Union County, New Mexico · Nursing home
Clayton Nursing and Rehab Center
4 of 5 overall from CMS
419 Harding Street, Clayton, NM 88415
At a glance
- Overall rating 4 of 5 Above the state average of 2.9
- Nurse time per resident, per day 3.12 hours Below the state average of 3.54
- Nursing staff who left in a year 46.4% Below the state average of 53.3%
- Health citations, last 3 inspection cycles 24 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 77.1% of 45 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Clayton Nursing and Rehab Center is a 45-bed nursing home in Clayton, New Mexico (Union County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.12 nurse staffing hours per resident per day, below the New Mexico average of 3.54. CMS lists no fines in the past three years.
- Certified beds
- 45
- Residents per day (average)
- 34.7
- Certified since
- 1994 (32 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Genesis Healthcare (184 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Clayton Nursing and Rehab Center
Chosen from this home's public data.
- Reported nurse staffing is 2.66 hours per resident on weekends against 3.12 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
- Can we visit at a mealtime and again on a weekend?General
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 New Mexico average 2.9
- Health inspections 4 of 5 New Mexico average 2.7
- Staffing 4 of 5 New Mexico average 2.9
- Quality measures 4 of 5 New Mexico average 3.8
The vertical line marks the New Mexico average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.12 h New Mexico average 3.54
- Nurse aides 1.78 h New Mexico average 2.20
- Licensed practical nurses 0.49 h New Mexico average 0.70
- Registered nurses 0.85 h New Mexico average 0.63
- All staff, weekends 2.66 h New Mexico average 3.10
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the New Mexico average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover46.4%
- New Mexico average53.3%
- Registered nurse turnover40.0%
- New Mexico average53.6%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New Mexico and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New Mexico | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 11.7% | 11.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.1% | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% | 0.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 5.3% | 2.0% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% | 96.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 12.3% | 11.7% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.1% | 14.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.7% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.3% | 5.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.3% | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 25.0% | 14.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.81 | 1.65 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.95 | 2.81 | 1.78 |
Short-stay residents
| Measure | This home | New Mexico | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% | 85.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 86.4% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.5% | 22.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% | 15.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 24 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 13, 2026 | 8 | 19 |
| Oct 31, 2024 | 8 | 0 |
| Oct 5, 2023 | 8 | 0 |
New Mexico homes averaged 17.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (24)
-
FPotential for more than minimal harm, widespread
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Mar 11, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 11, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 11, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Mar 11, 2026)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 11, 2026)
Show 19 more
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 11, 2026)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 11, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 11, 2026)
-
FPotential for more than minimal harm, widespread
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 15, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 15, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · Deficient, Provider has date of correction (Dec 15, 2024)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 15, 2024)
-
EPotential for more than minimal harm, pattern
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 15, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 15, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Dec 15, 2024)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 15, 2024)
-
FPotential for more than minimal harm, widespread
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Nov 21, 2023)
-
FPotential for more than minimal harm, widespread
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 21, 2023)
-
EPotential for more than minimal harm, pattern
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 21, 2023)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 21, 2023)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 21, 2023)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 21, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Nov 21, 2023)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Nov 21, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
New Mexico homes averaged 1.3 fines and $45,849 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Mexico
- Size64 of 68 by certified beds
- New Mexico average residents per day84.9
- ChainGenesis Healthcare
- Chain average overall rating2.3 of 5
- Resident or family councilResident
- Homes in Union County1
Common questions
What is the CMS star rating for Clayton Nursing and Rehab Center?
Clayton Nursing and Rehab Center has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 4 and quality measures is 4.
How many beds does Clayton Nursing and Rehab Center have?
Clayton Nursing and Rehab Center has 45 certified beds. It averages 34.7 residents per day, about 77.1% of its certified beds.
How much nursing care do residents get at Clayton Nursing and Rehab Center?
The home reports 3.12 hours of nurse staffing per resident per day, including 0.85 hours from registered nurses. The New Mexico average is 3.54 hours and 0.63 hours from registered nurses.
Has Clayton Nursing and Rehab Center been fined?
CMS lists no fines for this home in the past three years.
Does Clayton Nursing and Rehab Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- – not rated Coon Memorial Home 67beds –in use –nurse hours a day
- 5 of 5 Coldwater Manor 26beds 76.5%in use 5.99nurse hours a day
- 5 of 5 Southeast Colorado Hospital LTC 56beds 67.1%in use 6.36nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Union County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 325100. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.