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
Data as of July 1, 2026
1 of 5 overall
Carter Nursing and Rehabilitation in Grayson, KY has a 1-star overall rating, with 1-star health inspection and staffing scores and 3-star quality measures. It also has a recent abuse citation, $18,000 in fines in the last 24 months, and reported nurse staffing of 3.21 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.2133 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 3.2133.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.71
- Nurse aides
- 2.13
- Weekend nursing
- 2.54
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 62%
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
7%6.2%Improving
Residents with a fall causing major injury
3.9%2%Improving
Residents with pressure ulcers (bedsores)
3.5%5.9%Worsening
Residents with a urinary tract infection
2%0%Improving
Residents who lost too much weight
2.2%3.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.8%7%Worsening
Residents whose ability to walk got worse
6.3%6.2%No change
Long-stay residents on antianxiety or sleep medication
44.2%32.7%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1%0.7%No change
Residents with new or worsening incontinence
15.1%19.1%Worsening
Residents with depressive symptoms
12.5%8.1%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
98.1%97%Worsening
Short-stay residents given the seasonal flu vaccine
—80.4%—
Short-stay residents given the pneumonia vaccine
81.2%86.7%Improving
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
Recent ownership change · Aug 30, 2019
Now operated by Carter Nursing and Rehabilitation LLC, previously Diversicare Leasing LP.
- Ownership
- For profit - Corporation
- Chain
- Part of DAVID MARX · 10 homes · 2.9 stars avg
- Occupancy
- 110.3 residents on an average day (92% 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.