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Carter Nursing and Rehabilitation

Nursing Home, Hospice Care & Respite Care · Grayson, KY

CMS overall rating

250 Mcdavid Blvd, Grayson, KY 41143 View map

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Carter Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

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Carter Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Carter Nursing and Rehabilitation

Carter Nursing and Rehabilitation handles its daily operations out of a 120-bed nursing home located right on McDavid Boulevard in Grayson, Kentucky. The finance department processes resident billing through typical insurance tracks, accepting private pay along with Medicare and Medicaid. The local area scores moderately on the walkability scale, enabling visiting family members and local guests to take care of a few common daily errands on foot.

The building runs at a 95 percent occupancy level across its 120 beds, with residents staying for an average of 147 days. This timeline shows a stable operational mix of long-term medical housing and short-term post-hospital therapy. To keep up with these recovery goals, the 24-hour care team puts in an average of 2 hours and 31 minutes of direct nursing care per resident every single day, which includes 1 hour and 44 minutes from nurse aides and 27 minutes from registered nurses.

Prospective residents can arrange an in-person visit to evaluate the room choices, look over the therapy gym, and review the direct nursing schedules. The front desk organizes these property tours while answering questions about temporary respite tracks, hospice setups, and on-site ancillary services, including regular laboratory work, X-rays, podiatry consultations, mental health checks, and high-speed Wi-Fi access.

Facility Direct Line (606) 474-7835

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 31m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	20m per day	▼ 56% State avg: 46m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	42m per day	▼ 13% State avg: 49m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 50m per day	▼ 25% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 17m per day	▼ 35% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	▼ 55% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	7m per day	▼ 77% State avg: 31m per day · National avg: 28m per day

Capacity and availability

147 days

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.

Walk Score: 68 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

95%

Higher than the Kentucky average: 81.3%

Occupied beds

114 / 120

Average occupied beds in Kentucky homes 80 beds

TIER 2 winner from the American Health Care Association for the 2020 quality intuitive program.

Facility TypeLong Term Care (nursing Facility)

StatusActive

IssuanceMarch 1, 2025

CountyCarter

License Number100571

CMS Certification Number185253

Carter Nursing and Rehabilitation is administered by Samuel Wright, II.

Owner NameCarter Nursing And Rehabilitation, LLC

Rehabilitation Services

Respite Care

24-Hour Staffing

High-Speed Internet

Private Home And Hospice Care

Mental Health Consultations

X-Rays

Lab Work

Podiatry Services

Since 2019 · 7 years of data 23 deficiencies 4 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Kentucky state average

Overall vs. KY average

Latest Inspection August 29, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	23	6	This facility has 283% more total deficiencies than a typical Kentucky assisted living residence (23 vs. KY avg 6).↑ 283% worse
Deficiencies per year Average deficiencies per year since 2019.	3.3	0.9	This facility has 267% more deficiencies per year than a typical Kentucky assisted living residence (3.3 vs. KY avg 0.9).↑ 267% worse
Deficiencies per inspection Average deficiencies per inspection.	5.8	2	This facility has 190% more deficiencies per inspection than a typical Kentucky assisted living residence (5.8 vs. KY avg 2).↑ 190% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	KY Average	vs. KY Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	4	3	This facility has 33% more total inspections than a typical Kentucky assisted living residence (4 vs. KY avg 3).↑ 33% worse

Show Inspection Reports

Inspections since 2019

Total health inspections 3

State average N/A

Last Health inspection on Aug 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

2 serious citations State average: N/A

14 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 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

Total staff 169

Employees 129

Contractors 40

Staff to resident ratio 1.54 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 44

Average shift 8.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 34,190

Nursing staff breakdown

7.3 hours

8.9 hours

8.3 hours

Contractor staffing

5,292 contractor hours this quarter

Licensed Practical Nurse: 11 Certified Nursing Assistant: 9 Feeding Assistant: 4 Registered Nurse: 3 Speech Language Pathologist: 3 Physical Therapy Aide: 3 Diagnostic X-ray Services Staff: 2 Respiratory Therapy Technician: 2 Medical Director: 1 Qualified Social Worker: 1 Physical Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	64	9	73	16,613	92	100%	8.3
Licensed Practical Nurse	20	11	31	5,792	92	100%	8.9
Medication Aide/Technician	4	0	4	2,164	91	99%	11.1
Clinical Nurse Specialist	9	0	9	2,097	65	71%	8
RN Director of Nursing	4	0	4	1,450	75	82%	9.8
Speech Language Pathologist	4	3	7	875	43	47%	7.7
Registered Nurse	9	3	12	833	73	79%	7.3
Physical Therapy Aide	3	3	6	672	43	47%	8.1
Nurse Practitioner	1	0	1	512	64	70%	8
Mental Health Service Worker	2	0	2	497	55	60%	7.9
Qualified Activities Professional	1	0	1	478	60	65%	8
Dietitian	1	0	1	473	63	68%	7.5
Other Dietary Services Staff	1	0	1	318	43	47%	7.4
Respiratory Therapy Technician	1	2	3	308	40	43%	7.7
Qualified Social Worker	2	1	3	306	40	43%	7.5
Administrator	1	0	1	289	38	41%	7.6
Physical Therapy Assistant	0	1	1	152	19	21%	8
Feeding Assistant	0	4	4	133	26	28%	4.4
Diagnostic X-ray Services Staff	0	2	2	74	17	18%	4.4
Occupational Therapy Aide	1	0	1	72	9	10%	8
Medical Director	0	1	1	42	13	14%	3.2
Dental Services Staff	1	0	1	40	5	5%	8

73 Certified Nursing Assistant

% of Days 100%

31 Licensed Practical Nurse

% of Days 100%

4 Medication Aide/Technician

% of Days 99%

9 Clinical Nurse Specialist

% of Days 71%

4 RN Director of Nursing

% of Days 82%

7 Speech Language Pathologist

% of Days 47%

12 Registered Nurse

% of Days 79%

6 Physical Therapy Aide

% of Days 47%

1 Nurse Practitioner

% of Days 70%

2 Mental Health Service Worker

% of Days 60%

1 Qualified Activities Professional

% of Days 65%

1 Dietitian

% of Days 68%

1 Other Dietary Services Staff

% of Days 47%

3 Respiratory Therapy Technician

% of Days 43%

3 Qualified Social Worker

% of Days 43%

1 Administrator

% of Days 41%

1 Physical Therapy Assistant

% of Days 21%

4 Feeding Assistant

% of Days 28%

2 Diagnostic X-ray Services Staff

% of Days 18%

1 Occupational Therapy Aide

% of Days 10%

1 Medical Director

% of Days 14%

1 Dental Services Staff

% of Days 5%

View All Staffing Data

Total fines amount $87K

38% higher than State average

State average: $63K

Number of fines 1

57% fewer fines than State average

State average: 2.3

Payment Denials 0

100% fewer payment denials than State average

State average: 0.3

Fines amount comparison

This facility $87K

State average $63K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jul 17, 2023 · $87K

Civil Money Penalty Jul 17, 2023

$87K

Last updated: Jan 2026

High-risk clinical events score 5.6

47% better than State average

State average: 10.5

Functional decline score 13.1

31% better than State average

State average: 18.9

Long-stay resident measures

Significantly above average State avg: 3.5

Need for Help with Daily Activities Increased 7.9%

53% better than State average

State average: 16.8%

Walking Ability Worsened 11.6%

41% better than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 19.8%

In line with State average

State average: 20.5%

Falls with Major Injury 4.6%

21% worse than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers 2.7%

53% better than State average

State average: 5.8%

Urinary Tract Infection 0.7%

60% better than State average

State average: 1.9%

Lost Too Much Weight 1.3%

80% better than State average

State average: 6.8%

Depressive Symptoms 25.3%

77% worse than State average

State average: 14.3%

Antipsychotic Use 8.8%

44% better than State average

State average: 15.6%

Pneumococcal Vaccine 99.0%

5% better than State average

State average: 93.9%

Influenza Vaccine 95.5%

In line with State average

State average: 96.2%

Hospitalizations per 1,000 days 2.66

42% worse than State average

State average: 1.87

ED visits per 1,000 days 1.63

26% better than State average

State average: 2.19

Short-stay resident measures

Below average State avg: 2.2

Pneumococcal Vaccine 84.3%

In line with State average

State average: 83.7%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.9%

Influenza Vaccine 80.4%

In line with State average

State average: 83.6%

Re-hospitalized after SNF stay 17.2%

30% better than State average

State average: 24.5%

Emergency department visits 15.9%

14% worse than State average

State average: 13.9%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 24.1%

55% worse than State average

State average: 53.7%

Successful return to home or community 39.6%

22% worse than State average

State average: 50.6%

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

Total residents 110

Medicare

7.3% of residents

Medicaid

82.7% of residents

Private pay or other

10% of residents

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.

Financial Trends

Historical financial and operational data for Carter Nursing and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 94.8% ↑ 1.4pp vs 2022

Net Patient Income $2.1M ↓ ~$79.8K vs 2022

Payroll Costs $4.3M ↑ ~$441.0K vs 2022

Operating Margin 15.4% ↓ 0.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	90.9%	92.9%	92.3%	96.1%	95.8%	96.3%	95.6%	97.5%	96.7%	94.2%	92.3%	93.4%	94.8%
Beds	120	120	120	120	120	120	120	120	120	120	120	120	120
Net Income	$481,064	$368,331	$234,151	$388,918	$370,979	$575,783	$800,272	$475,335	$493,411	$2,698,787	$4,900,559	$2,153,547	$2,079,048
Gross Revenue	$10,815,612	$11,805,326	$12,801,497	$13,528,949	$14,003,825	$13,736,808	$14,448,786	$14,624,450	$4,471,149	$13,208,876	$14,435,388	$14,249,525	$14,315,044
Operating Expenses	$8,540,181	$9,426,463	$10,056,725	$10,641,677	$10,862,780	$10,622,390	$10,762,315	$11,042,592	$3,541,894	$10,356,155	$10,104,977	$11,193,092	$11,326,906
Net Patient Income	$474,717	$367,599	$230,468	$383,231	$368,956	$573,766	$797,054	$471,625	$486,572	$1,739,557	$3,268,219	$2,148,222	$2,068,427
Net Patient Revenue	$9,014,898	$9,794,062	$10,287,193	$11,024,908	$11,231,736	$11,196,156	$11,559,369	$11,514,217	$4,028,466	$12,095,712	$13,373,196	$13,341,314	$13,395,333
Payroll Costs	$4,342,381	$4,186,519	$3,943,697	$4,029,918	$4,323,845	$4,611,147	$4,536,732	$4,327,136	$1,491,394	$4,236,056	$3,684,117	$3,813,886	$4,254,850
Operating Margin %	5.3%	3.8%	2.2%	3.5%	3.3%	5.1%	6.9%	4.1%	12.1%	14.4%	24.4%	16.1%	15.4%
Medicare %	13.1%	12.9%	12.7%	12.9%	14.1%	12.3%	12.9%	13.8%	17.9%	16.4%	16.6%	12.9%	8.6%
Medicaid %	72.3%	74.9%	72.1%	72.7%	73.9%	77.0%	75.4%	77.9%	73.4%	75.6%	71.4%	74.5%	77.9%
Private %	14.6%	12.2%	15.2%	14.4%	12.0%	10.6%	11.7%	8.3%	8.8%	8.0%	12.0%	12.6%	13.5%
Net Patient Revenue/Day	$226	$240	$254	$262	$268	$265	$276	$270	$280	$292	$331	$326	$323
Cost/Day	$214	$231	$249	$253	$259	$251	$257	$258	$246	$250	$250	$274	$273
Avg Length of Stay	186.1 days	172.1 days	188.0 days	212.5 days	157.7 days	141.0 days	131.3 days	196.9 days	109.9 days	148.3 days	141.3 days	125.8 days	147.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$13.4M

Net patient income

$2.1M

For-profit LLC

Net patient revenue

$13.4M

Net patient income

$2.1M

Other income

$10.6K

Payroll costs

$4.3M 31.8% of net patient revenue

Other operating costs

$7.1M

Total costs

$11.3M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicare (34% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 34%

Private pay 32%

Medicaid 34%

Coverage residents most often leave under.

Medicare 24%

Private pay 33%

Medicaid 43%

0.0 miles from city center Estimated distance in miles from Grayson's city center to Carter Nursing and Rehabilitation's address, calculated via Google Maps.

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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.


Carter Nursing and Rehabilitation	NH HC RC	Grayson	-	120	-	68	-
Sayre Christian Village	NH AL IL MC RC	Lexington (Belleau Wood)	-	164	-	43	1 Bed / 2 Bed
Carespring – Barrington of Fort Thomas	NH AL IL RC	Fort Thomas	-	110	A+	48	Studio / 1 Bed / 2 Bed
The Willows at Springhurst	NH AL IL MC RC	Louisville	-	62	A+	34	Studio / 1 Bed / 2 Bed
Twin Rivers Nursing And Rehab Center	NH HC NC PC RC	Owensboro	-	132	A+	52	Private Rooms / Semi-Private Rooms

Nursing Home Explorer

Is Carter Nursing and Rehabilitation in a walkable area?

Carter Nursing and Rehabilitation has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Carter Nursing and Rehabilitation?

According to KY state health department records, Carter Nursing and Rehabilitation's license number is 100571.

What is the occupancy rate at Carter Nursing and Rehabilitation?

Carter Nursing and Rehabilitation's occupancy is 95%.

Does Carter Nursing and Rehabilitation operate as a for-profit or non-profit?

Carter Nursing and Rehabilitation is registered as a for-profit in KY.

Who is the administrator of Carter Nursing and Rehabilitation?

Ii Samuel Wright is the administrator of Carter Nursing and Rehabilitation.

How many beds does Carter Nursing and Rehabilitation have?

Carter Nursing and Rehabilitation has 120 beds.

Are there photos of Carter Nursing and Rehabilitation?

Yes — there are 4 photos of Carter Nursing and Rehabilitation in the photo gallery on this page.

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Carter Nursing and Rehabilitation

Overview of Carter Nursing and Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

Awards

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Carter Nursing and Rehabilitation

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

73 Certified Nursing Assistant

31 Licensed Practical Nurse

4 Medication Aide/Technician

9 Clinical Nurse Specialist

4 RN Director of Nursing

7 Speech Language Pathologist

12 Registered Nurse

6 Physical Therapy Aide

1 Nurse Practitioner

2 Mental Health Service Worker

1 Qualified Activities Professional

1 Dietitian

1 Other Dietary Services Staff

3 Respiratory Therapy Technician

3 Qualified Social Worker

1 Administrator

1 Physical Therapy Assistant

4 Feeding Assistant

2 Diagnostic X-ray Services Staff

1 Occupational Therapy Aide

1 Medical Director

1 Dental Services Staff

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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