Carter Nursing and Rehabilitation
Nursing Home · Grayson, KY
CMS certification number185253
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
250 McDavid BoulevardGrayson, KY 41143
Carter County
- Phone
- (606) 474-7835
- ZIP code
- 41143 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 110.3 (92% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Carter Nursing and Rehabilitation LLC
- Chain
- David Marx (10 facilities, avg 2.9★)
- Medicare certified since
- February 21, 1991
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.21 (state 3.95 · U.S. 3.86)
- Registered nurses (RN)
- 0.37 (state 0.79 · U.S. 0.69)
- Licensed practical nurses
- 0.71 (state 0.80 · U.S. 0.86)
- Nurse aides
- 2.13 (state 2.36 · U.S. 2.32)
- Weekend total
- 2.54 (state 3.48 · U.S. 3.42)
- Nursing staff turnover
- 68.5 (state 46.4 · U.S. 45.8)%
- RN turnover
- 61.5 (state 41.8 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- August 29, 2025
- Health deficiencies (last cycle)
- 5.0 (state 2.9 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 16 health · 17 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-08-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-09-12 |
| 2025-08-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-09-12 |
| 2025-08-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-12 |
| 2025-08-29 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-12 |
| 2025-08-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-12 |
| 2023-07-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2023-08-06 |
| 2023-07-17 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-08 |
| 2023-07-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-06 |
| 2023-07-17 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-08 |
| 2023-07-17 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-06 |
| 2023-07-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2023-07-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-06 |
| 2023-07-17 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-06 |
| 2023-07-17 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-08 |
| 2023-07-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-10 |
| 2019-11-07 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-12-14 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $18,000 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-29 | Fine | $10,000 |
| 2025-08-29 | Fine | $8,000 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Carter Nursing and Rehabilitation Holdings LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| 250 McDavid Blvd SNF Realty Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| 250 McDavid Blvd SNF Realty LLC (organization) | Administrator · NOT APPLICABLE | |
| Alexander, David (individual) | Administrator · NOT APPLICABLE | |
| Bluegrass Consulting Group LLC (organization) | Administrator · NOT APPLICABLE | |
| Chamberlain, Margaret (individual) | Administrator · NOT APPLICABLE | |
| Gibbs, Sarah (individual) | Administrator · NOT APPLICABLE | |
| Kentucky SNF Realty Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Marx, David (individual) | Administrator · NOT APPLICABLE | |
| MDG Real Estate Global Limited (organization) | Administrator · NOT APPLICABLE | |
| Pruitt, Paul (individual) | Administrator · NOT APPLICABLE | |
| Rewa, Angela (individual) | Administrator · NOT APPLICABLE | |
| Russell, Robert (individual) | Administrator · NOT APPLICABLE | |
| Shatrov, Anzhelika (individual) | Administrator · NOT APPLICABLE | |
| Shields, Kari (individual) | Administrator · NOT APPLICABLE | |
| Wolfe, Eric (individual) | Administrator · NOT APPLICABLE | |
| Pruitt, Paul (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| 250 McDavid Blvd SNF Realty LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Alexander, David (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Bluegrass Consulting Group LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Chamberlain, Margaret (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Gibbs, Sarah (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Marx, David (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Pruitt, Paul (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rewa, Angela (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Russell, Robert (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shatrov, Anzhelika (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shields, Kari (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wolfe, Eric (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Carter Nursing and Rehabilitation?
Carter Nursing and Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Kentucky.
How many beds does Carter Nursing and Rehabilitation have?
It has 120 certified beds and cares for about 110 residents per day.
Has Carter Nursing and Rehabilitation been fined?
Yes. CMS lists 2 penalties totaling $18,000 in the last three years.
Who owns Carter Nursing and Rehabilitation?
It is part of David Marx and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Carter Nursing and Rehabilitation?
(606) 474-7835. The facility is located at 250 McDavid Boulevard, Grayson, KY 41143.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.