Clayton Rehab: Roach Infestation at Night - NC
The problem came to light during a complaint inspection on August 25, 2025. A nurse identified in the report as Nurse 2 had seen roaches in the sink of Resident 5's room. The pest control technician, interviewed the same day the inspector arrived, said nobody had told him there was an ongoing nighttime problem until August 22, three days before the inspection. He had visited the facility that day and found no evidence of an infestation.
He explained why that didn't settle the question. American cockroaches, which scavenge more actively when temperatures drop at night, can enter buildings through sink and shower drains when the water in the P-trap dries out after roughly a week of non-use. German cockroaches require bait to treat effectively. American cockroaches require direct-contact spray. Without knowing which species night shift was seeing, or how often, or exactly where, he could not build a treatment plan.
The facility had taken some steps on its own. New door sweeps had been installed and gaps sealed. The technician said they had done a good job with that. But he had not checked the drains, had not identified the species, and had not been asked to look at whether roaches were traveling inside items moved around the building at night.
The administrator told the inspector she had been monitoring maintenance logs and audit records and had seen no reports of a nighttime roach problem in that resident's room or from night shift staff.
The technician said what he needed was straightforward: what kind of roaches, when they were seen, how often, and exactly where. That information had not reached him. Resident 5's room had roaches in the sink, and the one person whose job was to stop them had been working without it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Clayton Rehabilitation and Healthcare Center from 2025-08-25 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Clayton Rehabilitation and Healthcare Center in Clayton, NC was cited for violations during a health inspection on August 25, 2025.
The problem came to light during a complaint inspection on August 25, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.