Nursing home
Carter Nursing and Rehabilitation
250 Mcdavid Boulevard, Grayson, KY 41143 · Map
For profit - Corporation · Part of David Marx (10 facilities) · 120 certified beds
Carter Nursing and Rehabilitation is a Medicare-certified nursing home in Grayson, Kentucky. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.59 hours per resident per day, below the Kentucky average of 4.01. Its most recent inspection on Aug 29, 2025 cited 5 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $87,165In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Carter Nursing and Rehabilitation compares
This facility vs. the Kentucky and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Kentucky avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.59 | 4.01 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.44 | 0.77 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.73 | 2.43 | 2.34 | below avg |
| Nursing staff turnover | 60.6% | 46.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 3.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 29, 2025 inspection was corrected by September 12, 2025
Penalties in CMS records: 1 fine totaling $87,165, 1 total penalty.
What inspectors found at Carter Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 29, 2025 · Full report (PDF) - Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 29, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
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.
Resident Rights Deficiencies · Jul 17, 2023 - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 17, 2023 - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 17, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 17, 2023 - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jul 17, 2023 - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 17, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 17, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 250 Mcdavid Boulevard
Grayson, KY 41143 - CMS certification #
- 185253
- Ownership
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 111.0
- Provider type
- Medicare and Medicaid
- First certified
- 1991-02-21
- Chain
- David Marx (10 facilities)
- Setting
- Urban
Part of David Marx
David Marx operates 10 nursing facilities across the United States. View all David Marx facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Carter Nursing and Rehabilitation using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice, diabetes care, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Carter Nursing and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
Located in Grayson, Kentucky, Carter Nursing & Rehabilitation offers compassionate 24-hour Skilled Nursing care in our 120-bed facility.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 15, 2026) - Offers diabetes care.
This includes assisting with daily living activities and skills, such as balance training, medication management, IV therapy, and diabetes management.
(page, checked Oct 12, 2026) - Provides transportation.
Transportation services
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- King'S Daughters' Medical Center, Ashland. 18.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Boyd Nursing and Rehabilitation, Ashland. 10.1 miles away, straight line.
- Nearest home health agency office
- Tech Medical, Inc, Flatwoods. 16.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Med-Save Pharmacy. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 41143 as rural (rural area).
- Dialysis within 15 miles
- Fmc - Na Of Grayson, Grayson, 2.9 miles away, straight line (CMS rating 1 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 41143.
Community Hospice, office in Ashland, 18.4 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- University Physicians And Surgeons, Inc, Huntington. 27.3 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding very high, wildfire relatively low, tornado relatively moderate, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Carter Nursing and Rehabilitation a good nursing home?
CMS gives Carter Nursing and Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Carter Nursing and Rehabilitation staffed?
Carter Nursing and Rehabilitation reports 2.59 total nurse hours per resident per day, compared with the Kentucky average of 4.01.
Has Carter Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Carter Nursing and Rehabilitation have?
Carter Nursing and Rehabilitation is certified for 120 beds.