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.
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.
Clayton Nursing and Rehab Center is administrated by Carolyn Kear.
In New Mexico, the Department of Health, Division of Health Improvement is the primary regulatory authority that conducts unannounced inspections and investigates quality of care complaints.
Deficiencies
| This Facility | NM Average | vs. NM Avg |
|---|---|---|---|
|
Total deficiencies
| 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 year
| 4.3 | 7.5 | This facility has 43% fewer deficiencies per year than a typical New Mexico nursing home (4.3 vs. NM avg 7.5).↓ 43% better |
New Mexico average 6.8
Last Health inspection on Oct 2024
New Mexico average 48.6
New Mexico 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.
New Mexico average: 1.1
New Mexico average: 1.3
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,116 contractor hours this quarter
| 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 |
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.
76% of new residents, usually for short-term rehab.
16% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Clayton Nursing and Rehab Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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.
Coverage residents most often leave under.
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
Facility
45
NM AVG
69
Rank
#87 / 148 |
68.9%
Facility
68.9%
NM AVG
78.9%
Rank
#94 / 121 | -13% | 3.79
Facility
3.79
NM AVG
4.01
Rank
#17 / 55 | +36% | -6% | $0
Facility
$0
NM AVG
$83.5k
Rank
#1 / 56 | 17
Facility
17
NM AVG
48.6
Rank
#3 / 56 | 5.7
Facility
5.7
NM AVG
7.3
Rank
#14 / 56 | - | 32 | - |
63
Facility
63
NM AVG
43
Rank
#60 / 208 | Carolyn Kear | $4.1M
Facility
$4.1M
NM AVG
$11.4M
Rank
#56 / 56 | $1.4M
Facility
$1.4M
NM AVG
$5.0M
Rank
#56 / 56 | 34.3%
Facility
34.3%
NM AVG
46.6%
Rank
#39 / 56 | 325100 | ||||
| Lakeview Christian Home of the Southwest, Inc. | NH AL HC | Carlsbad | 35
Facility
35
NM AVG
69
Rank
#96 / 148 |
100.0%
Facility
100.0%
NM AVG
78.9%
Rank
#1 / 121 | +27% | 4.11
Facility
4.11
NM AVG
4.01
Rank
#9 / 55 | +8% | +2% | $0
Facility
$0
NM AVG
$83.5k
Rank
#1 / 56 | 31
Facility
31
NM AVG
48.6
Rank
#11 / 56 | 7.8
Facility
7.8
NM AVG
7.3
Rank
#34 / 56 | - | 38 | - |
77
Facility
77
NM AVG
43
Rank
#18 / 208 | Joanna Knox | $12.6M
Facility
$12.6M
NM AVG
$11.4M
Rank
#18 / 56 | $8.0M
Facility
$8.0M
NM AVG
$5.0M
Rank
#12 / 56 | 63.2%
Facility
63.2%
NM AVG
46.6%
Rank
#21 / 56 | 325087 | ||||
| The Village at Northrise – Hallmark | NH AL IL MC | Las Cruces (Northrise Estates) | 24
Facility
24
NM AVG
69
Rank
#104 / 148 |
100.0%
Facility
100.0%
NM AVG
78.9%
Rank
#1 / 121 | +27% | 4.76
Facility
4.76
NM AVG
4.01
Rank
#6 / 55 | +8% | +19% | $0
Facility
$0
NM AVG
$83.5k
Rank
#1 / 56 | 51
Facility
51
NM AVG
48.6
Rank
#32 / 56 | 12.8
Facility
12.8
NM AVG
7.3
Rank
#55 / 56 | - | 121 | - |
25
Facility
25
NM AVG
43
Rank
#143 / 208 | - | $10.6M
Facility
$10.6M
NM AVG
$11.4M
Rank
#35 / 56 | $4.7M
Facility
$4.7M
NM AVG
$5.0M
Rank
#39 / 56 | 44.8%
Facility
44.8%
NM AVG
46.6%
Rank
#42 / 56 | 325111 | ||||
| The Neighborhood in Rio Rancho Life Plan Community | NH AL IL MC NC | Rio Rancho (Vista Hills) | 72
Facility
72
NM AVG
69
Rank
#65 / 148 |
37.5%
Facility
37.5%
NM AVG
78.9%
Rank
#117 / 121 | -52% | 5.82
Facility
5.82
NM AVG
4.01
Rank
#3 / 55 | +56% | +45% | $12.7k
Facility
$12.7k
NM AVG
$83.5k
Rank
#26 / 56 | 46
Facility
46
NM AVG
48.6
Rank
#28 / 56 | 7.7
Facility
7.7
NM AVG
7.3
Rank
#33 / 56 | 2 | 27 | - |
8
Facility
8
NM AVG
43
Rank
#176 / 208 | Haverland Carter Lifestyle Group Operating,LLC | $14.4M
Facility
$14.4M
NM AVG
$11.4M
Rank
#15 / 56 | $8.0M
Facility
$8.0M
NM AVG
$5.0M
Rank
#11 / 56 | 55.6%
Facility
55.6%
NM AVG
46.6%
Rank
#26 / 56 | 325130 | ||||
| Good Samaritan Society Las Cruces Village | NH AL HC IL MC | Las Cruces | 94
Facility
94
NM AVG
69
Rank
#46 / 148 |
69.6%
Facility
69.6%
NM AVG
78.9%
Rank
#93 / 121 | -12% | 3.75
Facility
3.75
NM AVG
4.01
Rank
#23 / 55 | -69% | -7% | $0
Facility
$0
NM AVG
$83.5k
Rank
#1 / 56 | 77
Facility
77
NM AVG
48.6
Rank
#46 / 56 | 11.0
Facility
11.0
NM AVG
7.3
Rank
#51 / 56 | - | 88 | - |
32
Facility
32
NM AVG
43
Rank
#129 / 208 | Micah Herold | $8.6M
Facility
$8.6M
NM AVG
$11.4M
Rank
#16 / 56 | $7.1M
Facility
$7.1M
NM AVG
$5.0M
Rank
#18 / 56 | 81.9%
Facility
81.9%
NM AVG
46.6%
Rank
#33 / 56 | 325067 |
Clayton Nursing and Rehab Center is located in CLAYTON, New Mexico.
Here are the financial assistance programs available to residents in New Mexico.
The legal owner and operator of Clayton Nursing and Rehab Center is 419 Harding Street Operations Llc.
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.
Clayton Nursing and Rehab Center's occupancy is 69%.
Carolyn Kear is the administrator of Clayton Nursing and Rehab Center.
Clayton Nursing and Rehab Center has 45 beds.
Yes — there are 4 photos of Clayton Nursing and Rehab Center in the photo gallery on this page.
Clayton Nursing and Rehab Center is located at 419 HARDING STREET.
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