I moved my dad here and I'm very pleased - the compassionate, knowledgeable staff (Melisha is our contact) know residents by name, keep families informed, and treat everyone with warmth and dignity. The facility is clean and well-maintained, with good food, engaging activities and attentive leadership that gives me real peace of mind. I'm grateful for the personalized, family-like care.
Loved one of resident
Jul 2026
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Reviews
3.61·(18)
Overall rating
5
4
3
2
1
Care
3.6
Staff
3.8
Meals
3.3
Amenities
2.8
Value
2.0
Pros
Compassionate, attentive nursing staff
Personalized care and staff recognition of residents by name
Designated family point-of-contact and proactive director communication
Clean, well-maintained grounds and parking areas
Comforting, homelike atmosphere in parts of the community
Active social and spiritual programming including regular church services
Attentive dining service and pleasant dining spaces
Strong leadership presence and empathetic family communication
Safe-feeling environment that provides peace of mind for families
Cons
Aging infrastructure and dated interior decor
Overcrowding and limited private-room availability
Inconsistent clinical responsiveness and resident monitoring
Sanitation and odor-control issues in some areas
Limited or uneven activity and therapy programming
Shared bathroom arrangements that reduce privacy
Variable meal quality and occasional service continuity problems
Inconsistent administrative responsiveness and billing controls
Staffing variability with periods of low staff energy
Pest-control concerns associated with resident transitions
Summary of reviews
Reviews of Clayton House present a mixed but discernible pattern: many families praise the staff’s compassion, individualized attention, and strong leadership communication, while other accounts raise operational concerns tied to the building, staffing consistency, and certain aspects of service delivery.
Care and staff: Numerous comments emphasize compassionate, attentive nursing and caregiving, with staff often learning residents’ names and providing individualized attention. Several families credited specific staff and a designated family liaison for keeping them informed and delivering reassuring communication. Conversely, other accounts describe lapses in clinical responsiveness and monitoring, periods when staff appeared low in energy, and uneven follow-through on resident needs. Prospective families should clarify staffing ratios, on-shift clinical coverage, and monitoring practices during a tour.
Dining and activities: Positive feedback includes attentive dining service, appealing dining spaces, and an active social calendar with regular spiritual services. At the same time, there are complaints about inconsistent meal quality and examples of diminished food service continuity. Activity programming appears variable across the community: some residents benefit from a range of offerings, while others describe limited therapy options or repetitive activities. Ask for a current weekly activities and therapy schedule and sample menus when evaluating the community.
Facilities and cleanliness: The property’s grounds and parking are frequently described as clean and well maintained, and parts of the building feel homelike. However, the facility is also characterized as dated, with older decor and long corridors. Several entries raise sanitation and odor-control concerns in particular areas, and shared bathroom arrangements were noted as reducing privacy for some residents. There are also mentions of pest-control concerns related to resident transitions. Visitors should inspect resident rooms and shared spaces, inquire about recent environmental or regulatory reviews, and review the facility’s cleaning and pest-control protocols.
Management and administration: Management receives praise when directors and designated contacts maintain open, empathetic communication and proactively update families. At the same time, there are instances of billing errors, delayed administrative responses, and inconsistent follow-up. These mixed experiences suggest variability in administrative reliability; families should request information on billing procedures, typical response times for family inquiries, and how the facility documents and resolves complaints.
Notable patterns and guidance: Overall, the strongest and most consistent positives relate to staff compassion, individualized relationships, and well-kept outdoor areas. The recurring operational concerns relate to the physical condition of the facility, variability in staffing and monitoring, uneven activity/therapy offerings, sanitation control in specific areas, and administrative follow-through. Anyone considering Clayton House would benefit from an in-person tour focused on private-room availability and privacy arrangements, current staffing levels and clinical coverage, sample meal services and activity calendars, recent health/environmental inspection records, and the facility’s pest-control and billing procedures.
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Location
Clayton House is located at 145 Dairy Rd, Clayton, NC, 27520.
About Clayton House
Clayton House is a licensed senior living community operated by Meridian Senior Living and is part of the ALG Senior portfolio, so you'll find staff available around the clock for emergencies and support, whether a resident needs help moving from bed to wheelchair, assistance with daily routines like bathing and dressing, or monitoring insulin for diabetes. The facility focuses on personalized care plans, offering services for assisted living, skilled nursing, memory care, and respite stays, which gives help to residents with dementia or Alzheimer's in a protected environment with safety features and specialized staff trained for memory support. There's a range of therapy available, including occupational therapy, wound care, podiatry, onsite pharmacy, and medication support, along with provider services and physician-operated wellness clinics, and you can get therapy services without leaving the building if needed. Transportation is offered for appointments or outings, and meal services take care of the cooking to help reduce daily chores for residents. In the rooms, you'll see amenities like housekeeping, kitchens or kitchenettes, washers and dryers, safety and handicap features, sprinkler systems, and cable TV, which can help residents feel more at home. Clayton House gives a strong focus to creating a social and engaging lifestyle with features like an activities room, a library, dining spaces, guest parking, WiFi, a fitness center, outdoor patio, and indoor gathering spots where folks can chat or join activities. There's a Life Enrichment Coordinator who runs programs for social events, arts and crafts, wellness, and movement, all tailored to help with physical, mental, and emotional stimulation, including special activities for those in memory care. Staff helps with medication management and personal hygiene, and the nursing home services offer higher levels of care for those who need it. The property has a caring atmosphere where people can live as independently as possible while getting help with what they need, and amenities nearby include cafes, restaurants, places of worship, and parks, so residents can stay connected to the community. Onsite activities and resources-including an online photo gallery, virtual tours, and info packet-support a comfortable and secure environment for those wanting to learn more. Clayton House aims to help residents live as best they can, with a choice of care options and support for a vibrant, safe, and engaging life.
ALG Senior, originally founded as Affinity Living Group in 1996 by Charles Trefzger, stands as one of the most significant senior living providers in the United States. Headquartered in Hickory, North Carolina, the company has grown from its humble beginnings to become the tenth largest provider of assisted living nationwide, the seventh largest provider of Alzheimer's and memory care services, and the largest senior housing operator in the southeastern United States. The company operates approximately 58-66 communities throughout the southeastern United States, with a primary geographic concentration in North Carolina, South Carolina, Virginia, Georgia, and Alabama.
People often ask...
Clayton House offers assisted living and memory care.
There are 9 photos of Clayton House on Mirador.
The full address for this community is 145 Dairy Rd, Clayton, NC 27520.
No, Clayton House does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.
Investigated a complaint and observed multiple deficiencies: strong urine odor with inadequate housekeeping, lack of daily resident activities, and medication administration errors.
10A NCAC 13F .0306(a)(2) Housekeeping And FurnishingsHousekeeping And Furnishings
10A NCAC 13F .0905 Activities ProgramActivities Program
Deficiencies found in housekeeping and furnishings, activities programming, and medication administration, including odor concerns, insufficient resident activities, and issues with medication records and administration.
Type A10A NCAC 13F .0306(a)(2)Housekeeping And Furnishings
Type A10A NCAC 13F .0905(a)(b)Activities Program
Type A10A NCAC 13F .1004(a)Medication Administration
06 May 2024Follow-Up
06 May 2024Follow-Up
Verified that all deficiencies were corrected. No further action required.
15 Mar 2024Construction
15 Mar 2024Construction
Found deficiencies related to exit door hardware, locking systems, and exterior premises maintenance.
10A NCAC 13F .0301APPLICATION OF PHYSICAL PLANT REQUIREMENTS
10A NCAC 13F .0305EXIT DOOR LOCKS-SINGLE HAND MOTION
10A NCAC 13F .0305Outside Premises-Clean, Safe
26 Oct 2022Follow-Up
26 Oct 2022Follow-Up
Identified deficiencies involving inadequate supervision and residents' rights, tied to a malfunctioning front door and insufficient monitoring of residents who wander.
10A NCAC 13F.0901(b) Personal Care and SupervisionPersonal Care and Supervision
G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
26 Oct 2022Follow-Up
26 Oct 2022Follow-Up
The investigation found inadequate supervision and unsafe conditions related to resident exits and door alarms, indicating a risk to residents.
Type AG.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
22 Jul 2022Follow-Up
22 Jul 2022Follow-Up
Investigated an annual follow-up survey and identified deficiencies in supervision, feeding assistance, and residents' rights.
Type B10A NCAC 13F .0901(b) Personal Care and SupervisionPersonal Care and Supervision
Type B10A NCAC 13F .0904(f)(1) Nutrition and Food ServiceNutrition and Food Service
G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
13 Aug 2021Follow-Up
13 Aug 2021Follow-Up
Investigated staffing for the Special Care Unit and found shortages in required staffing hours on multiple shifts during early July 2021. The shortages aligned with census-based requirements for a unit census of 44.
10A NCAC 13F .1308(a)Special Care Unit Staff
01 Apr 2021Complaint
01 Apr 2021Complaint
Investigated deficiencies in supervision, personal care, medication administration, laundry, and resident rights, with multiple violations found across care practices and facility operations.
10A NCAC 13F .0901(a)Personal Care and Supervision
Type A10A NCAC 13F .0901(b)Personal Care and Supervision
10A NCAC 13F .0906 (c)Other Resident Care And Services - Laundry
10A NCAC 13F .1004 (n)Medication Administration - Infection Control
10A NCAC 13F .1308(a)Special Care Unit Staffing
10A NCAC 13F .1501(a)Use Of Physical Restraints And Alternatives
G.S. 131D-21(1)Declaration of Residents' Rights
G.S. 131D-21(2)Declaration of Residents' Rights
26 Aug 2020Other
26 Aug 2020Other
Observed deficiencies in infection prevention during COVID-19, including failure to enforce social distancing and mask use and lapses in resident protection measures.
—Infection prevention and control (COVID-19) deficiencies
G.S. 131D-21(4)Declaration of Residents' Rights
26 Aug 2020Other
26 Aug 2020Other
Investigated COVID-19 infection control practices; found failures to implement PPE use and social distancing guidance for residents with dementia, risking transmission. Violations related to resident rights were identified.
Type B10A NCAC 13F .0909Resident Rights
Type BG.S. 131D-21(4) Declaration of Residents' RightsDeclaration of Residents' Rights
05 Jun 2019Follow-Up
05 Jun 2019Follow-Up
Identified deficiencies in physical plant requirements, outside premises, and building equipment safety; exterior repairs were underway.
10A NCAC 13F .0301APPLICATION OF PHYSICAL PLANT REQUIREMENTS
Inspector found multiple deficiencies related to the physical environment and outside premises, including rotted fascia, damaged soffits, and unsafe exterior conditions requiring repairs.
10A NCAC 13F .0305PHYSICAL ENVIRONMENT
10A NCAC 13F .0300PHYSICAL PLANT
29 Mar 2019Follow-Up
29 Mar 2019Follow-Up
Found deficiencies in building systems and exterior maintenance, including missing fire alarm wiring diagram, deteriorated outside areas, and door gaps around a resident room.
Type A10A NCAC 13F .0301Application of Physical Plant Requirements
Type A10A NCAC 13F .0305Physical Environment
Type A10A NCAC 13F .0311Other Requirements
29 Mar 2019Follow-Up
29 Mar 2019Follow-Up
Observed ongoing exterior repairs, debris cleanup, and related work with all tasks estimated for completion by May 15, 2019.
16 Jan 2019Follow-Up
16 Jan 2019Follow-Up
Found deficiencies in the building's magnetic lock documentation, exterior maintenance, and fire safety equipment; corrective actions required.
10A NCAC 13F .0301Application of physical plant requirements
10A NCAC 13F .0305Physical Environment
10A NCAC 13F .0311Other Requirements
04 Oct 2018Construction
04 Oct 2018Construction
The inspection identified multiple safety, maintenance, and sanitation deficiencies across building systems, housekeeping, fire safety, and facility equipment.
Type A—Closets/wardrobes for residents
10A NCAC 13F .0306Housekeeping—Maintained Free of Hazards
10A NCAC 13F .0309Fire Safety—Rehearsals on Each Shift
Identified multiple deficiencies in physical plant, environment, housekeeping, and fire safety. Findings included missing closet storage, deteriorated exterior, odors and repairs needed, and unsafe fire safety equipment.
10A NCAC 13F .0301Application of Physical Plant Requirements
10A NCAC 13F .0305Bedrooms-Closets
10A NCAC 13F .0305Outside Premises-Clean, Safe
10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
10A NCAC 13F .0306Housekeeping-Maintained Free of Hazards
10A NCAC 13F .0309Fire Safety-Rehearsals on Each Shift
Found extensive wear and damage on walls and doors across multiple hallways and rooms, with black marks, scrape marks, and missing paint. Maintenance and painting appeared inconsistent.
10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
01 Dec 2017Follow-Up
01 Dec 2017Follow-Up
Investigated multiple maintenance deficiencies, including peeling and missing paint, unpainted surfaces, and numerous marks on walls and doors; interviews indicated delays and inadequacies in making repairs.
—Continued From page 2
—Continued From page 3
—Continued From page 4
27 Jul 2017Follow-Up
27 Jul 2017Follow-Up
Investigated, found deficiencies in housekeeping, furnishings, and health care, including peeling walls and damaged furniture, and inadequate skin care with delayed wound reporting.
10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
10A NCAC 13F .0306(a)(3)Housekeeping And Furnishings
Type B10A NCAC 13F .0902(b) Health CareHealth Care
27 Jul 2017Follow-Up
27 Jul 2017Follow-Up
Identified multiple deficiencies related to housekeeping, maintenance, and resident care processes, including peeling paint, damaged walls, and incomplete care-related actions across several areas.
10A NCAC 13F .0306(a)(1) Housekeeping And FurnishingsHousekeeping and Furnishings
G.S. 131D-21(2) Declaration of Residents' RightsResidents' Rights
26 Apr 2017Follow-Up
26 Apr 2017Follow-Up
Investigated a report of deficiencies and found multiple maintenance, housekeeping, and safety issues affecting resident areas.
—Continued From page 2
10A NCAC 13F .0306(a)(3)Continued From page 7
10A NCAC 13F .0306(a)(3)Continued From page 10
10A NCAC 13F .0306(a)(3)Continued From page 9
10A NCAC 13F .0306(a)(3)Continued From page 11
26 Apr 2017Follow-Up
26 Apr 2017Follow-Up
Investigated and found multiple deficiencies across physical environment, resident care, health coordination, nutrition, and medication practices, indicating widespread noncompliance with regulatory requirements.
Type A10A NCAC 13F .0305(h)(4)Physical Environment
Type A10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
Type A10A NCAC 13F .0306(a)(3)Housekeeping And Furnishings
Type A10A NCAC 13F .0306(a)(5)Housekeeping And Furnishings
Type A10A NCAC 13F .0311(d)Other Requirements - Hot Water
Type A10A NCAC 13F .0407(a)(5)Other Staff Qualifications
Type A10A NCAC 13F .0407(a)(7)Other Staff Qualifications
Type A10A NCAC 13F .0703(a)Tuberculosis Testing, Medical Examinations, Immunizations
Type A10A NCAC 13F .0901(b)Personal Care and Supervision
Type A10A NCAC 13F .0902 Health CareHealth Care - Referral and Follow-up
Type A10A NCAC 13F .0904(a)(4)Nutrition And Food Service - Food Procurement
Type A10A NCAC 13F .0904(c)(3)Nutrition And Food Service - Menu Substitutions
Type B10A NCAC 13F .0909Resident Rights
10A NCAC 13F .1004Medication Administration
23 Mar 2017Follow-Up
23 Mar 2017Follow-Up
Identified safety and maintenance deficiencies, including a missing fire alarm pull station at an exit and water-related wall damage around an AC unit, plus rotted exterior decking requiring repairs.
—Fire alarm safety device not installed
—Exit safety and building maintenance deficiencies
23 Mar 2017Follow-Up
23 Mar 2017Follow-Up
Identified vermin control deficiencies and bed bug activity; noted pest management concerns in Room 309.
15A NCAC 18A .1317(a)Vermin control and pest management
23 Mar 2017Follow-Up
23 Mar 2017Follow-Up
Found several hazards and maintenance issues, including an abandoned outbuilding, water-damaged walls, a missing fire alarm pull station, and a deteriorating ramp.
10A NCAC 13F .0305(m)Outside Premises-Clean, Safe
10A NCAC 13F .0306(a)Housekeeping and Furnishings-Clean, Repaired
Investigated, found deficiencies related to sanitation and pest control, including bed bug activity and lack of adequate vermin prevention.
Type A15A NCAC 18A.1300Rules Governing the Sanitation of Hospitals, Nursing and Rest Homes, Sanitariums, and Educational and Other Institutions
24 Jan 2017Follow-Up
24 Jan 2017Follow-Up
An inspection revealed multiple deficiencies related to resident laundry practices and staff supervision, with concern raised about how resident care tasks were being handled and documented.
Type A—Continued From page 3
24 Jan 2017Follow-Up
24 Jan 2017Follow-Up
Investigated multiple deficiencies related to supervision, staffing, and health care practices, including improper laundry duties by aides, inadequate supervision of residents with wandering or aggressive behavior, failure to notify physicians about incidents, and insufficient SCU staffing.
10A NCAC 13F .0604 (2--b) Personal Care And Other StaffingPersonal Care And Other Staffing
10A NCAC 13F .0901(b) Personal Care and SupervisionPersonal Care and Supervision
10A NCAC 13F .0902 Health CareHealth Care
10A NCAC 13F .1308 Special Care Unit StaffSpecial Care Unit Staff
G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
30 Nov 2016Follow-Up
30 Nov 2016Follow-Up
Identified deficiencies related to pest control, including no established policies to prevent bed bugs. Found a molted bed bug exoskeleton in rooms 103 and 105.
15A NCAC 18A .1317 (a)Sanitation and vermin control
30 Nov 2016Follow-Up
30 Nov 2016Follow-Up
Investigated bed bug-related concerns and follow-up; found lack of policies to prevent bed bugs and later discovered evidence in two rooms.
Type A15A NCAC 18A.1317(a)Sanitation—Vermin control and bed bug prevention
10A NCAC 13F.0306Housekeeping and Furnishings
30 Nov 2016Follow-Up
30 Nov 2016Follow-Up
Cited multiple deficiencies related to outside premises, interior upkeep, building safety equipment, and exhaust ventilation.
10A NCAC 13F .0305(m)Outside Premises-Clean, Safe
10A NCAC 13F .0306(a)Housekeeping and Furnishings-Clean, Repaired
Identified bed bug evidence in two rooms (molted exoskeleton) with ongoing monitoring; no bed bug activity found in inspected other rooms.
15A NCAC 18A.1317(a)Rules Governing Sanitation of Hospitals, Nursing and Rest Homes, Sanatoriums and Educational and Other Institutions
15A NCAC 18A.1317(a)Rules Governing Sanitation of Hospitals, Nursing and Rest Homes, Sanatoriums and Educational and Other Institutions
30 Sept 2016Construction
30 Sept 2016Construction
Found multiple deficiencies in the building's physical environment, safety systems, and exterior grounds.
10A NCAC 13F .0305(g)(2)Corridors-Handrails
10A NCAC 13F .0305(m)Outside Premises-Clean, Safe
10A NCAC 13F .0306(a)(1)(2)(3)(e)Housekeeping and Furnishings-Clean, Repaired
10A NCAC 13F .0311(a) and (k)Building Equipment Maintained Safe, Operating
10A NCAC 13F .0311(g)Exhaust Ventilation
30 Sept 2016Construction
30 Sept 2016Construction
Found multiple safety and maintenance deficiencies, including unfastened corridor handrails, damaged ceilings from water leaks, unsafe building equipment, and inadequate exhaust ventilation.
10A NCAC 13F .0311 Other RequirementsExhaust Ventilation
14 Sept 2016Complaint
14 Sept 2016Complaint
An investigation found multiple deficiencies across housekeeping, maintenance, staffing, health care, nutrition, and resident rights, including bed bug and roach infestations and unsafe conditions.
Type B10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
Type B10A NCAC 13F .0306(a)(5)Housekeeping And Furnishings
Type B10A NCAC 13F .0604Personal Care And Other Staffing
Type B10A NCAC 13F .0901(a)Personal Care And Supervision
Type B10A NCAC 13F .0902(b)Health Care
Type B10A NCAC 13F .0904Nutrition And Food Service
Type A10A NCAC 13F .0909Resident Rights
Type B10A NCAC 13F .1212(g)Reporting Of Accidents And Incidents
12 Sept 2016Construction
12 Sept 2016Construction
Investigated bed bug infestation identified in several rooms and found inadequate cleaning/monitoring to control pests, with related housekeeping hazards observed.
Type A—Bed bug infestation and inadequate cleaning/monitoring
Type A—Housekeeping - Maintained free of hazards
12 Sept 2016Construction
12 Sept 2016Construction
Investigated a bed bug complaint and found infestations in multiple resident rooms, with no written bed bug protocol and inadequate monitoring. Observed evidence of pest activity and prior treatment efforts not integrated into a formal pest management plan.
10A NCAC 13F .0306Housekeeping and Furnishings
15 Apr 2016Inspection
15 Apr 2016Inspection
Investigated deficiencies in nutrition and food service, including lack of non-disposable utensils and bowls and use of disposable containers for meals.
10A NCAC 13F .0904(b)(2)Nutrition And Food Service
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