Carter Nursing and Rehabilitation — nursing home in Grayson, KY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: 120 state-licensed beds · Kentucky Cabinet for Health and Family Services
State license: 100571 active · licensee CARTER NURSING AND REHABILITATION, LLC
Average residents per day: 111.3 CMS, MDS-derived
CMS Certification Number: 185253
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 21, 1991
Ownership type: For profit - Corporation
Operator (legal business name): Carter Nursing and Rehabilitation LLC
CMS chain: David Marx 10 facilities
Phone: (606) 474-7835
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Aug 29, 2025

Citations

33

16 health · 17 fire

Harm or worse

3

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G2	H·	I·
Potential harm	D19	E6	F5
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$11,700

Payment denials

0

Latest

Aug 29, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 185253
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Feb 21, 1991
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 30, 2026
Evidence: Verified

State license

Authority: Kentucky Cabinet for Health and Family Services, Office of Inspector General
License number: 100571
State facility ID: 100571
License type: Long-term care license (120 nursing facility beds)
License status: active
Licensed beds: 120
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: CARTER NURSING AND REHABILITATION, LLC
Current license: Mar 1, 2026 → Feb 28, 2027
As of: Oct 30, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 29, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Aug 29, 2025	Health	Health Complaint, Health Standard	5	Actual harm	—	Open →
Jul 17, 2023	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Jul 17, 2023	Health	Health Standard	10	Immediate jeopardy	—	Open →
Nov 7, 2019	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Nov 7, 2019	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Aug 29, 2025	Civil money penalty (fine)	$6,500	—	185253\|Fine\|138342
Aug 29, 2025	Civil money penalty (fine)	$5,200	—	185253\|Fine\|138343

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G2	H·	I·
Potential harm	D19	E6	F5
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 29, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Sep 12, 2025	Complaint
Aug 29, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Sep 12, 2025	Complaint
Aug 29, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 6, 2025
Aug 29, 2025	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 6, 2025
Aug 29, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 6, 2025
Aug 29, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 12, 2025	Complaint
Aug 29, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Sep 12, 2025
Aug 29, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 12, 2025
Jul 17, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Aug 6, 2023
Jul 17, 2023	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 6, 2023
Jul 17, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 6, 2023
Jul 17, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 6, 2023
Jul 17, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 6, 2023
Jul 17, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 6, 2023
Jul 17, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 6, 2023
Jul 17, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 6, 2023
Jul 17, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 6, 2023
Jul 17, 2023	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 8, 2023
Jul 17, 2023	F-0606	Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 6, 2023
Jul 17, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 10, 2023
Jul 17, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 6, 2023
Jul 17, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Aug 8, 2023
Jul 17, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 6, 2023
Jul 17, 2023	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Aug 8, 2023
Jul 17, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 6, 2023
Jul 17, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 10, 2023
Nov 7, 2019	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 6, 2019
Nov 7, 2019	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 6, 2019
Nov 7, 2019	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 6, 2019
Nov 7, 2019	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 6, 2019
Nov 7, 2019	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 6, 2019
Nov 7, 2019	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 6, 2019
Nov 7, 2019	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 14, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.8

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.00

State avg 3.99US avg 3.90

Registered nurse (RN)0.38

State avg 0.80US avg 0.69

Licensed practical nurse0.62

State avg 0.80US avg 0.86

Nurse aide2.01

State avg 2.39US avg 2.35

Weekend total nurse2.37

State avg 3.48US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.93 (case-mix index 1.43).

Staff turnover

Total nursing staff turnover64.2%

State avg 45.4%US avg 45.3%

Registered nurse turnover58.3%

State avg 40.8%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Aug 29, 2025
Cycle 1 health score: 64
Total weighted score: 90.25

Operating entity

Carter Nursing and Rehabilitation LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

David Marx

10 facilities in 1 states. CMS chain ID 179.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

29

Organizations

6

Individuals

21

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Carter Nursing and Rehabilitation Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 25, 2019

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Carter Nursing and Rehabilitation Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 25, 2019
Paul Pruitt	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2023
250 Mcdavid Blvd SNF Realty LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2019
Bluegrass Consulting Group LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2019
David Alexander	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2023
Margaret Chamberlain	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 11, 2023
Sarah Gibbs	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
David Marx	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2019
Paul Pruitt	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2023
Angela Rewa	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 23, 2023
Robert Russell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 8, 2024
Anzhelika Shatrov	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 2, 2024
Kari Shields	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Eric Wolfe	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 11, 2023
250 Mcdavid Blvd SNF Realty Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2019
250 Mcdavid Blvd SNF Realty LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2019
Bluegrass Consulting Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 16, 2025
Kentucky SNF Realty Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2019
Mdg Real Estate Global Limited	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2019
David Alexander	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2023
Margaret Chamberlain	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 11, 2023
Sarah Gibbs	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
David Marx	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2019
Paul Pruitt	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2023
Angela Rewa	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 23, 2023
Robert Russell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 8, 2024
Anzhelika Shatrov	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 8, 2024
Kari Shields	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2019
Eric Wolfe	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 11, 2023

Same chain in Kentucky

All 9 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Highlands Nursing and Rehabilitation 1705 Stevens Avenue, Louisville, KY 40205 CCN 185039	154	Apr 2, 2026	322 IJ1 open	$18k
Nicholasville Nursing and Rehabilitation 100 Sparks Avenue, Nicholasville, KY 40356 CCN 185220	73	Aug 22, 2025	32	—
Wurtland Nursing and Rehabilitation 100 Wurtland Avenue, Wurtland, KY 41144 CCN 185261	126	Mar 9, 2026	353 IJ5 harm	$70k
West Liberty Nursing and Rehabilitation 774 Liberty Road, West Liberty, KY 41472 CCN 185274	48	Aug 26, 2025	242 IJ	—
South Shore Nursing and Rehabilitation 405 Sm Roberson Drive, South Shore, KY 41175 CCN 185282	60	Jul 31, 2025	23	—
Greenville Nursing and Rehabilitation 521 Greene Drive, Greenville, KY 42345 CCN 185317	60	Jul 31, 2026	20	—
Elliott Nursing and Rehabilitation 20 Howards Creek Road, Sandy Hook, KY 41171 CCN 185415	75	Apr 9, 2026	251 IJ2 harm	$13k
Boyd Nursing and Rehabilitation 12100 Princeland Spur, Ashland, KY 41102 CCN 185418	60	Nov 21, 2025	283 harm	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 250 Mcdavid Boulevard, Grayson, KY 41143
ZIP: 41143
County: Carter County FIPS 21043
State: Kentucky
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	185253	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	185253	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Kentucky OIG Long Term Care Directory KY	100571	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 30, 2026	Nov 7, 2026

Record-level source links for CCN 185253

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction