NursingHomeLens

Carter Nursing and Rehabilitation

250 McDavid Boulevard, Grayson, KY 41143 · CCN 185253 · 120 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Get the full reportWatch this facility

Serious inspection findings

2025-08-29 — ACTUAL HARM (tag F0609, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-08-29 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-07-17 — IMMEDIATE JEOPARDY (tag F0584, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
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.
2023-07-17 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.53

state median 3.15

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −5%

RN hours / resident / day

0.14

registered nurses only

Contract (agency) staff

6%

share of all nursing hours

Days with zero RN hours reported

7

with residents present

Nursing staff turnover

69%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for Carter Nursing and Rehabilitation.

Penalties and enforcement

3 enforcement action(s), totaling $105,165 in fines.

DateTypeAmount
2025-08-29Fine$8,000
2025-08-29Fine$10,000
2023-07-17Fine$87,165

Ownership

Ownership type: For profit - Corporation. Part of the DAVID MARX chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 14 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2025-08-29F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2025-08-29F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2025-08-29F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-29F0812Nutrition and Dietary DeficienciesFnot recorded
2025-08-29F0880Infection Control DeficienciesDnot recorded
2023-07-17F0584Resident Rights DeficienciesKnot recorded
2023-07-17F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2023-07-17F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-07-17F0606Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-07-17F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-07-17F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2023-07-17F0689Quality of Life and Care DeficienciesKnot recorded
2023-07-17F0759Pharmacy Service DeficienciesEnot recorded
2023-07-17F0761Pharmacy Service DeficienciesDnot recorded
2023-07-17F0806Nutrition and Dietary DeficienciesDnot recorded
2023-07-17F0812Nutrition and Dietary DeficienciesEnot recorded
2023-07-17F0880Infection Control DeficienciesDnot recorded
2019-11-07F0761Pharmacy Service DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Carter Nursing and Rehabilitation, Grayson” at medicare.gov/care-compare.