Kentucky › Grayson County › Leitchfield
Grayson Nursing and Rehab Center
505 William Thomason Byway, Leitchfield, KY 42754
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.
Certified for 72 beds, Grayson Nursing and Rehab Center serves Leitchfield in Grayson County, Kentucky and has taken Medicare and Medicaid residents since 1985.
CMS gives it 5 of 5 stars overall, above the Kentucky median of 3; the health inspection rating is 5, staffing 3 and quality measures 3.
Inspectors recorded 1 health deficiencies across the three most recent survey cycles (0, 1, 0 by cycle, most recent first), none at the actual-harm level. That is 1.4 per 100 beds, fewer than the state median of 12.1.
CMS lists 5 penalties in the period covered: fines totalling $12K.
Reported nurse staffing is 4.0 hours per resident per day (0.6 RN), close to the Kentucky median of 3.7; nursing staff turnover is 37.1%.
Compared with county, state and nation
| Measure | This facility | Grayson Co. median | Kentucky median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 1 | 14 | 10 | 28.7 |
| Citations per 100 beds | 1.4 | 19.7 | 12.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 37.1% | 50.0% | 45.1% | 45.8% |
| Fines listed | $12,235 | $17,346 | $0 | — |
County and state figures are medians across facilities (2 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: 18 Feb 2026, 21 Nov 2024.
Severity mix: 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 |
|---|---|---|---|---|---|
| 21 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Jan 2025 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Oct 2023 | Fine | $2,797 | |
| 17 Oct 2023 | Fine | $2,447 | |
| 10 Oct 2023 | Fine | $2,098 | |
| 2 Oct 2023 | Fine | $1,748 | |
| 11 Sep 2023 | Fine | $3,145 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kentucky average. Turnover: nursing staff 37.1%, RNs 28.6%; 0 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 | 19.7% | 13.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | 3.5% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.4% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.1% | 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, limited liability company. Legal business name: Grayson Nursing & Rehabilitation Center Llc. Chain: Encore Health Partners (12 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Encore Parent Holdings LLC | 5% or greater direct ownership interest | 100% | 10/20/2023 |
| Encore Investors 2 LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 10/20/2023 |
| 505 William Thomason Byway Realty LLC | 5% or greater mortgage interest | NOT APPLICABLE | 10/20/2023 |
| Cbre Capital Markets Inc | 5% or greater mortgage interest | NOT APPLICABLE | 10/20/2023 |
| Encore Health Partners 2 LLC | Operational/managerial control | NOT APPLICABLE | 10/20/2023 |
| 505 William Thomason Byway Realty LLC | Adp of the snf | NOT APPLICABLE | 10/20/2023 |
| Balt M4 LLC | Adp of the snf | NOT APPLICABLE | 10/20/2023 |
| Encore Health Partners 2 LLC | Adp of the snf | NOT APPLICABLE | 04/16/2025 |
| Encore Realty 2 LLC | Adp of the snf | NOT APPLICABLE | 10/20/2023 |
| Hargis & Associates, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2022 |
| Kc Derby Ky Jv LLC | Adp of the snf | NOT APPLICABLE | 10/20/2023 |
| Kc Derby Ky Parent LLC | Adp of the snf | NOT APPLICABLE | 10/20/2023 |
| Kc Derby Ky Partners LLC | Adp of the snf | NOT APPLICABLE | 10/20/2023 |
| Perigrove 1034 LLC | Adp of the snf | NOT APPLICABLE | 10/20/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Grayson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Spring View Nursing & RehabilitationSFF Candidate | Leitchfield | 71 | 1 | 1 | 2 | 14 | 19.7 | $17K | 11 Aug 2025 |
All 2 facilities in Grayson County
Questions and answers
How many deficiencies has Grayson Nursing and Rehab Center been cited for?
1 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Kentucky median is 10 per facility.
Has Grayson Nursing and Rehab Center been fined?
Yes. CMS lists fines totalling $12K in the period covered.
How does staffing at Grayson Nursing and Rehab Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Kentucky median of 3.7 and a national average of 3.9.
Who operates Grayson Nursing and Rehab Center?
It is part of the Encore Health Partners chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Encore Parent Holdings LLC, Encore Investors 2 LLC and Encore Health Partners 2 LLC. Individual owners and managers are not listed on this site.
When was Grayson Nursing and Rehab Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 Nov 2024; the most recent standard health survey was 18 Feb 2026.
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.