Kentucky › Carter County › Grayson
Carter Nursing and Rehabilitation
250 Mcdavid Boulevard, Grayson, KY 41143
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Carter Nursing and Rehabilitation, in Grayson, Kentucky, is certified for 120 beds under for-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the Kentucky median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (5, 10, 1 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 13.3 per 100 beds, about the same as the state median of 12.1.
CMS lists 2 penalties in the period covered: fines totalling $18K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Kentucky median of 3.7; nursing staff turnover is 68.5%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Carter Co. median | Kentucky median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 16 | 10 | 28.7 |
| Citations per 100 beds | 13.3 | 13.3 | 12.1 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.7 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.7 | 0.7 |
| Nursing staff turnover | 68.5% | 68.5% | 45.1% | 45.8% |
| Fines listed | $18,000 | $18,000 | $0 | — |
County and state figures are medians across facilities (1 in the county, 267 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Kentucky average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Aug 2025, 17 Jul 2023.
Severity mix: K ×1 G ×2 D ×10 E ×2 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 12 Sep 2025 |
| 29 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | Complaint investigation | 12 Sep 2025 |
| 29 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Sep 2025 |
| 29 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 12 Sep 2025 |
| 29 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Sep 2025 |
| 17 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 6 Aug 2023 |
| 17 Jul 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 8 Aug 2023 |
| 17 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Aug 2023 |
| 17 Jul 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 8 Aug 2023 |
| 17 Jul 2023 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Standard survey | 6 Aug 2023 |
| 17 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Aug 2023 |
| 17 Jul 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 6 Aug 2023 |
| 17 Jul 2023 | F0761 | 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. | D | Standard survey | 6 Aug 2023 |
| 17 Jul 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 8 Aug 2023 |
| 17 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Aug 2023 |
| 7 Nov 2019 | F0761 | 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. | D | Standard survey | 14 Dec 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Aug 2025 | Fine | $10,000 | |
| 29 Aug 2025 | Fine | $8,000 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kentucky average. Turnover: nursing staff 68.5%, RNs 61.5%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kentucky median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.6% | 13.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 3.5% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.6% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.9% | 15.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. CMS groups this facility with 10 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Carter Nursing And Rehabilitation Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Carter Nursing and Rehabilitation Holdings LLC | 5% or greater direct ownership interest | 100% | 07/25/2019 |
| 250 Mcdavid Blvd SNF Realty LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2019 |
| Bluegrass Consulting Group LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2019 |
| 250 Mcdavid Blvd SNF Realty Holdings LLC | Adp of the snf | NOT APPLICABLE | 09/01/2019 |
| 250 Mcdavid Blvd SNF Realty LLC | Adp of the snf | NOT APPLICABLE | 09/01/2019 |
| Bluegrass Consulting Group LLC | Adp of the snf | NOT APPLICABLE | 07/16/2025 |
| Kentucky SNF Realty Holdings LLC | Adp of the snf | NOT APPLICABLE | 09/01/2019 |
| Mdg Real Estate Global Limited | Adp of the snf | NOT APPLICABLE | 09/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Carter Nursing and Rehabilitation been cited for?
16 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Kentucky median is 10 per facility.
Has Carter Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $18K in the period covered.
How does staffing at Carter Nursing and Rehabilitation compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Kentucky median of 3.7 and a national average of 3.9.
Who operates Carter Nursing and Rehabilitation?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Carter Nursing and Rehabilitation Holdings LLC, 250 Mcdavid Blvd SNF Realty LLC and Bluegrass Consulting Group LLC. Individual owners and managers are not listed on this site.
When was Carter Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 29 Aug 2025; the most recent standard health survey was 29 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.