Nursing homeActive
Carter Nursing and Rehabilitation
250 McDavid Boulevard, Grayson, KY 411436064747835120 certified beds · 110 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
16
● 0● 13● 3
Penalties · 3 yrs
$18,000
2 fines
Last survey
2025-08-29
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kentucky Office of Inspector General · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-29 | Standard | 032 | CMS-2567 (Care Compare) | — |
| 2023-07-17 | Standard | 091 | CMS-2567 (Care Compare) | — |
| 2019-11-07 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kentucky Office of Inspector General publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-12Record 185253-20250829-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-12Record 185253-20250829-F609
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 185253-20250829-F658
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 185253-20250829-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-12Record 185253-20250829-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-08-06Record 185253-20230717-F689
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-08Record 185253-20230717-F602
F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-06Record 185253-20230717-F606
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-10Record 185253-20230717-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-06Record 185253-20230717-F657
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-08Record 185253-20230717-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-06Record 185253-20230717-F761
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-08Record 185253-20230717-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-06Record 185253-20230717-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-10Record 185253-20230717-F880
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-14Record 185253-20191107-F761
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-08-29 | Civil money penalty | $10,000 | CMS · Penalties |
| 2025-08-29 | Civil money penalty | $8,000 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.37
Facility
Kentucky
National
Kentucky 0.79 · National 0.69
Total nurse hours per resident day3.21
Facility
Kentucky
National
Kentucky 3.95 · National 3.86
Weekend total nurse hours2.54
Facility
Kentucky
National
Kentucky 3.48 · National 3.42
Total nursing staff turnover69%
Facility
Kentucky
National
Kentucky 46% · National 46%
Registered nurse turnover62%
Facility
Kentucky
National
Kentucky 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kentucky | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.4% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.8% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.9% | 16.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.5% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.6% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.5% | 6.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 38.3% | 29.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Carter Nursing And Rehabilitation Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| 250 Mcdavid Blvd SNF Realty LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Alexander, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bluegrass Consulting Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Chamberlain, Margaret Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gibbs, Sarah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Marx, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pruitt, Paul Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rewa, Angela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Russell, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shatrov, Anzhelika Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shields, Kari Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wolfe, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 250 Mcdavid Blvd SNF Realty Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| 250 Mcdavid Blvd SNF Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Alexander, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bluegrass Consulting Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chamberlain, Margaret Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gibbs, Sarah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kentucky SNF Realty Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Marx, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mdg Real Estate Global Limited Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pruitt, Paul Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pruitt, Paul Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rewa, Angela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Russell, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shatrov, Anzhelika Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shields, Kari Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wolfe, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
David Marx — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kentucky.
No county cost figures on file for Carter.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Boyd Nursing and Rehabilitation Ashland | 10.1 mi | 2025-11-21 | 070 |
| Kingsbrook Lifecare Center Ashland | 14.4 mi | 2025-06-05 | 042 |
| Wurtland Nursing and Rehabilitation Wurtland | 17.1 mi | 2026-03-09 | 2118 |
| Oakmont Manor Flatwoods | 18.2 mi | 2026-04-22 | 050 |
| Woodland Oaks Ashland | 17.7 mi | 2026-05-29 | 040 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |