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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeKentuckyCarter Nursing and Rehabilitation

Carter Nursing and Rehabilitation

250 McDavid Blvd, Grayson, KY 411436064747835
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
3/5
Beds
120
certified
This facility has been flagged for abuse.
1 fine(s) totaling $87,165

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 111 residents per day (93% occupancy)

• Last health inspection found 5 deficiencies (inspected Aug 29, 2025)

• Has been fined a total of $87,165 across 1 fine(s)

• Total nursing staff: 2.59 hours per resident per day

• Staff turnover rate: 60.6% (high)

• Part of the David Marx chain (10 facilities)

Carter Nursing and Rehabilitation is a 1-star Medicare and Medicaid certified nursing home in Grayson, Kentucky with 120 certified beds. It has been operating since 1991. The facility scored below average compared to Kentucky facilities.

Beds
120
Avg Residents/Day
111
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 21, 1991
Sprinklers
Yes
Council
Both
County
Carter
Last Inspection
Aug 29, 2025
Deficiencies (Cycle 1)
5
Weighted Score
123.5
Infection Citations
0

Deficiency Citations (18)

F0812Potential for Harm

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

Survey: Aug 29, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 29, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Aug 29, 2025Corrected: NoCycle: 1
F0609Actual Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Aug 29, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Aug 29, 2025Corrected: NoCycle: 1
F0606Potential for Harm

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Jul 17, 2023Corrected: NoCycle: 2
F0584Immediate Jeopardy

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.

Survey: Jul 17, 2023Corrected: NoCycle: 3
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 17, 2023Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Nov 7, 2019Corrected: NoCycle: 3
Total Fines
$87,165
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJul 17, 2023
$87,165

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.73 hrs
National avg: 2.35 hrs
LPN0.42 hrs
National avg: 0.86 hrs
RN0.44 hrs
National avg: 0.68 hrs
Total Nursing2.59 hrs
National avg: 3.89 hrs
Weekend Total1.80 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
60.6%
RN Turnover
25.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
CARTER NURSING AND REHABILITATION HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 25, 2019
MARX, DAVID5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual100%Jul 25, 2019
250 MCDAVID BLVD SNF REALTY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ASep 1, 2019
BLUEGRASS CONSULTING GROUP LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ASep 1, 2019
ALEXANDER, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2023
CHAMBERLAIN, MARGARETOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 11, 2023
GIBBS, SARAHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
MARX, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2019
PRUITT, PAULOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2023
REWA, ANGELAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 23, 2023
RUSSELL, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 8, 2024
SHATROV, ANZHELIKAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 2, 2024
SHIELDS, KARIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
WOLFE, ERICOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 11, 2023

Frequently Asked Questions

What is the CMS rating for Carter Nursing and Rehabilitation?▾
Carter Nursing and Rehabilitation has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
Has Carter Nursing and Rehabilitation had any health inspection violations?▾
Carter Nursing and Rehabilitation had 5 deficiency citations in its most recent health inspection (Aug 29, 2025). The facility has been fined a total of $87,165 across 1 fine(s).
What are the staffing levels at Carter Nursing and Rehabilitation?▾
Carter Nursing and Rehabilitation provides 2.59 total nursing staff hours per resident per day, including 0.44 RN hours, 0.42 LPN hours, and 1.73 nurse aide hours. The total staff turnover rate is 60.6%.
How many beds does Carter Nursing and Rehabilitation have?▾
Carter Nursing and Rehabilitation has 120 certified beds with an average of 111 residents per day, resulting in approximately 93% occupancy. The facility is For profit - Corporation owned and is part of the David Marx chain.

Part of David Marx

This chain operates 10 facilities. View all →