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Carter Nursing and Rehabilitation

All states › Kentucky › Grayson › Carter Nursing and Rehabilitation

250 Mcdavid Boulevard Grayson, KY 41143 · Carter County

(606) 474-7835

Cited for abuse Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 185253 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Carter Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Carter Nursing and Rehabilitation as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Kentucky average of 3.0. Inspectors issued 16 citations in the last three years. CMS imposed 2 penalties, including $11,700 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.00 hours per resident per day at Carter Nursing and Rehabilitation, below the Kentucky median of 3.75 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 2.37 hours, 21% below its all-week average. Ask how weekends are staffed. 64.2% of nursing staff left within a year (Kentucky median 44.3%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.00 hours
Below the Kentucky median of 3.75 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.38 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.37 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 64.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 58.3% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 111 About 93% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1991
Part of a chainDavid Marx
Legal business nameCARTER NURSING AND REHABILITATION LLC

Paying for care at Carter Nursing and Rehabilitation: Medicare and Medicaid

Carter Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kentucky's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 29, 2025 and found 2 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 16 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 16 citations at Carter Nursing and Rehabilitation across 3 inspection dates, 3 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 17, 2023. The most common areas cited were freedom from abuse, neglect, and exploitation (4) and nutrition and dietary (3). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, July 17, 2023). 4 citations were under CMS's abuse, neglect and exploitation rules.

August 29, 2025 · 5 citations · includes complaint inspection

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

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2025)

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

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2025)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Sep 12, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Sep 12, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 12, 2025)

July 17, 2023 · 10 citations, includes immediate jeopardy

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Aug 6, 2023)

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Aug 8, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 6, 2023)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Deficient, Provider has date of correction (Aug 8, 2023)

DNot hire anyone with a finding of abuse, neglect, exploitation, or theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 · Deficient, Provider has date of correction (Aug 6, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Aug 10, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Aug 6, 2023)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Aug 6, 2023)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Aug 8, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 10, 2023)

November 7, 2019 · 1 citation

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 14, 2019)

Questions to ask on a tour of Carter Nursing and Rehabilitation

  1. Inspectors cited the home at the immediate-jeopardy level on July 17, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 29, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
  5. Nursing staff turnover was 64.2% a year. How many of the staff come from agencies?
  6. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $11,700 in fines.

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

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 1/5 3/5
August 2026 1/5 1/5 1/5 3/5
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Location

Hospitals near Carter Nursing and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Boyd Nursing and Rehabilitation Ashland · 10.1 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 60 beds · Medicaid
Kingsbrook Lifecare Center Ashland · 14.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 137 beds · Medicaid
Wurtland Nursing and Rehabilitation Wurtland · 17.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 126 beds · Medicaid
Woodland Oaks Ashland · 17.7 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 110 beds · Medicaid
Oakmont Manor Flatwoods · 18.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 85 beds · Medicaid

More nursing homes near Carter Nursing and Rehabilitation ›   All nursing homes in Grayson ›

Compare Carter Nursing and Rehabilitation with the 3 closest homes side by side ›

Other David Marx nursing homes in Kentucky

Affiliation comes from CMS's affiliated-entity data, October 2026. All 10 David Marx nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/kentucky/grayson/carter-nursing-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.