The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
Carter Nursing and Rehabilitation
Grayson, KY · Medicare-certified · 120 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Carter Nursing and Rehabilitation in Grayson, KY has a 1-star overall rating, with 1-star health inspection and staffing ratings, 3-star quality measures, reported nurse staffing below the federal benchmark (2.88 vs 4.1 hours per resident per day), $18,000 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.8796 hrs/resident/day
Quality measures
Last inspection: August 29, 2025Penalties, last 24 months: $18,000recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8796.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 0.71
- Nurse aides
- 1.84
- Weekend nursing
- 2.28
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 46%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12.9%4.2%Improving
Residents with a fall causing major injury
4.9%2%Improving
Residents with pressure ulcers (bedsores)
1.9%6.8%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.1%11.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.7%4.9%Improving
Residents whose ability to walk got worse
8.5%0%Improving
Long-stay residents on antianxiety or sleep medication
43.9%35.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.9%14.2%Improving
Residents with depressive symptoms
24.2%11.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.5%—
Long-stay residents given the pneumonia vaccine
99%94.9%Worsening
Short-stay residents given the seasonal flu vaccine
—80.4%—
Short-stay residents given the pneumonia vaccine
83.3%78.8%Worsening
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $10,000 was recorded.
- PENALTY
A federal fine of $8,000 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $105,165 in total fines.
- $10,000
Federal fine
Aug 29, 2025
- $8,000
Federal fine
Aug 29, 2025
- $87,165
Federal fine
Jul 17, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of DAVID MARX · 10 homes · 2.6 stars avg
- Occupancy
- 111.2 residents on an average day (93% of 120 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.