Clayton Rehab: Roaches Found in Resident's Room - NC
The inspection, completed August 25, 2025, grew from a complaint. What investigators found was not a facility in denial about a pest problem, but something more specific and in some ways more troubling: a facility where the people who saw the problem every night had not told the one person whose job it was to fix it.
The resident at the center of the complaint is identified in the report only as Resident 5. A nurse, identified as Nurse 2, told inspectors she had seen active roaches in that room at night. She had seen them in the sink. She had seen them on belongings. She had told day shift staff. They knew.
Nobody had told the pest control technician.
When inspectors interviewed the facility's contract pest control technician on the afternoon of August 25, he said he had been in the building that same day and had seen no evidence of an infestation. He offered a straightforward explanation for that: if the problem was as serious as night shift was describing, you would expect to see roaches during the day too. The fact that only night shift was reporting them pointed toward a specific species. American cockroaches, he explained, tend to scavenge at night when temperatures are cooler. German cockroaches behave differently, and the treatment for each is different. Bait works for German cockroaches. American cockroaches require contact spray. He could not begin to build an effective treatment plan without knowing which kind he was dealing with.
He also raised the sink specifically. Roaches spotted in a drain or a sink are a signal worth investigating separately from roaches found elsewhere in a room. Sinks and showers have P-traps, curved sections of pipe that hold standing water and block insects from coming up through the sewer system. If a sink goes unused for a week or more, that water level can drop low enough that the barrier fails. He said he would need to check the drains and the plumbing if that was where they were appearing. He had not done so. He had not known there was a problem in that room at night, or that anyone had seen roaches in a sink, until August 22, three days before the inspection.
The Maintenance Director told inspectors he had been conducting audits, walking rooms to check for gaps to the outside, making sure things were stored away and not attracting pests. No one had reported an active nighttime roach problem to him either.
The Administrator said she had been reviewing maintenance logs and audit books as part of the facility's quality assurance process. When she looked, there was no record of night shift staff reporting a problem, and no record of anything connected to Resident 5's room.
The pest control technician had one more concern. He cannot enter a resident's personal space under his contract. But roaches do hide in personal belongings, in storage areas, in the kind of clutter that accumulates in a long-term care room. If a particular room was bad enough, he said, the facility would need to talk to the resident about going through their belongings together to look for harborage sites. That conversation had not happened either.
What the technician kept returning to was communication. He said it plainly: knowing what kind of roaches were being seen, when they were seen, how often, and exactly where, was essential information. Without it, he was treating a building, not a problem. He could put down door sweeps, and the facility had done that recently. He could seal gaps, and that work had been done too. He acknowledged the facility had taken those steps and said they had done a good job with them. But none of it substituted for someone picking up the phone and telling him that a nurse on night shift had watched roaches crawl out of a resident's sink.
The inspection cited the facility under F0925, the federal standard covering a clean and comfortable environment, at a level of minimal harm or potential for actual harm, affecting a few residents.
Resident 5 was still living in that room when inspectors arrived.
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.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 2, 2026 · Our methodology
Clayton Rehabilitation and Healthcare Center in Clayton, NC was cited for violations during a health inspection on August 25, 2025.
The inspection, completed August 25, 2025, grew from a complaint.
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.