Carter Nursing and Rehabilitation
250 McDavid Boulevard, Grayson, KY 41143
Carter Nursing and Rehabilitation is a nursing home in Grayson, Kentucky. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (606) 474-7835
- Last standard health inspection
- August 29, 2025 (1 year ago)
- Certified beds
- 120
- Residents per day, on average
- 111.3
- Ownership type
- For profit - Corporation
- Legal business name
- Carter Nursing and Rehabilitation LLC
- Chain
- David Marx
- Takes part in
- Medicare and Medicaid
More health citations than the Kentucky average (16 vs 12).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Fine
CMS changed the fine from August 29, 2025 from $8,000 to $5,200.
Fine
CMS changed the fine from August 29, 2025 from $10,000 to $6,500.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
5 citations
Health inspection on August 29, 2025
CMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
15 of 266 Kentucky homes (6%) got a citation at the actual harm level in 2025.
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on September 12, 2025.
Citation F0609. Severity G: actual harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on September 12, 2025.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 12, 2025.
CMS has cited this home for F0812 2 times since 2023.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on September 12, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 12, 2025.
CMS has cited this home for F0880 2 times since 2023.
3 citations
Fire safety inspection on August 29, 2025
CMS lists this as a standard inspection.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on September 6, 2025.
CMS has cited this home for K0712 2 times since 2023.
Citation K0781. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of portable space heaters.
CMS lists it as corrected on September 6, 2025.
CMS has cited this home for K0781 2 times since 2019.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on September 6, 2025.
CMS has cited this home for K0920 2 times since 2023.
Fine
August 29, 2025 (1 year ago)
CMS fine of $5,200 on August 29, 2025.
Fine
August 29, 2025 (1 year ago)
CMS fine of $6,500 on August 29, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 5 of 5.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of August 29, 2024
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of February 29, 2024
Fine
CMS changed the fine from July 17, 2023 from $134,100 to $87,165.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of December 21, 2023
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
10 citations
Health inspection on July 17, 2023
CMS lists this as a standard inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
15 of 266 Kentucky homes (6%) got a citation at the immediate jeopardy level in 2023.
Citation F0689. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 6, 2023.
Citation F0759. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on August 8, 2023.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 6, 2023.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on August 8, 2023.
Citation F0606. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
CMS lists it as corrected on August 6, 2023.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on August 10, 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on August 6, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 6, 2023.
CMS has cited this home for F0761 2 times since 2019.
Citation F0806. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on August 8, 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 10, 2023.
8 citations
Fire safety inspection on July 17, 2023
CMS lists this as a standard inspection.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on August 6, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 6, 2023.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on August 6, 2023.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on August 6, 2023.
CMS has cited this home for K0321 2 times since 2019.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on August 6, 2023.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on August 6, 2023.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on August 6, 2023.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 6, 2023.
CMS has cited this home for K0222 2 times since 2019.
1 citation
Health inspection on November 7, 2019
CMS lists this as a standard inspection.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 14, 2019.
6 citations
Fire safety inspection on November 7, 2019
CMS lists this as a standard inspection.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 6, 2019.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 6, 2019.
Citation K0232. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
CMS lists it as corrected on December 6, 2019.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on December 6, 2019.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on December 6, 2019.
Citation K0781. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of portable space heaters.
CMS lists it as corrected on December 6, 2019.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CARTER NURSING AND REHABILITATION HOLDINGS LLC5% or greater direct ownership interest · 100% · since 07/25/2019
- 250 MCDAVID BLVD SNF REALTY LLCOperational/managerial control · not applicable · since 09/01/2019
- BLUEGRASS CONSULTING GROUP LLCOperational/managerial control · not applicable · since 09/01/2019
- ALEXANDER, DAVIDOperational/managerial control · not applicable · since 05/01/2023
- CHAMBERLAIN, MARGARETOperational/managerial control · not applicable · since 09/11/2023
- GIBBS, SARAHOperational/managerial control · not applicable · since 01/01/2025
- MARX, DAVIDOperational/managerial control · not applicable · since 09/01/2019
- PRUITT, PAULOperational/managerial control · not applicable · since 05/01/2023
- REWA, ANGELAOperational/managerial control · not applicable · since 10/23/2023
- RUSSELL, ROBERTOperational/managerial control · not applicable · since 04/08/2024
- SHATROV, ANZHELIKAOperational/managerial control · not applicable · since 12/02/2024
- SHIELDS, KARIOperational/managerial control · not applicable · since 01/01/2025
- WOLFE, ERICOperational/managerial control · not applicable · since 09/11/2023
Questions
When was Carter Nursing and Rehabilitation last inspected?
CMS lists August 29, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Carter Nursing and Rehabilitation have?
CMS lists 16 health citations since November 7, 2019. CMS also calls these deficiencies.
Has Carter Nursing and Rehabilitation been fined?
CMS lists 2 fines in the past three years, $11,700 in total.
What is the CMS star rating of Carter Nursing and Rehabilitation?
Its CMS overall star rating is 1 of 5.
Is Carter Nursing and Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.