Carter Nursing and Rehabilitation
250 McDavid Boulevard · Grayson, KY · 41143 · 6064747835
120 certified beds For profit - Corporation Chain: David Marx
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $18,000 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Total nurse staffing below 3.0 hours per resident-day
2.88 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 2.28 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 3 · $105,165 |
Inspection citations (18 in the current record)
-
Actual harm · G August 29, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 29, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · F August 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 12, 2025 · Nutrition and Dietary
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Potential for harm · D August 29, 2025
Provide and implement an infection prevention and control program.
Corrected September 12, 2025 · Infection Control
-
Potential for harm · D August 29, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 12, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · K July 17, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 6, 2023 · Quality of Life and Care
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Immediate jeopardy · K July 17, 2023 · found via complaint
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.
Corrected August 6, 2023 · Resident Rights
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Potential for harm · D July 17, 2023
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected August 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 10, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D July 17, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 17, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected August 8, 2023 · Pharmacy Service
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Potential for harm · D July 17, 2023
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.
Corrected August 6, 2023 · Pharmacy Service
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Potential for harm · D July 17, 2023
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected August 8, 2023 · Nutrition and Dietary
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Potential for harm · E July 17, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 6, 2023 · Nutrition and Dietary
-
Potential for harm · D July 17, 2023
Provide and implement an infection prevention and control program.
Corrected August 10, 2023 · Infection Control
-
Potential for harm · D July 17, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 17, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 8, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2019
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.
Corrected December 14, 2019 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 29, 2025 | Fine | $8,000 |
| August 29, 2025 | Fine | $10,000 |
| July 17, 2023 | Fine | $87,165 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185253 · certified since February 21, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.