	25	9	10%	2.8
Respiratory Therapy Technician	1	0	1	21	12	13%	1.7
Qualified Social Worker	1	0	1	1	1	1%	1.1

15 Certified Nursing Assistant

% of Days 100%

5 Licensed Practical Nurse

% of Days 100%

8 Registered Nurse

% of Days 96%

6 Nurse Aide in Training

% of Days 80%

2 Other Dietary Services Staff

% of Days 82%

1 Clinical Nurse Specialist

% of Days 63%

1 Other Social Services Staff

% of Days 72%

1 Nurse Practitioner

% of Days 63%

1 Physical Therapy Assistant

% of Days 63%

1 RN Director of Nursing

% of Days 53%

1 Speech Language Pathologist

% of Days 52%

1 Administrator

% of Days 40%

1 Mental Health Service Worker

% of Days 53%

1 Medical Director

% of Days 14%

1 Occupational Therapy Aide

% of Days 11%

2 Occupational Therapy Assistant

% of Days 10%

1 Respiratory Therapy Technician

% of Days 13%

1 Qualified Social Worker

% of Days 1%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 5.6

41% better than State average

State average: 9.6

Functional decline score 13.7

25% better than State average

State average: 18.3

Long-stay resident measures

Significantly above average State avg: 3.8

Need for Help with Daily Activities Increased 9.1%

42% better than State average

State average: 15.6%

Walking Ability Worsened 7.7%

58% better than State average

State average: 18.3%

Low Risk Residents with Bowel/Bladder Incontinence 24.3%

16% worse than State average

State average: 21.0%

Falls with Major Injury 0.0%

100% better than State average

State average: 3.3%

High Risk Residents with Pressure Ulcers 1.8%

70% better than State average

State average: 5.8%

Urinary Tract Infection 0.9%

8% better than State average

State average: 1.0%

Lost Too Much Weight 9.7%

66% worse than State average

State average: 5.8%

Depressive Symptoms 6.4%

271% worse than State average

State average: 1.7%

Antipsychotic Use 28.4%

123% worse than State average

State average: 12.7%

Pneumococcal Vaccine 100.0%

In line with State average

State average: 97.2%

Influenza Vaccine 100.0%

In line with State average

State average: 98.7%

Hospitalizations per 1,000 days 1.52

6% better than State average

State average: 1.61

ED visits per 1,000 days 1.53

42% better than State average

State average: 2.64

Short-stay resident measures

Significantly above average State avg: 3.3

Pneumococcal Vaccine 96.1%

12% better than State average

State average: 86.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.3%

Influenza Vaccine 100.0%

16% better than State average

State average: 86.4%

Re-hospitalized after SNF stay 8.3%

61% better than State average

State average: 21.3%

Emergency department visits 0.0%

100% better than State average

State average: 15.9%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 55.6%

In line with State average

State average: 53.7%

Successful return to home or community 35.6%

30% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

76% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

16% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 8 - 9 years

Total residents 30

Medicare

10% of residents

Medicaid

90% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Clayton Nursing and Rehab Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 73.4% ↓ 1.9pp vs 2022

Net Patient Income $271.2K ↑ ~$39.5K vs 2022

Payroll Costs $1.4M ↓ ~$37.8K vs 2022

Operating Margin 6.6% ↑ 1.1pp vs 2022

Metric	2011	2013	2014	2015	2016	2017	2019	2020	2021	2022	2023
Occupancy %	70.9%	72.3%	73.3%	69.3%	68.0%	70.1%	70.7%	71.2%	74.9%	75.3%	73.4%
Beds	45	45	45	45	45	45	45	45	45	45	45
Net Income	$104,658	$409,263	$61,749	-$205,159	-$498,435	$119,429	$393,558	$242,935	$362,379	$232,999	$272,582
Gross Revenue	$2,184,296	$3,745,550	$3,865,627	$3,891,379	$4,349,657	$4,663,020	$3,365,331	$3,238,019	$3,390,558	$3,313,856	$3,316,625
Operating Expenses	$2,098,844	$2,693,986	$2,705,375	$2,847,571	$2,756,621	$2,783,103	$2,682,134	$3,557,693	$3,610,747	$3,973,724	$3,814,409
Net Patient Income	$103,732	$396,519	$50,637	-$215,689	-$504,347	$79,584	$390,873	$17,142	$352,267	$231,630	$271,156
Net Patient Revenue	$2,202,576	$3,090,505	$2,756,012	$2,631,882	$2,252,274	$2,862,687	$3,073,007	$3,574,835	$3,963,014	$4,205,354	$4,085,565
Payroll Costs	$863,281	$973,271	$1,045,118	$1,195,192	$1,003,552	$1,051,840	$1,162,020	$1,441,685	$1,420,632	$1,439,156	$1,401,313
Operating Margin %	4.7%	12.8%	1.8%	-8.2%	-22.4%	2.8%	12.7%	0.5%	8.9%	5.5%	6.6%
Medicare %	9.8%	9.2%	10.1%	10.2%	14.6%	12.0%	8.0%	8.6%	9.5%	11.0%	9.4%
Medicaid %	63.9%	68.0%	61.8%	64.6%	65.4%	75.8%	79.4%	82.4%	87.5%	83.1%	79.4%
Private %	26.3%	22.8%	28.1%	25.2%	20.0%	12.2%	12.5%	9.0%	3.0%	5.8%	11.2%
Net Patient Revenue/Day	$189	$260	$229	$231	$201	$249	$265	$305	$322	$340	$339
Cost/Day	$180	$227	$225	$250	$246	$242	$231	$303	$293	$321	$316
Avg Length of Stay	298.7 days	321.1 days	231.5 days	210.6 days	224.0 days	311.2 days	484.1 days	244.4 days	559.5 days	537.9 days	280.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.1M

Net patient income

$271.2K

For-profit Operated by a single business entity.

Net patient revenue

$4.1M

Net patient income

$271.2K

Other income

$1.4K

Payroll costs

$1.4M 34.3% of net patient revenue

Other operating costs

$2.4M

Total costs

$3.8M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (76% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 76%

Private pay 16%

Medicaid 8%

Coverage residents most often leave under.

Medicare 35%

Private pay 23%

Medicaid 42%

0.0 miles from city center Estimated distance in miles from Clayton's city center to Clayton Nursing and Rehab Center's address, calculated via Google Maps.

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The information below is reported by the New Mexico Department of Health, Division of Health Improvement.


Clayton Nursing and Rehab Center	NH AL	Clayton	-	45	-	63	-
The Village at Northrise – Hallmark	NH AL IL MC	Las Cruces (Northrise Estates)	-	24	-	25	Studio / 1 Bed / 2 Bed
Lakeview Christian Home of the Southwest, Inc.	NH AL HC HOS SNF	Carlsbad	-	35	-	77	-
The Neighborhood in Rio Rancho Life Plan Community	NH AL IL MC SNF	Rio Rancho (Vista Hills)	-	72	-	8	1 Bed / 2 Bed

Nursing Home Explorer

Who is the owner of Clayton Nursing and Rehab Center?

Clayton Nursing and Rehab Center is legally operated by 419 Harding Street Operations LLC, and administered by Carolyn Kear.

Is Clayton Nursing and Rehab Center in a walkable area?

Clayton Nursing and Rehab Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Clayton Nursing and Rehab Center?

Clayton Nursing and Rehab Center's occupancy is 69%.

Does Clayton Nursing and Rehab Center operate as a for-profit or non-profit?

Clayton Nursing and Rehab Center is registered as a for-profit in NM.

Who is the administrator of Clayton Nursing and Rehab Center?

Carolyn Kear is the administrator of Clayton Nursing and Rehab Center.

How many beds does Clayton Nursing and Rehab Center have?

Clayton Nursing and Rehab Center has 45 beds.

Are there photos of Clayton Nursing and Rehab Center?

Yes — there are 4 photos of Clayton Nursing and Rehab Center in the photo gallery on this page.

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Clayton Nursing and Rehab Center

Overview of Clayton Nursing and Rehab Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Clayton Nursing and Rehab Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Mexico state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

15 Certified Nursing Assistant

5 Licensed Practical Nurse

8 Registered Nurse

6 Nurse Aide in Training

2 Other Dietary Services Staff

1 Clinical Nurse Specialist

1 Other Social Services Staff

1 Nurse Practitioner

1 Physical Therapy Assistant

1 RN Director of Nursing

1 Speech Language Pathologist

1 Administrator

1 Mental Health Service Worker

1 Medical Director

1 Occupational Therapy Aide

2 Occupational Therapy Assistant

1 Respiratory Therapy Technician

1 Qualified Social Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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