Nursing homes › Kentucky › Carter Nursing and Rehabilitation
250 Mcdavid Boulevard, Grayson, KY 41143 · (606) 474-7835 · 120 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 265 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with David Marx, a group operating 10 facilities in 1 state. Group record: average rating 2.9/5, 1 abuse citation icon, 0 facilities on the Special Focus list, $118,275 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 3.21 (Kentucky median: 3.75). RN hours: 0.37. Weekend total: 2.54. Nursing staff turnover: 68%.
In the downloaded CMS dataset: 16 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-09-12 |
| 2025-08-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | complaint | corrected 2025-09-12 |
| 2025-08-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-09-12 |
| 2025-08-29 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-09-12 |
| 2025-08-29 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-09-12 |
| 2023-07-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Health | corrected 2023-08-06 |
| 2023-07-17 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-08-08 |
| 2023-07-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-08-06 |
| 2023-07-17 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Health | corrected 2023-08-08 |
| 2023-07-17 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Health | corrected 2023-08-06 |
| 2023-07-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-08-10 |
| 2023-07-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-08-06 |
| 2023-07-17 | 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. | D | Health | corrected 2023-08-06 |
| 2023-07-17 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2023-08-08 |
| 2023-07-17 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-08-10 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-29 | Fine | $8,000 |
| 2025-08-29 | Fine | $10,000 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CARTER NURSING AND REHABILITATION HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/25/2019 |
| PRUITT, PAUL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2023 |
| 250 MCDAVID BLVD SNF REALTY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/01/2019 |
| BLUEGRASS CONSULTING GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/01/2019 |
| ALEXANDER, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
| CHAMBERLAIN, MARGARET | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/11/2023 |
| GIBBS, SARAH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| MARX, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2019 |
| PRUITT, PAUL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
| REWA, ANGELA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/23/2023 |
| RUSSELL, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/08/2024 |
| SHATROV, ANZHELIKA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/02/2024 |
| SHIELDS, KARI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| WOLFE, ERIC | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/11/2023 |
How to cite this page: CareRecords, “Carter Nursing and Rehabilitation — compliance, penalty and ownership record” (CCN 185253), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/carter-nursing-and-rehabilitation-grayson-ky/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 185253. Corrections: data@carerecords.org.