Clayton Rehabilitation and Healthcare Center

    204 Dairy Rd, Clayton, NC, 27520
    3.7 · 72 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    4.0

    Excellent rehab, caring staff, inconsistent

    I stayed at Brian Center-Clayton for rehab and a short-term stay. The rehab team (PT/OT/speech) was excellent and got me home sooner than expected; nurses, CNAs and activities staff were loving, professional, and helped me grow socially. Meals were okay but inconsistent, and the building shows its age and needs repairs. Staffing and communication were sometimes poor - slow call bells, medication/assistance delays, and a few unprofessional employees - though administrators usually addressed concerns when I raised them. Overall I felt well cared for and would recommend it if you stay involved and advocate for your needs.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.68 · 72 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      3.6
    • Meals

      2.6
    • Amenities

      2.4
    • Value

      2.0

    Pros

    • Caring and compassionate nursing staff
    • Attentive certified nursing assistants (CNAs)
    • Outstanding physical therapy team (PT/OT/speech)
    • Effective rehabilitation leading to successful discharges
    • Knowledgeable and hardworking therapists
    • Clean common areas and many well-kept rooms
    • Strong infection control and COVID protocols
    • Nutritious meals and meal alternatives available
    • Kitchen staff accommodating dietary needs
    • Daily activities, social events, and holiday celebrations
    • Laundry service and in-room phone/cable provided
    • Supportive and accessible administration and admissions staff
    • Staff frequently go the extra mile for patients
    • Family-inclusive care when families are engaged
    • Specialized wound care and competent wound nurse
    • Pleasant atmosphere when facility is fully staffed
    • Active social and recreational opportunities for residents
    • Concerns are sometimes addressed promptly when raised
    • Friendly front entrance and office staff
    • Daily room cleaning reported by many reviewers
    • Grooming services offered (haircuts, personal care)
    • 24/7 care and frequent checks reported by some families
    • Helpful billing and admissions support noted by some
    • Residents often report personal growth and improved outlook
    • Recognized by several reviewers as among the best in the area

    Cons

    • Poor and inconsistent communication with families and patients
    • Long call bell response times and unanswered call bells
    • Chronic understaffing and overworked staff
    • Delayed, missed, or inconsistently timed medications
    • Inadequate assistance with bathing, toileting, and garment changes
    • Residents left unattended after falls or emergencies
    • Broken or uncharged in-room phones and staff phones
    • Meals served cold or late due to staffing shortages
    • Instances of rudeness, disrespect, or unprofessional staff behavior
    • Some staff show lack of compassion or low engagement
    • Outdated, rundown facility in need of repairs and renovations
    • Persistent odors and stained walls or ceilings reported
    • Cramped double rooms and shared or clogged toilets
    • Missing personal items and laundry service errors
    • Wounds, infections, and safety concerns linked to care lapses
    • Medication shortages reported, including critical meds
    • Poor follow-up or communication from the social worker
    • Promises not kept and poor follow-through on care plans
    • Inconsistent therapy follow-through and missed evaluations
    • Alarming incidents and reports of neglectful care
    • Variable and sometimes inedible food quality
    • Confusing or unprofessional aspects of admissions/billing
    • Delays in transfers or not being allowed to assist during moves
    • Need for constant family oversight to ensure adequate care

    Summary review

    Overall sentiment across the reviews is mixed but consistent in pattern: many reviewers praise the clinical rehabilitation capabilities and the compassion of specific staff members, while a substantial number report operational problems largely tied to understaffing, communication breakdowns, and facility maintenance issues.

    Care quality and rehabilitation are among the strongest, repeatedly cited positives. Multiple reviewers singled out the physical therapy and occupational therapy teams as excellent, skilled, and instrumental in returning patients home quickly. Several families reported short, successful rehab stays (examples include discharge after eight days) and described therapists as going above and beyond. Wound care and specialized nursing were also praised in a number of cases, indicating pockets of high clinical competency on the floor.

    However, nursing and aide care are described in highly variable terms. Many reviews applaud individual nurses and CNAs as compassionate, attentive, and professional—some even describe hourly checks, special attention in final days, and staff who become like family. Conversely, other reviewers reported troubling lapses: long call-bell delays, missed or delayed medications, insufficient help with toileting and bathing, and in extreme cases residents left on the floor after falls. These negative accounts often tie back to chronic understaffing and staff being overworked. The pattern is one of strong individual caregivers doing well within a system that at times does not provide sufficient resources to ensure consistent, high-quality care for every resident.

    Communication and coordination are recurring problem areas. Many family members described poor and inconsistent communication from staff, including inadequate updates, medication changes made without family consultation, and poor follow-up from case management or social work. At the same time, other reviewers reported administrators and admissions staff who were accessible and responsive, and instances where concerns were addressed once raised. This suggests variability by shift, department, or individual staff member: families may have very different experiences depending on who is on duty and how actively they advocate.

    Facility condition and environment show a split picture. Several reviewers noted a clean lobby and well-maintained rooms, daily room cleaning, and strong infection control practices. Others described an outdated and rundown building with stained walls and ceilings, persistent odors, cramped double rooms, and maintenance issues (clogged toilets, repairs needed). Food quality attracted mixed reviews as well: many praised nutritionally balanced meals, meal alternatives, and accommodating kitchen staff, while others reported cold or inedible food delivered late due to staffing shortfalls.

    Safety and operational concerns are significant in some reviews. Specific incidents included running out of critical medications (including seizure meds), delayed pain medication, medication distribution inconsistencies, and missed therapy evaluations or ambulation assistance. Some families reported wounds, bladder infections, and other adverse events they attributed to neglect or delayed care. These accounts, combined with reports of unanswered call bells and staff shortages, point to systemic risks in certain shifts or units that warrant attention.

    Activities, social life, and family atmosphere are frequently praised. Reviewers often highlight meaningful activities, holiday and birthday celebrations, church services, and opportunities for social growth and interaction. Several residents reported enjoying life at the facility, forming friendships, and benefitting mentally and emotionally from the social environment. This is an important positive counterbalance to the operational criticisms and suggests a vibrant resident community when staffing allows it.

    Management, admissions, and responsiveness also vary. Some reviewers singled out the administrator, director of nursing, admissions, and billing staff as helpful and accessible, and noted that complaints were addressed effectively. Others criticized admissions staff and social work for being unprofessional or unhelpful. A repeated recommendation from reviewers is to visit in person before placement and to remain involved and advocate for the resident, because outcomes appear to correlate with how actively families participate and escalate concerns.

    In summary, Clayton Rehabilitation and Healthcare Center demonstrates strong rehabilitation capability and numerous compassionate, skilled staff members who can and do deliver excellent care. At the same time, there are recurring operational problems—especially understaffing, inconsistent communication, delayed medications and assistance, and maintenance issues—that produce widely divergent experiences for families and residents. Potential residents and caregivers should weigh the facility's strong therapy and activity offerings and positive staff examples against these documented risks. Practical steps suggested by reviewers include visiting ahead of time, asking specific questions about staffing and medication protocols, staying actively involved in care coordination, and escalating concerns promptly to administration so issues can be addressed.

    Location

    Map showing location of Clayton Rehabilitation and Healthcare Center

    About Clayton Rehabilitation and Healthcare Center

    Clayton Rehabilitation and Healthcare Center sits at 204 Dairy Road in Clayton, North Carolina, and has 90 certified skilled nursing beds, and you'll find it often caring for around 84 residents each day, with both short-term rehab and long-term skilled nursing care. The place is a for-profit limited liability company, part of YAD Healthcare, with Patrice Shepard as its administrator, and it keeps nurse staff on hand all day and night, though the nurse turnover rate's 61.8% and nurses provide about 3.02 hours of care per resident each day. Residents get help with everyday needs like bathing, dressing, and eating, plus medication management, rehab therapies, and sub-acute care for recovery after illness or surgery, and the staff includes doctors, registered nurses, and rehab specialists. The center accommodates people 18 and older who need skilled nursing or rehab and can't live safely at home, with care overseen by rules from federal and state agencies and the North Carolina Health Care Facilities Association.

    The facility has a Fair Housing and Equal Opportunity policy and meets Medicare and Medicaid standards, but you should know it has 29 total deficiencies from inspection reports, including cited issues under F0641 for resident assessments and care plans, F0812 for nutrition and dietary standards, and two infection-related deficiencies, so the Centers for Medicare and Medicaid Services keep close inspection on its operations. An in-house registered dietitian oversees food and nutrition, making menu adjustments and keeping up with nutritional assessments, while special diets are available for folks who need them, but earlier reports found problems with procuring and handling food up to professional standards. Rooms and shared spaces face scenic nature views with a calming environment, aiming for comfort, and there's a strong focus on treating everyone with kindness, compassion, and respect, offering a sense of community often described as a "Healthy Happy Home."

    There's staff who coordinate transportation to doctor appointments, including for wheelchair users, and they provide assistance with activities so residents can focus on their well-being, which covers physical, mental, and social needs. The facility distributes brochures and keeps a gallery of images for people to view, and it emphasizes understanding resident rights, care details, and rules before moving in, which matters since care plans are supposed to be individualized, updated, and completed in a timely manner, though inspections found delays. There's a mix of amenities, a welcoming atmosphere, and a corporate compliance program to match core principles. Staff strive to help residents grow, recover, and reach their best potential with tailored care, but ongoing deficiencies and staffing turnover mean families should review inspection reports and visit to make sure their loved one's getting the attention and support they need.

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