CCN 345317 · Johnston County, North Carolina
Clayton Rehabilitation and Healthcare Center
204 Dairy Road, Clayton, NC 27520
Clayton Rehabilitation and Healthcare Center is a 90-bed for-profit nursing home in Clayton, North Carolina, first certified for Medicare or Medicaid in 1990. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 85.8 residents a day, about 95% of its certified beds. It has an active FHA-insured Section 232 loan: $20.4 million originally, at 5.40%, with $20.2 million outstanding as of September 30, 2026 and maturity in October 2060.
Facility facts
- Certified beds
- 90
- Average residents per day
- 85.8 (95.3% of beds)
- Ownership type
- For profit - Individual
- Certification
- Medicare and Medicaid
- Legal business name
- Clt Opco LLC
- Certified since
- Apr 16, 1990
- Chain or affiliated group
- Simcha Hyman & Naftali Zanziper (79 facilities, chain average 2.7 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | North Carolina median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 91 at 1, 83 at 2, 85 at 3, 75 at 4, 81 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.11 | 3.53 | 3.68 |
| RN hours per resident per day | 0.45 | 0.51 | 0.58 |
| Weekend nurse hours per resident per day | 2.66 | ||
| Nursing staff turnover | 77.8% | 48.6% | 44.9% |
| Occupancy (residents / beds) | 95.3% | 87.4% | 85.7% |
| Fines reported by CMS | 1 totaling $166,075 | ||
| Health deficiencies, latest standard survey | 19 (Feb 13, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Clayton Rehabilitation and Healthcare Center does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Nc East Holding LLCOrganization | Direct Ownership Interest | 100% | 07/01/2022 |
| Alter, TzviIndividual | Indirect Ownership Interest | 80% | 07/01/2022 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jul 1, 2022 | Clt Opco LLC | Ssc Clayton Operating Company LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 30, 2025 | 223(f) refinance or purchaseHUD project name: Clayton Rehabilitation and Healthcare Center, 90 beds. Lender at endorsement: Keybank National Association | $20,400,000 | Active: 5.40%, $20,215,281 balanceMatures Oct 1, 2060. Servicer: Keybank National Association | 05322280 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.