Clayton Nursing and Rehab Center

Nursing Home, Memory Care, Palliative Care, Respite Care & Skilled Nursing · 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 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.

Hours per resident per day vs New Mexico averages

Total nursing care This home is ranked 14th out of 46 homes in New Mexico 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.

3h 48m

6% below state avg

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

46m

LPN / LVN

41m

Nurse Aide

1h 59m

Weekend Total Nursing

2h 52m

Physical Therapist

Weekend RN

29m

4 of 6 metrics below state avg

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.

Salon

Laundry

Courtyard

Holiday Events & Celebrations

Since 2022 · 4 years of data 17 deficiencies 3 inspections

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

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 nursing home (17 vs. NM avg 30).↓ 43% better
Deficiencies per inspection Average deficiencies per inspection.	5.7	2.7	This facility has 111% more deficiencies per inspection than a typical New Mexico nursing home (5.7 vs. NM avg 2.7).↑ 111% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NM Average	vs. NM Avg
Total inspections Combined count of all inspections conducted at this facility.	3	11	This facility has had 73% fewer total inspections than the New Mexico average (3 vs. NM avg 11). More inspections can mean more regulatory scrutiny rather than worse care.↓ 73% fewer

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average 6.8

Last Health inspection on Oct 2024

Total health citations

State average 48.6

Citations per inspection

5.67

State average 7.31

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

100% better than State average

State average: 1.1

Serious health citations

100% better than State average

State average: 1.3

0 critical citations State average: 1.1

0 serious citations State average: 1.3

17 moderate citations State average: 45.6

0 minor citations State average: 0.6

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

7% more staff per resident than New Mexico average

Avg staff/day 17

Average shift 8.1 hours

6% worse than New Mexico average

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 New Mexico average

New Mexico average: 9.6

Functional decline score 13.7

25% better than New Mexico average

New Mexico average: 18.3

Long-stay resident measures

Significantly above average New Mexico avg: 3.8

Need for Help with Daily Activities Increased 9.1%

42% better than New Mexico average

New Mexico average: 15.6%

Walking Ability Worsened 7.7%

58% better than New Mexico average

New Mexico average: 18.3%

Low Risk Residents with Bowel/Bladder Incontinence 24.3%

16% worse than New Mexico average

New Mexico average: 21.0%

Falls with Major Injury 0.0%

100% better than New Mexico average

New Mexico average: 3.3%

High Risk Residents with Pressure Ulcers 1.8%

70% better than New Mexico average

New Mexico average: 5.8%

Urinary Tract Infection 0.9%

8% better than New Mexico average

New Mexico average: 1.0%

Lost Too Much Weight 9.7%

66% worse than New Mexico average

New Mexico average: 5.8%

Depressive Symptoms 6.4%

271% worse than New Mexico average

New Mexico average: 1.7%

Antipsychotic Use 28.4%

123% worse than New Mexico average

New Mexico average: 12.7%

Pneumococcal Vaccine 100.0%

In line with New Mexico average

New Mexico average: 97.2%

Influenza Vaccine 100.0%

In line with New Mexico average

New Mexico average: 98.7%

Hospitalizations per 1,000 days 1.52

6% better than New Mexico average

New Mexico average: 1.61

ED visits per 1,000 days 1.53

42% better than New Mexico average

New Mexico average: 2.64

Short-stay resident measures

Significantly above average New Mexico avg: 3.3

Pneumococcal Vaccine 96.1%

12% better than New Mexico average

New Mexico average: 86.1%

Antipsychotic medication increase 0.0%

100% better than New Mexico average

New Mexico average: 1.3%

Influenza Vaccine 100.0%

16% better than New Mexico average

New Mexico average: 86.4%

Re-hospitalized after SNF stay 8.3%

61% better than New Mexico average

New Mexico average: 21.3%

Emergency department visits 0.0%

100% better than New Mexico average

New Mexico average: 15.9%

Falls with major injury 0.0%

100% better than New Mexico average

New Mexico average: 0.8%

Ability to care for self at discharge 55.6%

In line with New Mexico average

New Mexico average: 53.7%

Successful return to home or community 35.6%

30% worse than New Mexico average

New Mexico 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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Info below is compiled from CMS reports & the NM Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


Retirement Ranch	NH HOS MC RC SNF	Clovis	104 Facility 104 NM AVG 68 Rank #32 / 143	79.8% Facility 79.8% NM AVG 77.2 Rank #59 / 107	+3%	7.06 Facility 7.06 NM AVG 4.01 Rank #1 / 46	-1%	+76%	$69.0k Facility $69.0k NM AVG $83.5k Rank #37 / 47	14 Facility 14 NM AVG 48.6 Rank #2 / 47	2.8 Facility 2.8 NM AVG 7.3 Rank #2 / 47	1	83	A+	14 Facility 14 NM AVG 48 Rank #166 / 186	Terry Buesgens	$8.8MFiscal year ending 04/2024 Facility $8.8MFiscal year ending 04/2024 NM AVG $11.8M Rank #31 / 43	$7.4MFiscal year ending 04/2024 Facility $7.4MFiscal year ending 04/2024 NM AVG $5.9M Rank #11 / 43	85%Fiscal year ending 04/2024 Facility 85%Fiscal year ending 04/2024 NM AVG 51.5% Rank #1 / 43	325078
San Juan Care Center	NH PC SNF	Farmington	93 Facility 93 NM AVG 68 Rank #47 / 143	44.1% Facility 44.1% NM AVG 77.2 Rank #97 / 107	-43%	3.42 Facility 3.42 NM AVG 4.01 Rank #34 / 46	-40%	-15%	$0 Facility $0 NM AVG $83.5k Rank #1 / 47	24 Facility 24 NM AVG 48.6 Rank #6 / 47	4.0 Facility 4.0 NM AVG 7.3 Rank #5 / 47	-	41	-	71 Facility 71 NM AVG 48 Rank #37 / 186	Walnut Summer LLC	$11.8M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.	$3.8M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.	32.2%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.	325085
Cedar Ridge Inn	NH SNF	Farmington	101 Facility 101 NM AVG 68 Rank #35 / 143	89.2% Facility 89.2% NM AVG 77.2 Rank #34 / 107	+16%	3.77 Facility 3.77 NM AVG 4.01 Rank #14 / 46	-42%	-6%	$35.4k Facility $35.4k NM AVG $83.5k Rank #30 / 47	27 Facility 27 NM AVG 48.6 Rank #7 / 47	6.8 Facility 6.8 NM AVG 7.3 Rank #20 / 47	2	90	A+	71 Facility 71 NM AVG 48 Rank #37 / 186	Farmington Operations Holdings LLC	$10.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.	$4.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.	41.7%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.	325113
Clayton Nursing and Rehab Center	NH MC PC RC SNF	Clayton	45 Facility 45 NM AVG 68 Rank #82 / 143	68.9% Facility 68.9% NM AVG 77.2 Rank #81 / 107	-11%	3.79 Facility 3.79 NM AVG 4.01 Rank #14 / 46	+36%	-6%	$0 Facility $0 NM AVG $83.5k Rank #1 / 47	17 Facility 17 NM AVG 48.6 Rank #3 / 47	5.7 Facility 5.7 NM AVG 7.3 Rank #13 / 47	-	31	-	63 Facility 63 NM AVG 48 Rank #60 / 186	Carolyn Kear	$4.1MFiscal year ending 12/2023 Facility $4.1MFiscal year ending 12/2023 NM AVG $11.8M Rank #42 / 43	$1.4MFiscal year ending 12/2023 Facility $1.4MFiscal year ending 12/2023 NM AVG $5.9M Rank #43 / 43	34.3%Fiscal year ending 12/2023 Facility 34.3%Fiscal year ending 12/2023 NM AVG 51.5% Rank #43 / 43	325100
Gallup Nursing & Rehabilitation LLC	NH PC SNF	Gallup	62 Facility 62 NM AVG 68 Rank #70 / 143	91.9% Facility 91.9% NM AVG 77.2 Rank #28 / 107	+19%	3.50 Facility 3.50 NM AVG 4.01 Rank #28 / 46	+58%	-13%	$0 Facility $0 NM AVG $83.5k Rank #1 / 47	41 Facility 41 NM AVG 48.6 Rank #21 / 47	10.3 Facility 10.3 NM AVG 7.3 Rank #42 / 47	1	57	-	79 Facility 79 NM AVG 48 Rank #13 / 186	-	$7.5M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.	$2.8M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.	36.9%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.	325118

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%.

Are pets allowed at Clayton Nursing and Rehab Center?

No, Clayton Nursing and Rehab Center has a no-pet policy.

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.

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Clayton Nursing and Rehab Center

Overview of Clayton Nursing and Rehab Center

Quality ratings

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.

Inspections State inspections evaluate whether the facility meets health and safety standards.

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

Places of interest near Clayton Nursing and Rehab Center

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