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Nursing HomeMedicaid Investigative

Carter Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

250 Mcdavid Boulevard, Grayson, KY 41143120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 51 Google reviews

5
4
3
2
1
Carter Nursing and Rehabilitation Nursing Home in Grayson, KY — Street View
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7/ 10
critical Risk

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

Source: Medicare data

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 details
Food5.0Staff7.0Clean8.0Activities8.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • 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

2345.0'19(1)3.01.0'21(1)4.34.4'23(16)4.54.9'25(16)5.0'26(3)

Distribution

5
42
4
4
3
1
2
0
1
5

How They Respond to Reviews

100%response rate

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.”

Family member · 2023☆☆☆☆

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.

Rehab patient · 2024★★★★

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.

Family member · 2026★★★★★
Source: 51 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
59%
Registered nurses for medical care
Total Nursing
2.59hrs
63%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility41.2%
Worse than Avg
Here
41.2%
US
19.5%
KY
29.6%
Carter
39.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
15.3%
KY
15.5%
Carter
11.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.6%
Better than Avg
Here
7.6%
US
15.4%
KY
16.4%
Carter
15.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
14.4%
KY
14.7%
Carter
12.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
93.4%
KY
94.3%
Carter
95.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.8%
Better than Avg
Here
15.8%
US
19.4%
KY
19.4%
Carter
19.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.4%
Mixed vs Avgs
Here
80.4%
US
79.7%
KY
83.6%
Carter
82.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
KY
1.7%
Carter
2.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility81.9%
Mixed vs Avgs
Here
81.9%
US
81.8%
KY
83.9%
Carter
84.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Above state avg (3.4)
7 complaint-triggered
$87,165 in fines

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, 2025Complaint
3
0600ModerateCorrected

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.

0609ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

Aug 29, 2025Routine
5
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0712MinorCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0781MinorCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0920MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 17, 2023Routine
16
0689SevereCorrected

Quality of Life and Care Deficiencies

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

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363ModerateCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0923ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0222MinorCorrected

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.

0606MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0656MinorCorrected

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.

0657MinorCorrected

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.

0761MinorCorrected

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.

0806MinorCorrected

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 17, 2023Complaint
4
0584SevereCorrected

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.

0920ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0600ModerateCorrected

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.

0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Nov 7, 2019Routine
7
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0222MinorCorrected

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.

0232MinorCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0781MinorCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0761MinorCorrected

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

Owner / Operator

Carter Nursing and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

David Marx

Chain Size

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

100%

Key personnel

Pruitt, PaulManaging Control - Governing Body250 Mcdavid Blvd Snf Realty LLCManagerBluegrass Consulting Group LLCManagerAlexander, JamesManagerChamberlain, MargaretManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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