nursing home in Grayson, KY
Carter Nursing and Rehabilitation
250 McDavid Boulevard, Grayson, KY 41143 · (606) 474-7835
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Carter Nursing and Rehabilitation at a glance
Carter Nursing and Rehabilitation is a 120-bed for-profit nursing home in Grayson, Kentucky (Carter County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Kentucky average of 3.
Residents receive about 3.2 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (August 29, 2025) found 5 health citations. The Kentucky average is 2.8.
Federal regulators fined it 2 times in the past three years, totaling $11,700.
Nursing staff turnover is 68.5% per year (state average 46.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- David Marx
- Medicare-certified since
- February 21, 1991
- Resident/family council
- Both
- County
- Carter County
- CMS Certification Number
- 185253
Ratings
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.21 hrs | 3.95 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.79 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.13 hrs | 2.36 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.54 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 68.5% | 46.4% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 61.5% | 41.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 3 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 1 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 90.3 | 40.4 | 80.6 | Worse |
Penalties
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $11,700 | $15,373 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 95 | 107 | |
| Average residents per day | 110 | 82 | 86 | |
| Occupancy | 91.9% | 87.1% | 80.9% |
Long-stay residents
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.8% | 3.9% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.4% | 4.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 5.9% | 16.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.6% | 13.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 4.6% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.5% | 6.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 11.3% | 17.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 38.3% | 29.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.6% | 19% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.5% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97% | 94.3% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 80.4% | 83.5% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 82.8% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 29, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected September 6, 2025 |
| August 29, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected September 6, 2025 |
| August 29, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected September 6, 2025 |
| August 29, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | G Actual harm, isolated | Corrected September 12, 2025 |
| August 29, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected September 12, 2025 |
| August 29, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 12, 2025 |
| August 29, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 12, 2025 |
| August 29, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 12, 2025 |
| July 17, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 6, 2023 |
| July 17, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected August 6, 2023 |
| July 17, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 6, 2023 |
| July 17, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected August 6, 2023 |
| July 17, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected August 6, 2023 |
| July 17, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected August 6, 2023 |
| July 17, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected August 6, 2023 |
| July 17, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected August 6, 2023 |
| July 17, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected August 6, 2023 |
| July 17, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 6, 2023 |
| July 17, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected August 8, 2023 |
| July 17, 2023 Standard | 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 6, 2023 |
| July 17, 2023 Standard | 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 Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 6, 2023 |
| July 17, 2023 Standard | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 17, 2023 Standard | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | D Potential harm, isolated | Corrected August 6, 2023 |
| July 17, 2023 Standard | 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 10, 2023 |
| July 17, 2023 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected August 8, 2023 |
| July 17, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 10, 2023 |
| November 7, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 6, 2019 |
| November 7, 2019 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected December 6, 2019 |
| November 7, 2019 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 6, 2019 |
| November 7, 2019 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | D Potential harm, isolated | Corrected December 6, 2019 |
| November 7, 2019 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected December 6, 2019 |
| November 7, 2019 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected December 6, 2019 |
| November 7, 2019 Standard | 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 Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 14, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $11,700 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 29, 2025 | Fine | $6,500 |
| August 29, 2025 | Fine | $5,200 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CARTER NURSING AND REHABILITATION HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 07/25/2019 |
| 250 MCDAVID BLVD SNF REALTY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| 250 MCDAVID BLVD SNF REALTY LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| ALEXANDER, DAVID Individual | adp of the snf | NOT APPLICABLE | 05/01/2023 |
| BLUEGRASS CONSULTING GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 07/16/2025 |
| CHAMBERLAIN, MARGARET Individual | adp of the snf | NOT APPLICABLE | 09/11/2023 |
| GIBBS, SARAH Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| KENTUCKY SNF REALTY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| MARX, DAVID Individual | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| MDG REAL ESTATE GLOBAL LIMITED Organization | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| PRUITT, PAUL Individual | adp of the snf | NOT APPLICABLE | 05/01/2023 |
| REWA, ANGELA Individual | adp of the snf | NOT APPLICABLE | 10/23/2023 |
| RUSSELL, ROBERT Individual | adp of the snf | NOT APPLICABLE | 04/08/2024 |
| SHATROV, ANZHELIKA Individual | adp of the snf | NOT APPLICABLE | 04/08/2024 |
| SHIELDS, KARI Individual | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| WOLFE, ERIC Individual | adp of the snf | NOT APPLICABLE | 09/11/2023 |
| PRUITT, PAUL Individual | managing control - governing body | NOT APPLICABLE | 05/01/2023 |
| 250 MCDAVID BLVD SNF REALTY LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2019 |
| ALEXANDER, DAVID Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| BLUEGRASS CONSULTING GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2019 |
| CHAMBERLAIN, MARGARET Individual | operational/managerial control | NOT APPLICABLE | 09/11/2023 |
| GIBBS, SARAH Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| MARX, DAVID Individual | operational/managerial control | NOT APPLICABLE | 09/01/2019 |
| PRUITT, PAUL Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| REWA, ANGELA Individual | operational/managerial control | NOT APPLICABLE | 10/23/2023 |
| RUSSELL, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 04/08/2024 |
| SHATROV, ANZHELIKA Individual | operational/managerial control | NOT APPLICABLE | 12/02/2024 |
| SHIELDS, KARI Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| WOLFE, ERIC Individual | operational/managerial control | NOT APPLICABLE | 09/11/2023 |
Other nursing homes near Carter Nursing and Rehabilitation
Boyd Nursing and Rehabilitation
12100 Princeland Spur, Ashland, KY 41102 · 10.1 mi
For-profit · 60 beds · Part of David Marx
★★★★★3Average- ★★★★★4Above average
Wurtland Nursing and Rehabilitation
100 Wurtland Avenue, Wurtland, KY 41144 · 17.1 mi
For-profit · 126 beds · Part of David Marx
★★★★★1Much below averageWoodland Oaks
1820 Oakview Road, Ashland, KY 41101 · 17.7 mi
For-profit · 110 beds · Part of Bluegrass Health Ky
★★★★★4Above averageOakmont Manor
1100 Grandview Drive, Flatwoods, KY 41139 · 18.2 mi
For-profit · 85 beds · Part of Bluegrass Health Ky
★★★★★3AverageSanctuary at Ohio Valley
2932 South 5th Street, Ironton, OH 45638 · 18.9 mi
Non-profit · 93 beds · Part of American Health Foundation
★★★★★4Above average
Frequently asked questions
What is Carter Nursing and Rehabilitation's rating?
Carter Nursing and Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Kentucky nursing homes is 3 stars.
How many inspection citations did Carter Nursing and Rehabilitation receive?
Its most recent standard health inspection found 5 citations, compared with a Kentucky average of 2.8. Every citation is listed on this page with its severity.
Does Carter Nursing and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Carter Nursing and Rehabilitation?
It is for profit - corporation and part of David Marx. The ownership section on this page lists the owners and managers reported to CMS.
Where is Carter Nursing and Rehabilitation and how do I contact it?
Carter Nursing and Rehabilitation is at 250 McDavid Boulevard, Grayson, KY 41143. Phone: (606) 474-7835.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.