Occupancy rate
95%
In line with Kentucky averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
Carter Nursing and Rehabilitation
Carter Nursing and Rehabilitation is located in Grayson, Kentucky. It offers compassionate 24-hour skilled nursing care in a 120-bed facility. The care team is specially trained to work with seniors and develops personalized therapy and care programs.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
94.8%
Residents per day (avg)
112
Occupancy rate
94.8%
Residents per day (avg)
112
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
32% of new residents, often for short stays.
Typical stay
2 months
Medicaid
34% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$14.3M
Profit
$2.1M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$14,325,665.00
Profit
$2,079,048.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.2M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
In line with Kentucky averageOccupied beds
114 / 120
Average residents
80 per day
License details
Facility type
Long Term Care (nursing Facility)
Status
Active
Issuance
March 1, 2025
County:
CARTER
Additional licensing details
License number:
100571
CMS Certification Number:
185253
Awards:
TIER 2 winner from the American Health Care Association for the 2020 quality intuitive program.
Ownership & operating entity
Carter Nursing and Rehabilitation is administrated by SAMUEL WRIGHT, II.
Owner name:
CARTER NURSING AND REHABILITATION, LLC
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Short-Term Rehabilitation, Occupational Therapy, Speech Therapy, Outpatient Therapy, Memory Care, Long-Term Care, Hospice Care, Respite Care
Health Inspection History
Inspections
Total health inspections
3
Kentucky average 2.9
Last Health inspection on Aug 2025
Total health citations
18
Citations per inspection
6
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 18 citations resulted from standard inspections; 2 of 18 resulted from complaint investigations; and 4 of 18 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
82% worse than Kentucky averageKentucky average: 1.1
Serious Health citations
2
2
233% worse than Kentucky averageKentucky average: 0.6
2 critical citations
2 serious citations
14 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect serious citation
Aug 29, 2025
Corrected
Abuse/Neglect serious citation
Aug 29, 2025
Corrected
Infection Control moderate citation
Aug 29, 2025
Corrected
Nutrition moderate citation
Aug 29, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Kentucky
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Barren County Nursing and Rehabilitation
-36%
-14%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42141
94
HERBSTMAN, MOSHE
82.7%
$8,631,885.00
$2,825,267.00
32.7%
88.30
3.2236
1
11
-
-36%-14%+2%
Auburn Nursing and Rehabilitation Center
-49%
-62%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42206
66
BOLSTER, NANCY
62.0%
$4,023,909.00
$1,805,984.00
44.9%
49.60
1.4392
-
13
-
-49%-62%-24%
Beaver Dam Nursing and Rehab Center, Inc
-7%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42320
71
-
84.3%
$7,017,998.00
$3,361,771.00
47.9%
53.80
-
-
9
-
-7%
-
+4%
Carter Nursing and Rehabilitation
-23%
-33%
+17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 41143
120
CARTER NURSING AND REHABILITATION HOLDINGS LLC
94.8%
$14,315,044.00
$3,669,301.00
25.6%
112
2.5201
1
18
4
-23%-33%+17%
Bardstown Heatlh & Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 40004
100
-
-
-
-
-
-
-
-
-
-
-
-
Barren County Nursing and Rehabilitation
Type of care:
SNF
AL
Community:
KY 42141
Bed Count:
94
Operator:
HERBSTMAN, MOSHE
CCN:
185229
Occupancy:
82.7%
Home Revenue:
$8,631,885.00
Payroll Costs:
$2,825,267.00
Payroll %:
32.7%
Avg Residents/Day:
88.30
Overall Rating:
Adj Nurse Hours:
3.2236
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
11
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+2%
+2%
Auburn Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
KY 42206
Bed Count:
66
Operator:
BOLSTER, NANCY
CCN:
185049
Occupancy:
62.0%
Home Revenue:
$4,023,909.00
Payroll Costs:
$1,805,984.00
Payroll %:
44.9%
Avg Residents/Day:
49.60
Overall Rating:
Adj Nurse Hours:
1.4392
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
13
RN share vs State Avg:
-49%
-49%
Staffing vs State Avg:
-62%
-62%
Occupancy vs State Avg:
-24%
-24%
Beaver Dam Nursing and Rehab Center, Inc
Type of care:
SNF
AL
Community:
KY 42320
Bed Count:
71
CCN:
185334
Occupancy:
84.3%
Home Revenue:
$7,017,998.00
Payroll Costs:
$3,361,771.00
Payroll %:
47.9%
Avg Residents/Day:
53.80
Overall Rating:
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-7%
-7%
Occupancy vs State Avg:
+4%
+4%
Carter Nursing and Rehabilitation
Type of care:
SNF
AL
Community:
KY 41143
Bed Count:
120
Operator:
CARTER NURSING AND REHABILITATION HOLDINGS LLC
CCN:
185253
Occupancy:
94.8%
Home Revenue:
$14,315,044.00
Payroll Costs:
$3,669,301.00
Payroll %:
25.6%
Avg Residents/Day:
112
Overall Rating:
Adj Nurse Hours:
2.5201
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
18
Severe Citations:
4
RN share vs State Avg:
-23%
-23%
Staffing vs State Avg:
-33%
-33%
Occupancy vs State Avg:
+17%
+17%
Places of interest near Carter Nursing and Rehabilitation
0.0 miles from city center
GRAYSON, KY 41143
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
188
Total Staff
89
Employees
99
Contractors
33,219
Total Hours (Quarter)
43
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 15 | 5.8 | Yes |
| Licensed Practical Nurse | 42 | 9.3 | Yes |
| Certified Nursing Assistant | 97 | 8.8 | Yes |
Staff by Category
Administration ⓘ
2 staff
8hs shift avg
Nursing Staff ⓘ
162 staff
8.8hs shift avg
Physicians & Practitioners ⓘ
10 staff
7.6hs shift avg
Therapy Services ⓘ
8 staff
6.9hs shift avg
Activities & Recreation ⓘ
1 staff
7.9hs shift avg
Social Services ⓘ
1 staff
6.4hs shift avg
Dietary Services ⓘ
2 staff
7.6hs shift avg
Other Services ⓘ
2 staff
7.6hs shift avg
Contractor Analysis
23%
of total hours from contractors
7,653 contractor hours this quarter
Certified Nursing Assistant: 48
Licensed Practical Nurse: 35
Registered Nurse: 6
Speech Language Pathologist: 3
Qualified Social Worker: 1
Physical Therapy Aide: 2
Physical Therapy Assistant: 1
Respiratory Therapy Technician: 1
Medical Director: 1
Feeding Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 49 | 48 | 97 | 16,561 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 7 | 35 | 42 | 4,595 | 90 | 99% | 9.3 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 2,105 | 70 | 77% | 7.5 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,873 | 87 | 96% | 8.7 |
| RN Director of Nursing | 2 | 0 | 2 | 1,275 | 66 | 73% | 10.2 |
| Registered Nurse | 9 | 6 | 15 | 937 | 79 | 87% | 5.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 925 | 45 | 49% | 7.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 621 | 65 | 71% | 7.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 592 | 44 | 48% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 465 | 61 | 67% | 7.6 |
| Qualified Activities Professional | 1 | 0 | 1 | 458 | 58 | 64% | 7.9 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Dietitian | 1 | 0 | 1 | 429 | 57 | 63% | 7.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 335 | 42 | 46% | 8 |
| Feeding Assistant | 0 | 1 | 1 | 304 | 38 | 42% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 274 | 36 | 40% | 7.6 |
| Qualified Social Worker | 0 | 1 | 1 | 274 | 43 | 47% | 6.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 125 | 48 | 53% | 2.6 |
| Medical Director | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
110 residents
Residents by payment source
Medicare
8 residents (7.3%)
Medicaid
91 residents (82.7%)
Private pay or other
11 residents (10%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.6
47% better than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
31% better than Kentucky averageKentucky average: 18.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
7.9%
Percent of long-stay residents whose need for help with daily activities has increased
7.9%
53% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.6%
Percent of long-stay residents whose ability to move independently worsened
11.6%
41% better than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
In line with Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
21% worse than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
53% better than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
60% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.3%
Percent of long-stay residents who lose too much weight
1.3%
80% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
25.3%
Percent of long-stay residents who have depressive symptoms
25.3%
77% worse than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.8%
Percent of long-stay residents who received an antipsychotic medication
8.8%
44% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
5% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
In line with Kentucky averageKentucky average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.3%
In line with Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.4%
In line with Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$87K
38% higher than Kentucky averageKentucky average: $63K
Number of fines
1
57% fewer fines than Kentucky averageKentucky average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$87K
Kentucky average
$63K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2023
$87K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Carter Nursing and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
94.8%
↑ 1.4pp vs 2022
Net Income
$2,079,048
↓ ~$74K vs 2022
Total Payroll
$5,880,502
↓ ~$101K vs 2022
Profit Margin
14.5%
↓ 0.6pp vs 2022
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