Carter Nursing and Rehabilitation – Grayson, KY

CMS Verified | 2026-03-01

Carter Nursing And Rehabilitation

250 McDavid Boulevard, Grayson, KY 41143
(606) 474-7835
120 beds
All Grayson facilities
1.0*
Overall
1.0*
Health Inspection
3.0*
Quality Care
1.0*
Staffing
57.91
Score /100
#12633
National Rank

#12633
of 14703 facilities
National
14.1% position
#232
of 268 in KY
State Rank
#1
of 1 in Carter
County Rank
#1
of 1 in Grayson
City Rank
#1
of 1 in ZIP 41143
ZIP Rank






About Carter Nursing And RehabilitationCarter Nursing And Rehabilitation is located at 250 Mcdavid Boulevard, Grayson, KY, reachable at (606) 474-7835. This For profit – Corporation facility operates 120.0 certified beds and serves an average of 111 residents per day. It is part of the David Marx network (10 facilities nationwide). Medicare and Medicaid services have been provided since 1991-02-21. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Carter Nursing And Rehabilitation

Address

250 Mcdavid Boulevard, Grayson, KY 41143

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 120 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Both
  • Automatic Sprinklers: Yes
  • Network: DAVID MARX

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 4 fine(s) over 5 years
5-Year Trend
Declining over 5 years
57.91
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12633 of 14703 nationally – #232 of 268 in Kentucky

Who Is This Facility Best For?

Carter Nursing And Rehabilitation may be considered for families with limited options in Grayson, KY, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightCarter Nursing And Rehabilitation currently provides 2 hours 35 minutes of total nurse staffing per resident per day, including 27 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 60.6%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 35 minutes
Nurse Aide Hours1 hour 44 minutes
Licensed Practical Nurse (LPN) Hours25 minutes
Registered Nurse (RN) Hours27 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours1 hour 48 minutes
Weekend Registered Nurse (RN) Hours7 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance Summary⚠️ CMS has flagged Carter Nursing And Rehabilitation with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 1 fine(s) totaling $87,165. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $87165.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record Y
Total Weighted Health Survey Score 123.5 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,633
of 14,703
National
Bottom 14%
#232
of 268
KY State
Bottom 13% in KY
#1
of 1
️ Carter County
Best in county
#1
of 1
️ Grayson
Best in city
#1
of 1
ZIP 41143
Best in ZIP

Nationally, Carter Nursing And Rehabilitation ranks 12633rd out of 14,703 facilities (composite score: 57.9/100), placing it in the bottom 25% nationwide. Within KY, it ranks 232nd out of 268 nursing homes. For 2026 staffing: total nurse hours rank #13,950 nationally and RN hours rank #9,959 nationally (#215 in KY).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank KY State Rank Note
2022 2.51 #13,530 / 14,703 #259 / 268 ⚠️ Bottom 10%
2023 2.82 #12,852 / 14,703 #244 / 268 ⚠️ Bottom 25%
2024 2.98 #12,611 / 14,703 #242 / 268 ⚠️ Bottom 25%
2025 3.07 #12,481 / 14,703 #242 / 268 ⚠️ Bottom 25%
2026 2.59 #13,950 / 14,703 #262 / 268 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank KY State Rank Note
2022 0.44 #9,940 / 14,703 #213 / 268 Below average
2023 0.46 #8,895 / 14,703 #193 / 268 Below average
2024 0.37 #11,061 / 14,703 #235 / 268 ⚠️ Bottom 25%
2025 0.26 #13,173 / 14,703 #251 / 268 ⚠️ Bottom 25%
2026 0.44 #9,959 / 14,703 #215 / 268 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Carter Nursing And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-02-21. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (606) 474-7835 or your local Medicaid office to verify current eligibility.

Carter Nursing And Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 57.9/100, placing it #12633 of 14703 facilities nationally and #232 of 268 in Kentucky. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Carter Nursing And Rehabilitation receives a reported average of 2 hours 35 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 27 minutes; Licensed Practical Nurse (LPN) — 25 minutes; Nurse Aide — 1 hour 44 minutes. On weekends, total nurse staffing is 1 hour 48 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 60.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Carter Nursing And Rehabilitation with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 1 fine(s) totaling $87,165. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $87,165, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 123.5 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Carter Nursing And Rehabilitation ranks 12633rd out of 14,703 facilities (composite score: 57.9/100), placing it in the bottom 25% nationwide. Within KY, it ranks 232nd out of 268 nursing homes. For 2026 staffing: total nurse hours rank #13,950 nationally and RN hours rank #9,959 nationally (#215 in KY). Our composite quality score of 57.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Grayson, visit: https://nursinghomesnearme.org/kentucky/grayson/

Contact and Location

ADR
Address

250 McDavid Boulevard, Grayson, KY 41143
Get directions on Google Maps

TEL
LLC
Legal Name

CARTER NURSING AND REHABILITATION LLC

MAP
Browse by Location

All Kentucky ·
Carter County ·
Grayson ·
ZIP 41143

Facility Details

Number of Certified Beds 120
Average Residents / Day 111 (92% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Carter County, KY
City Grayson, KY
ZIP Code 41143
Approved Since February 21, 1991
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 185253
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org