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Carter County, Kentucky · Nursing home

Carter Nursing and Rehabilitation

1 of 5 overall from CMS

250 McDavid Boulevard, Grayson, KY 41143

Call (606) 474-7835Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Carter Nursing and Rehabilitation is a 120-bed nursing home in Grayson, Kentucky (Carter County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.21 nurse staffing hours per resident per day, below the Kentucky average of 3.95. CMS lists 2 fines totaling $11,700 in the past three years.

Certified beds
120
Residents per day (average)
110.3
Certified since
1991 (35 yrs)

For profit - Corporation Participates in Medicare and MedicaidPart of David Marx (10 homes)CMS abuse citation icon: Yes

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.

These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.

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 Carter Nursing and Rehabilitation

Chosen from this home's public data.

  1. CMS lists 2 fines totaling $11,700 in the past three years. What changed after the most recent one?Penalties in CMS data
  2. CMS counts 5 health deficiencies in the latest inspection cycle (the standard inspection on Aug 29, 2025 plus complaint and infection-control inspections); the Kentucky average is 2.9. Which have been corrected?Inspection results in CMS data
  3. Nursing staff turnover is 68.5%, above the Kentucky average of 46.4%. How often would the same aides care for my relative?Turnover in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

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.

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.

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

MeasureThis homeKentuckyU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased 6.6% 13.8% 13.9%
Percentage of long-stay residents who lose too much weight 7.5% 6.6% 5.2%
★ Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4% 0.5% 0.8%
★ Percentage of long-stay residents with a urinary tract infection 0.5% 1.6% 1.6%
Percentage of long-stay residents who have depressive symptoms 11.3% 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 2.8% 3.9% 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.0% 94.3% 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened 4.6% 14.0% 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 38.3% 29.8% 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5% 96.2% 95.5%
★ Percentage of long-stay residents with pressure ulcers 5.4% 4.8% 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.6% 19.0% 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication 5.9% 16.1% 15.4%
★ Number of hospitalizations per 1000 long-stay resident days 3.17 1.94 1.90
★ Number of outpatient emergency department visits per 1000 long-stay resident days 1.98 2.14 1.78

Short-stay residents

MeasureThis homeKentuckyU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.8% 84.0% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication 0.0% 1.7% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.4% 83.5% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.8% 24.2% 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit 18.3% 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 16 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 3 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Aug 29, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
Aug 29, 202553
Jul 17, 2023108
Nov 7, 201916

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 (16)

  1. GActual harm, isolated

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

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 12, 2025)

  2. GActual harm, isolated

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

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 12, 2025)

  3. 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 (Sep 12, 2025)

  4. DPotential for more than minimal harm, isolated

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

    Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 12, 2025)

  5. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Sep 12, 2025)

Show 11 more

  1. KImmediate jeopardy, pattern

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

    Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2023)

  2. EPotential for more than minimal harm, pattern

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service · Deficient, Provider has date of correction (Aug 8, 2023)

  3. EPotential for more than minimal harm, pattern

    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 (Aug 6, 2023)

  4. DPotential for more than minimal harm, isolated

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

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 8, 2023)

  5. DPotential for more than minimal harm, isolated

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

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 6, 2023)

  6. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 10, 2023)

  7. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 6, 2023)

  8. DPotential for more than minimal harm, isolated

    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.

    Pharmacy Service · Deficient, Provider has date of correction (Aug 6, 2023)

  9. DPotential for more than minimal harm, isolated

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

    Nutrition and Dietary · Deficient, Provider has date of correction (Aug 8, 2023)

  10. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Aug 10, 2023)

  11. DPotential for more than minimal harm, isolated

    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.

    Pharmacy Service · Deficient, Provider has date of correction (Dec 14, 2019)

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

DateTypeAmount
Aug 29, 2025Fine$5,200
Aug 29, 2025Fine$6,500

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

Common questions

What is the CMS star rating for Carter Nursing and Rehabilitation?

Carter Nursing and Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 3.

How many beds does Carter Nursing and Rehabilitation have?

Carter Nursing and Rehabilitation has 120 certified beds. It averages 110.3 residents per day, about 91.9% of its certified beds.

How much nursing care do residents get at Carter Nursing and Rehabilitation?

The home reports 3.21 hours of nurse staffing per resident per day, including 0.37 hours from registered nurses. The Kentucky average is 3.95 hours and 0.79 hours from registered nurses.

Has Carter Nursing and Rehabilitation been fined?

Yes. CMS lists 2 fines totaling $11,700 in the past three years.

Does Carter Nursing and Rehabilitation 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

Nearest nursing homes

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Who to call in Kentucky

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Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 185253. 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.