Deficiency Index

Clayton Nursing and Rehab Center

Clayton, New Mexico · CCN 325100

14 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
72
Surveys
14
Harm or worse
5
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
45
Ownership
For profit - Limited Liability company
Chain
GENESIS HEALTHCARE
County
Union · rural
Medicare-certified since
1994

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 17 facilities with fewer than 66 beds in New Mexico.

Last survey on record

Feb 13, 2026

269 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.123.52
Registered-nurse hours per resident day0.85—
Annual nurse turnover46.4%60.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD625.0%E1145.8%F729.2%
No harm, potential for minimalA—B—C—
CMS’s current file: 24 of the 72 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F7612×

    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.

  • F8032×

    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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

In the surveyor’s words

From the most serious findings on record at Clayton Nursing and Rehab Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF761Feb 13, 2026

    Based on observation, and interviews, the facility failed to properly store medications located in the facility medication storage room when the staff failed to ensure medication fridge temperature log is being monitored routinely. This deficient practice is likely to result in medications being used in resident care at risk of not receiving the full benefits of medication. The findings are: A. On 02/10/26 at 12:55 pm, during an observation of the locked medication storage room, the vaccine fridge temperature log form for the months of January 2025 through February 2026 was not complete, the following dates on vaccine fridge temperature log were left blank: 1. […]

  • No harm, potential for more than minimal, widespreadF812Feb 13, 2026

    Based on observation and interview, the facility failed to ensure food was prepared and served under sanitary conditions when staff failed to:1. Properly store dishes in sanitary conditions.2. Keep the stove and oven clean.These deficient practices are likely to affect all 36 residents listed on the resident census list provided by the Administrator on 02/09/26 and are likely to lead to foodborne illnesses in residents if safe food handling practices are not adhered to and food stored properly. The findings are:A. On 02/09/26 at 1:10 pm, a random observation of the kitchen revealed the following:1. Dried food particles, dried liquid splashes and trash in the plate warmer (a device designed to keep clean plates warm and ready to be used for serving meals).2. […]

  • No harm, potential for more than minimal, widespreadF880Feb 13, 2026

    Based on observation and interviews, the facility failed to implement an ongoing infection prevention and control program (a program that is used to prevent, recognize, and control the onset and spread of infections) by1. Not ensuring Personal Protective equipment (PPE; protective clothing, face masks, goggles, or other garments or equipment designed to protect the wearer's body from injury or infection) was used for residents with required Enhanced Barrier Precautions (EBP; an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities).2. […]

  • No harm, potential for more than minimal, widespreadF803Oct 31, 2024

    Based on observation, record review, and interview, the facility failed to ensure the nutritional needs and preferences were met for all 30 residents listed on the facility census provided by the Administrator on 10/28/24 when staff failed to: 1. Serve the food items listed on the menu. 2. Provide residents with an alternate meal menu. If the facility is not providing meal as listed on the menu, an alternative meal or offering an alternate meal menu to residents, then residents are likely to experience weight loss, frustration, and depression. The findings are: Meal Service: A. On 10/28/24 at 4:52 pm, a dinner observation revealed the following: 1. Dinner Menu: Glazed meatloaf, French green beans, garlic seasoned potatoes, herbed dinner roll with margarine, and French orange cheesecake. […]

  • No harm, potential for more than minimal, widespreadF812Oct 31, 2024

    Based on observation and interview the facility failed to store food in a manner that prevented cross contamination when staff failed to label and date open food items. These failures have the potential to result in cross contamination, the growth of food borne pathogens, and food borne illness (foods that are contaminated with harmful pathogens such as bacteria, viruses, and fungi). This failure had the potential to affect all 30 residents who ate food from the kitchen. The findings are: A. On 10/28/2024 at 1:38 PM, observation of the Dietary Department refrigerators and freezers revealed the following: - One, four-quart plastic container with an unidentified substance not labeled or dated. […]

Read 25 findings in full →The most serious and the most recent: 25 of 72 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 13, 2026Standard8 findings
  • Oct 31, 2024Standard8 findings
  • Oct 5, 2023Standard8 findings
  • Jul 13, 2022Standard1 finding
  • Apr 8, 2021Standard7 findings
  • Oct 10, 2019Standard5 findings
  • Jul 11, 2018Standard6 findings
  • Aug 23, 2017Standard8 findings
Show the 6 earlier surveys
  • Sep 29, 2016Standard6 findings · 2 harm
  • Aug 14, 2015Standard5 findings · 1 harm
  • Dec 3, 2014Complaint1 finding
  • May 22, 2014Standard3 findings
  • Sep 26, 2013—3 findings
  • Sep 8, 2011—3 findings · 2 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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