Grayson County, Kentucky · Nursing home
Grayson Nursing and Rehab Center
5 of 5 overall from CMS
505 William Thomason Byway, Leitchfield, KY 42754
At a glance
- Overall rating 5 of 5 Above the state average of 3.0
- Nurse time per resident, per day 3.95 hours Below the state average of 3.95
- Nursing staff who left in a year 37.1% Below the state average of 46.4%
- Health citations, last 3 inspection cycles 1 None at the harm level or above
- Fines in 3 years $9,090 4 fines
- Certified beds in use 97.4% of 72 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Grayson Nursing and Rehab Center is a 72-bed nursing home in Leitchfield, Kentucky (Grayson County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.95 nurse staffing hours per resident per day, below the Kentucky average of 3.95. CMS lists 4 fines totaling $9,090 in the past three years.
- Certified beds
- 72
- Residents per day (average)
- 70.1
- Certified since
- 1985 (41 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Encore Health Partners (12 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Grayson Nursing and Rehab Center
Chosen from this home's public data.
- CMS lists 4 fines totaling $9,090 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 3.29 hours per resident on weekends against 3.95 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 97.4% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Kentucky average 3.0
- Health inspections 5 of 5 Kentucky average 3.0
- Staffing 3 of 5 Kentucky average 2.7
- Quality measures 3 of 5 Kentucky average 3.2
The vertical line marks the Kentucky average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.95 h Kentucky average 3.95
- Nurse aides 2.64 h Kentucky average 2.36
- Licensed practical nurses 0.73 h Kentucky average 0.80
- Registered nurses 0.57 h Kentucky average 0.79
- All staff, weekends 3.29 h Kentucky average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Kentucky average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover37.1%
- Kentucky average46.4%
- Registered nurse turnover28.6%
- Kentucky average41.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Kentucky and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 19.7% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.2% | 6.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.9% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 26.3% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 6.7% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 20.4% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.6% | 29.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.5% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.1% | 19.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 14.1% | 16.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.08 | 1.94 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.43 | 2.14 | 1.78 |
Short-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% | 84.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.4% | 83.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.6% | 24.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.4% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 1 health deficiency in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 18, 2026 | 0 | 0 |
| Nov 21, 2024 | 1 | 2 |
| Dec 13, 2019 | 0 | 4 |
Kentucky homes averaged 2.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (1)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 8, 2025)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 23, 2023 | Fine | $2,797 |
| Oct 17, 2023 | Fine | $2,447 |
| Oct 10, 2023 | Fine | $2,098 |
| Oct 2, 2023 | Fine | $1,748 |
Kentucky homes averaged 0.7 fines and $15,373 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Kentucky
- Size176 of 267 by certified beds
- Kentucky average residents per day81.9
- ChainEncore Health Partners
- Chain average overall rating3.6 of 5
- Resident or family councilResident
- Homes in Grayson County2
Common questions
What is the CMS star rating for Grayson Nursing and Rehab Center?
Grayson Nursing and Rehab Center has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 3 and quality measures is 3.
How many beds does Grayson Nursing and Rehab Center have?
Grayson Nursing and Rehab Center has 72 certified beds. It averages 70.1 residents per day, about 97.4% of its certified beds.
How much nursing care do residents get at Grayson Nursing and Rehab Center?
The home reports 3.95 hours of nurse staffing per resident per day, including 0.57 hours from registered nurses. The Kentucky average is 3.95 hours and 0.79 hours from registered nurses.
Has Grayson Nursing and Rehab Center been fined?
Yes. CMS lists 4 fines totaling $9,090 in the past three years.
Does Grayson Nursing and Rehab Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Spring View Nursing & Rehabilitation 71beds 95.6%in use 3.34nurse hours a day
- 5 of 5 Edmonson Nursing and Rehabilitation Center 74beds 91.6%in use 3.75nurse hours a day
- 3 of 5 Hardinsburg Nursing and Rehabilitation Center 63beds 94.3%in use 3.45nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Grayson County
Who to call in Kentucky
These offices serve residents of every nursing home in Kentucky.
- Long-term care ombudsman Kentucky Long-Term Care Ombudsman Program (statewide hotline) 800-372-2991 (Toll-free state hotline. Local district ombudsman programs have their own numbers (listed on the same page).) An advocate for residents and their families.
- File a complaint about a nursing home Office of Inspector General (OIG), Division of Health Care - state survey agency 502-564-7963 (Division of Health Care central office. OIG's complaint sheet directs complaints to the Complaint Coordinator in the appropriate regional branch (OIG's Regional Map shows which branch covers each area): Northern (Louisville) 502-595-4958; Eastern (Lexington) 859-246-2301; Southern (London) 606-330-2030; Western (Hopkinsville) 270-889-6052.) The state agency that inspects nursing homes.
Kentucky staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 185177. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.