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HomeKentuckyCarter Nursing and Rehabilitation

Carter Nursing and Rehabilitation

250 McDavid Boulevard, Grayson, KY 411436064747835WebsiteGoogle Maps
4.5on Google(52 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
3/5
Beds
120
certified
This facility has been flagged for abuse.
3 fine(s) totaling $105,165

How Carter Nursing and Rehabilitation Compares in Kentucky

Facility results compared with averages for CMS-certified nursing homes in Kentucky. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
KY average
3.0/5
Below state average
Health inspection rating
1/5
KY average
3.0/5
Below state average
Staffing rating
1/5
KY average
2.7/5
Below state average
Nursing hours per resident
3.21 hrs/day
KY average
3.93 hrs/day
Below state average
RN hours per resident
0.37 hrs/day
KY average
0.78 hrs/day
Below state average
Staff turnover
68.5%
KY average
46.4%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Kentucky average of 3.0/5.
Its 1/5 health inspection rating is below the Kentucky average of 3.0/5.
Reported nursing time is 3.21 hours per resident per day, below the state average of 3.93.
Reported RN time is 0.37 hours per resident per day, below the state average of 0.78.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
12
deficiency citations
Inspected Jul 17, 2023
Most recent cycle
5
deficiency citations
Inspected Aug 29, 2025
The most recent cycle recorded 7 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,365/mo
Kentucky median
Private Room
$9,277/mo
Kentucky median
Carter County 65+
5,221
19.6% of county
County Population
26,671
Carter County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 1 out of 5.

Beds
120
Avg Residents/Day
110.3
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)

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
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
F0658Potential for Harm

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

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

Provide and implement an infection prevention and control program.

Survey: Aug 29, 2025Corrected: NoCycle: 1
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
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
F0602Potential for Harm

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

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

Provide and implement an infection prevention and control program.

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
$105,165
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineAug 29, 2025
$8,000
FineAug 29, 2025
$10,000
FineJul 17, 2023
$87,165

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

Nurse Aide2.13 hrs
National avg: 2.32 hrs
LPN0.71 hrs
National avg: 0.86 hrs
RN0.37 hrs
National avg: 0.69 hrs
Total Nursing3.21 hrs
National avg: 3.86 hrs
Weekend Total2.54 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
68.5%
RN Turnover
61.5%
Administrators Left
2

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (29)

NameRoleTypeOwnership %Since
CARTER NURSING AND REHABILITATION HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 25, 2019
PRUITT, PAULMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 1, 2023
250 MCDAVID BLVD SNF REALTY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ASep 1, 2019
BLUEGRASS CONSULTING GROUP LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ASep 1, 2019
ALEXANDER, DAVIDOPERATIONAL/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
250 MCDAVID BLVD SNF REALTY HOLDINGS LLCADP OF THE SNFOrganizationN/ASep 1, 2019
250 MCDAVID BLVD SNF REALTY LLCADP OF THE SNFOrganizationN/ASep 1, 2019
BLUEGRASS CONSULTING GROUP LLCADP OF THE SNFOrganizationN/AJul 16, 2025
KENTUCKY SNF REALTY HOLDINGS LLCADP OF THE SNFOrganizationN/ASep 1, 2019
MDG REAL ESTATE GLOBAL LIMITEDADP OF THE SNFOrganizationN/ASep 1, 2019
ALEXANDER, DAVIDADP OF THE SNFIndividualN/AMay 1, 2023
CHAMBERLAIN, MARGARETADP OF THE SNFIndividualN/ASep 11, 2023
GIBBS, SARAHADP OF THE SNFIndividualN/AJan 1, 2025
MARX, DAVIDADP OF THE SNFIndividualN/ASep 1, 2019
PRUITT, PAULADP OF THE SNFIndividualN/AMay 1, 2023
REWA, ANGELAADP OF THE SNFIndividualN/AOct 23, 2023
RUSSELL, ROBERTADP OF THE SNFIndividualN/AApr 8, 2024
SHATROV, ANZHELIKAADP OF THE SNFIndividualN/AApr 8, 2024
SHIELDS, KARIADP OF THE SNFIndividualN/ASep 1, 2019
WOLFE, ERICADP OF THE SNFIndividualN/ASep 11, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Carter Nursing and Rehabilitation and nearby alternatives.

All Kentucky facilities
Carter Nursing and Rehabilitation
Grayson, KYCurrent facilityAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $105,165
Boyd Nursing and Rehabilitation
Ashland, KY10.1 mi
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: None
Kingsbrook Lifecare Center
Ashland, KY14.4 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: $11,154
Wurtland Nursing and Rehabilitation
Wurtland, KY17.1 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $69,908
Woodland Oaks
Ashland, KY17.7 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: None
Oakmont Manor
Flatwoods, KY18.2 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Elliott Nursing and Rehabilitation
Sandy Hook, KY20.8 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $12,844
FacilityDistanceCMSHealthStaffingRecorded fines
Carter Nursing and Rehabilitation
Grayson, KY · Current facility
—1/51/51/5$105,165
Boyd Nursing and Rehabilitation
Ashland, KY
10.1 mi3/52/52/5None recorded
Kingsbrook Lifecare Center
Ashland, KY
14.4 mi4/53/55/5$11,154
Wurtland Nursing and Rehabilitation
Wurtland, KY
17.1 mi1/51/51/5$69,908
Woodland Oaks
Ashland, KY
17.7 mi4/54/52/5None recorded
Oakmont Manor
Flatwoods, KY
18.2 mi3/53/52/5None recorded
Elliott Nursing and Rehabilitation
Sandy Hook, KY
20.8 mi4/54/52/5$12,844

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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.
How much does Carter Nursing and Rehabilitation cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Kentucky is $8,365/month for a semi-private room and $9,277/month for a private room (Genworth/CareScout 2024). Carter Nursing and Rehabilitation participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
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 current CMS dataset records 3 fine(s) totaling $105,165.
What are the staffing levels at Carter Nursing and Rehabilitation?▾
Carter Nursing and Rehabilitation provides 3.21 total nursing staff hours per resident per day, including 0.37 RN hours, 0.71 LPN hours, and 2.13 nurse aide hours. The total staff turnover rate is 68.5%.
How many beds does Carter Nursing and Rehabilitation have?▾
Carter Nursing and Rehabilitation has 120 certified beds with an average of 110.3 residents per day, resulting in approximately 92% occupancy. The facility is For profit - Corporation owned and is part of the David Marx chain.
Are there other nursing homes near Carter Nursing and Rehabilitation?▾
Yes. This page lists 6 nearby nursing homes in Kentucky. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Carter Nursing and Rehabilitation?▾
On Google Maps, Carter Nursing and Rehabilitation has a rating of 4.5 out of 5 based on 52 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of David Marx

This chain operates 10 facilities. View all →