Carter Nursing and Rehabilitation
250 McDavid Boulevard, Grayson, KY 41143 · CCN 185253
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 111.0
- Phone
- 6064747835
Inspection history vs Kentucky & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Kentucky avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-29 | 5 | 3.3 | 9.5 | +1.7 worse |
| 2 | 2023-07-17 | 10 | 4.8 | 9.8 | +5.2 worse |
| 3 | 2019-11-07 | 3 | 5.2 | 9.3 | -2.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.59 | 60.6% |
| RN staffing (reported) | 0.44 | 25.0% |
| Total nurse staffing (adjusted) | 2.41 | — |
Fines & penalties
- Total fines
- $87,165
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- DAVID MARX
- Facilities in chain
- 10
- Chain avg overall
- 2.40 / 5
Inspection citations (18)2 immediate jeopardy2 actual harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-29 · Health · corrected 2025-09-12
Actual harm
- GF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-29 · Health · corrected 2025-09-12
Actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-29 · Health · corrected 2025-09-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-29 · Health · corrected 2025-09-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-29 · Health · corrected 2025-09-12
Potential for more than minimal harm
- KF0584Honor 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.2023-07-17 · Health · corrected 2023-08-06
Immediate jeopardy
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-17 · Health · corrected 2023-08-08
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-07-17 · Health · corrected 2023-08-08
Potential for more than minimal harm
- DF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2023-07-17 · Health · corrected 2023-08-06
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-17 · Health · corrected 2023-08-10
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-17 · Health · corrected 2023-08-06
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-17 · Health · corrected 2023-08-06
Immediate jeopardy
- EF0759Ensure medication error rates are not 5 percent or greater.2023-07-17 · Health · corrected 2023-08-08
Potential for more than minimal harm
- DF0761Ensure 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.2023-07-17 · Health · corrected 2023-08-06
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-07-17 · Health · corrected 2023-08-08
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-17 · Health · corrected 2023-08-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-07-17 · Health · corrected 2023-08-10
Potential for more than minimal harm
- DF0761Ensure 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.2019-11-07 · Health · corrected 2019-12-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CARTER NURSING AND REHABILITATION HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-07-25 |
| MARX, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-07-25 |
| 250 MCDAVID BLVD SNF REALTY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-01 |
| BLUEGRASS CONSULTING GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-01 |
| ALEXANDER, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| CHAMBERLAIN, MARGARET | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-11 |
| GIBBS, SARAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| MARX, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-01 |
| PRUITT, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| REWA, ANGELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-23 |
| RUSSELL, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-08 |
| SHATROV, ANZHELIKA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-02 |
| SHIELDS, KARI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
| WOLFE, ERIC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-11 |
Other facilities in Grayson
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.