Carter Nursing And Rehabilitation
250 Mcdavid Boulevard, Grayson, KY, 41143
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: David Marx
- Certified beds
- 120 · avg 111 residents/day
- Total nursing staff turnover
- 65.6% — higher than most Kentucky nursing homesKentucky avg: 46.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 45.5% — near the Kentucky averageKentucky avg: 42.3% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Kentucky averageKentucky avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $105,165 total
Medicare certification
- CMS Certification Number
- 185253
- Certified beds
- 120 beds · avg 111 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Carter Nursing And Rehabilitation Llc
- Chain affiliation
- David Marx
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the David Marx chain — 10 facilities. Chain-wide average overall rating 2.6 / 5.
Disclosed owners (17 on record)
- Bluegrass Consulting Group Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Kari d Shields
Operational/managerial Control · since 2025
- Sarah b Gibbs
Operational/managerial Control · since 2025
- Anzhelika Shatrov
Operational/managerial Control · since 2024
- Robert l Russell
Operational/managerial Control · since 2024
+ 11 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 18)
- D0658·Aug 29, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- G0609·Aug 29, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- G0600·Aug 29, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0880·Aug 29, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Aug 29, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0600·Jul 17, 2023Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- K0584·Jul 17, 2023Complaint
Resident Rights Deficiencies
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.
- D0602·Jul 17, 2023Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Federal penalties
By year
- 20252 fines · $18K
- 20231 fine · $87K
Most recent events
- Aug 29, 2025Fine · $10K
- Aug 29, 2025Fine · $8,000
- Jul 17, 2023Fine · $87K
Largest single fine on record: $87K.
Fire-safety citations
17 Life-Safety-Code citations on file. Most recent: Aug 29, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Carter Nursing And Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.