Carter Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 51 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (5 vs median 2.0)
- High staff turnover (61%)
Bottom 25% in KY · Below recommended RN staffing · Significantly below average staffing · Worst in DAVID MARX chain · $87,165 in fines · Abuse citation
What this means for your family
This facility is highly regarded for its physical therapy department, making it a strong candidate for post-surgical recovery. However, families should be vigilant regarding nursing care; we recommend asking specifically about nurse-to-patient ratios during night shifts and how medical orders are communicated between shifts to avoid the lapses noted by previous residents.
Google Reviews
Google Reviews
51 reviews analyzed“Carter Nursing and Rehabilitation receives high praise for its physical therapy department and generally compassionate staff, with many families reporting successful rehabilitation stays. However, there are recurring reports of significant nursing-side issues, including understaffing, communication lapses regarding medical orders, and occasional neglect, which suggest inconsistent quality of care.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical therapy program
- Compassionate and friendly nursing staff
- Clean and well-maintained facility
- Approachable and involved management team
Concerns
- Understaffing leading to neglect and slow response times (mentioned by 3 reviewers)
- Communication lapses regarding medical orders and dietary needs (mentioned by 2 reviewers)
- Inconsistent quality of nursing care compared to therapy (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your management team is very active in responding to feedback online; how do you use that family input to improve daily operations?
- 2Given that your physical therapy program is so highly regarded, how do you ensure that same level of excellence and attention carries over into the daily nursing care provided?
- 3With the current staffing levels, what specific protocols do you have in place to ensure that resident call lights are answered promptly?
- 4Could you walk me through the process for how families are updated on changes to medical orders or dietary needs to ensure there is no confusion?
- 5What steps are you taking to address the recent CMS findings regarding health inspections and staffing to ensure the highest standard of care for my loved one?
- 6Can you share how you manage medication administration to ensure accuracy and consistency for residents?
Personalized based on this facility's data
Key Review Excerpts
“The therapy team was great, the nursing side was terrible. They couldn’t “get her meds” so they borrowed them from other patients, using the phrase “borrowing from Peter to pay Paul.””
“I'm giving the nursing side a "3"and the therapy a "5". I throughly enjoyed my rehab sessions. Very lucky to have had Kayla, ensuring my rehabilitation.”
“I’ve had a very positive experience with Carter Nursing and Rehab, and a big reason for that is the management team. They are organized, approachable, and genuinely involved in what’s going on day to day.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
3
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents on antipsychotic medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Carter Nursing and Rehabilitation has significant concerns including multiple families filing complaints about abuse protection and resident safety issues. The facility shows recurring problems with resident protection from abuse and neglect, fire safety violations, and medication management across all three surveys. While all deficiencies have correction dates, serious issues like abuse protection failures persist across multiple years, indicating ongoing compliance challenges that families should carefully consider.
Aug 29, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Aug 29, 2025Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 17, 2023Routine16
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 17, 2023Complaint4
Resident Rights Deficiencies
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Protect each resident from the wrongful use of the resident's belongings or money.
Nov 7, 2019Routine7
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Pharmacy Service Deficiencies
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.
Federal Penalties
Fine
Aug 29, 2025
$8,000
Fine
Aug 29, 2025
$10,000
Fine
Jul 17, 2023
$87,165
Ownership & Operations
Who Operates This Facility
Carter Nursing and Rehabilitation
for profit
Chain Affiliation
David Marx
10 facilities nationwide
Chain avg rating: 2.4/5 · Rank 7 of 10 (Worst)
Ownership & Management
Owners
Carter Nursing and Rehabilitation Holdings LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
51 reviews from families & visitors
Official Website
Visit carternr.com
Medicare data downloads
Original nursing home datasets
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