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Carter Nursing and Rehabilitation
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Grayson, KY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Carter Nursing and Rehabilitation

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Grayson, KY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
250 Mcdavid Blvd, Grayson, KY 41143 View map Calculator: See prices in your area
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

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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
Facility Direct Line (606) 474-7835
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 64.5% Below KY avg. ▼ 64.5% Below KY avg.KY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 65.7% Below KY avg. ▼ 65.7% Below KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 62.5% Below KY avg. ▼ 62.5% Below KY avg.KY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 3.6% Above KY avg. ▲ 3.6% Above KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Kentucky averages

Rank #108 / 190Nurse hours — State benchmarkedThis home is ranked 108th out of 190 homes we track in Kentucky for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 190 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 108th out of 190 homes we track in Kentucky for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 12m

14% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
22m
−52% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info 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
−13% State avg: 49m per day · National avg: 52m per day
Nurse Aide Info 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.
2h 8m
−12% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 32m
−28% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
3m
−22% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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.
12m
−60% State avg: 31m per day · National avg: 28m per day

All 6 underlying metrics fall below the state average

Capacity and availability

Residents per day (avg)
110
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
147 days
Bed community size
120-bed community Rank #52 / 340Bed count — State benchmarkedThis home is ranked 52nd out of 340 homes we track in Kentucky for bed count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation Rank #54 / 167Years in operation — State benchmarkedThis home is ranked 54th out of 167 homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 68 / 100 Rank #61 / 402Walk Score — State benchmarkedThis home is ranked 61st out of 402 homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
92%
Rank #60 / 168Occupancy rate — State benchmarkedThis home is ranked 60th out of 168 homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 168. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Kentucky average: 81.3%
Occupied beds
110 / 120
Average occupied beds in Kentucky homes 80 beds

Awards

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

License Details

Facility TypeLong Term Care (Nursing Facility)
StatusActive
IssuanceMarch 1, 2025
CountyCarter
License Number100571
CMS Certification Number185253

Ownership & Operating Entity

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

Owner NameCarter Nursing And Rehabilitation, LLC

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Internet Access
Specific ProgramsShort-Term Rehabilitation, Outpatient Therapy

Contact Carter Nursing and Rehabilitation

CMS Health Inspection History

Inspections Since 2019 · 7 years of data
Total health inspections 3

State average 2.9

Last Health inspection on Aug 2025

Total health citations
18 Rank #139 / 190Health citations — State benchmarkedThis home is ranked 139th out of 190 homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 190 KY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 13.5

Citations per inspection
6 Rank #146 / 190Citations per inspection — State benchmarkedThis home is ranked 146th out of 190 homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 190 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.4

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
2
82% worse than State average

State average: 1.1

Serious health citations
2
233% worse than State average

State average: 0.6

2 critical citations State average: 1.1
2 serious citations State average: 0.6
14 moderate citations State average: 11.6
0 minor citations State average: 0.1
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
Show Inspection Reports

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 169
Employees 129
Contractors 40
Staff to resident ratio 1.54 : 1
11% fewer staff per resident than Kentucky average
Kentucky average ratio: 1.72 : 1 Kentucky average ratio: 1.72 : 1See full Kentucky ranking
Avg staff/day 44
Average shift 8.4 hours
0% compared with Kentucky average
Kentucky average: 8.5 hours Kentucky average shift: 8.5 hoursSee full Kentucky ranking
Total staff hours (quarter) 34,190

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 12 total: 9 full-time employees and 3 contractors. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 31 total: 20 full-time employees and 11 contractors. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 73 total: 64 full-time employees and 9 contractors. 73
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

15.5%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6497316,61392100%8.3
Licensed Practical Nurse2011315,79292100%8.9
Medication Aide/Technician4042,1649199%11.1
Clinical Nurse Specialist9092,0976571%8
RN Director of Nursing4041,4507582%9.8
Speech Language Pathologist4378754347%7.7
Registered Nurse93128337379%7.3
Physical Therapy Aide3366724347%8.1
Nurse Practitioner1015126470%8
Mental Health Service Worker2024975560%7.9
Qualified Activities Professional1014786065%8
Dietitian1014736368%7.5
Other Dietary Services Staff1013184347%7.4
Respiratory Therapy Technician1233084043%7.7
Qualified Social Worker2133064043%7.5
Administrator1012893841%7.6
Physical Therapy Assistant0111521921%8
Feeding Assistant0441332628%4.4
Diagnostic X-ray Services Staff022741718%4.4
Occupational Therapy Aide10172910%8
Medical Director011421314%3.2
Dental Services Staff1014055%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%
View All Staffing Data

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 Rank #183 / 194Federal fines — State benchmarkedThis home is ranked 183rd out of 194 homes we track in Kentucky for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 194 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
38% higher than Kentucky average

Kentucky average: $63K

Number of fines 1
57% fewer fines than Kentucky average

Kentucky average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Kentucky average

Kentucky average: 0.3

Fines amount comparison
Fines amount comparison
This facility $87K
Kentucky average $63K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.1
31% better than Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Significantly above average Kentucky avg: 3.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 7.9%
53% better than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.6%
41% better than Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.8%
In line with Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.6%
21% worse than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.7%
53% better than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
60% better than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.3%
80% better than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 25.3%
77% worse than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.8%
44% better than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
5% better than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
In line with Kentucky average

Kentucky average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.66
42% worse than Kentucky average

Kentucky average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.63
26% better than Kentucky average

Kentucky average: 2.19

Short-stay resident measures
Significantly below average Kentucky avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.3%
In line with Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 80.4%
In line with Kentucky average

Kentucky average: 83.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 17.2%
30% better than Kentucky average

Kentucky average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 15.9%
14% worse than Kentucky average

Kentucky average: 13.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Kentucky average

Kentucky average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 24.1%
55% worse than Kentucky average

Kentucky average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 39.6%
22% worse than Kentucky average

Kentucky average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 110
Medicare
8
7.3% of residents
Medicaid
91
82.7% of residents
Private pay or other
11
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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

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

For-profit
LLC
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.1M
For-profit LLC
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.4M Rank #31 / 183Net patient revenue — State benchmarkedThis home is ranked 31st out of 183 homes we track in Kentucky. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.1M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$10.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #93 / 183Payroll costs — State benchmarkedThis home is ranked 93rd out of 183 homes we track in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.3M 31.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #183 / 183Payroll % of net patient revenue — State benchmarkedThis home is ranked 183rd out of 183 homes we track in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$7.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.3M
How we calculate these figures

This home is administered by Samuel Wright, II.

This home is owned by Carter Nursing And Rehabilitation Holdings LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 185253

Show certification details

Who this home usually serves

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.

Admissions
283 total

Coverage residents most often arrive under.

Medicare 34%
Private pay 32%
Medicaid 34%
Discharges
282 total

Coverage residents most often leave under.

Medicare 24%
Private pay 33%
Medicaid 43%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Carter Nursing and Rehabilitation

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

Calculate Travel Distance to Carter Nursing and Rehabilitation

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Address

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Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 48.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Hermitage Care & Rehabilitation Center ★ ★ ★ ★ ★
NH
SNF
Owensboro
92
Facility 92
KY AVG 83
Rank #128 / 340
88.0%
Facility 88.0%
KY AVG 84.5%
Rank #93 / 168
+4%
3.89
Facility 3.89
KY AVG 3.75
Rank #27 / 190
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +14%+4%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
4
Facility 4
KY AVG 13.5
Rank #10 / 190
2.0
Facility 2.0
KY AVG 4.4
Rank #16 / 190
-81A+
49
Facility 49
KY AVG 43
Rank #169 / 402
Matthew Clark
$11.2MFiscal year ending 12/2023
Facility $11.2MFiscal year ending 12/2023
KY AVG $9.8M
Rank #54 / 183
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
KY AVG $4.8M
Rank #83 / 183
39.3%Fiscal year ending 12/2023
Facility 39.3%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #153 / 183
185346
Middlesboro Nursing and Rehabilitation Facility ★ ★ ★ ★ ★
NH
SNF
Middlesboro
95
Facility 95
KY AVG 83
Rank #116 / 340
96.3%
Facility 96.3%
KY AVG 84.5%
Rank #20 / 168
+14%
3.31
Facility 3.31
KY AVG 3.75
Rank #86 / 190
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -26%-12%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
1
Facility 1
KY AVG 13.5
Rank #1 / 190
1.0
Facility 1.0
KY AVG 4.4
Rank #1 / 190
-92-
62
Facility 62
KY AVG 43
Rank #88 / 402
Melissa Robbins
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
KY AVG $9.8M
Rank #71 / 183
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
KY AVG $4.8M
Rank #75 / 183
43.5%Fiscal year ending 12/2023
Facility 43.5%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #129 / 183
185240
Twin Rivers Nursing And Rehab Center ★ ★ ★ ★ ★
NH
HOS
PC
RC
SNF
Owensboro
132
Facility 132
KY AVG 83
Rank #36 / 340
72.7%
Facility 72.7%
KY AVG 84.5%
Rank #145 / 168
-14%
3.17
Facility 3.17
KY AVG 3.75
Rank #108 / 190
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -6%-16%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
18
Facility 18
KY AVG 13.5
Rank #139 / 190
9.0
Facility 9.0
KY AVG 4.4
Rank #182 / 190
-96-
52
Facility 52
KY AVG 43
Rank #147 / 402
Myra Raymer
$9.7MFiscal year ending 12/2023
Facility $9.7MFiscal year ending 12/2023
KY AVG $9.8M
Rank #81 / 183
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
KY AVG $4.8M
Rank #52 / 183
57.2%Fiscal year ending 12/2023
Facility 57.2%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #34 / 183
185087
Kenwood Health and Rehabilitation Center ★ ★ ★ ★ ★
NH
RC
SNF
Richmond
93
Facility 93
KY AVG 83
Rank #126 / 340
92.5%
Facility 92.5%
KY AVG 84.5%
Rank #57 / 168
+9%
3.20
Facility 3.20
KY AVG 3.75
Rank #108 / 190
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -48%-15%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
1
Facility 1
KY AVG 13.5
Rank #1 / 190
1.0
Facility 1.0
KY AVG 4.4
Rank #1 / 190
-86-
78
Facility 78
KY AVG 43
Rank #18 / 402
Benita Dickenson
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
KY AVG $9.8M
Rank #103 / 183
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
KY AVG $4.8M
Rank #86 / 183
49.4%Fiscal year ending 12/2023
Facility 49.4%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #74 / 183
185061
Carter Nursing and Rehabilitation ★ ☆ ☆ ☆ ☆
NH
HOS
RC
SNF
Grayson
120
Facility 120
KY AVG 83
Rank #52 / 340
91.9%
Facility 91.9%
KY AVG 84.5%
Rank #60 / 168
+9%
3.21
Facility 3.21
KY AVG 3.75
Rank #108 / 190
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -34%-14%
$105.2k
Facility $105.2k
KY AVG $65.4k
Rank #183 / 194
18
Facility 18
KY AVG 13.5
Rank #139 / 190
6.0
Facility 6.0
KY AVG 4.4
Rank #146 / 190
4110-
68
Facility 68
KY AVG 43
Rank #61 / 402
Carter Nursing And Rehabilitation Holdings LLC
$13.4MFiscal year ending 12/2023
Facility $13.4MFiscal year ending 12/2023
KY AVG $9.8M
Rank #31 / 183
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
KY AVG $4.8M
Rank #93 / 183
31.8%Fiscal year ending 12/2023
Facility 31.8%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #183 / 183
185253
Nursing Home Explorer

Frequently Asked Questions about Carter Nursing and Rehabilitation

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 92%.

How long has Carter Nursing and Rehabilitation been in business?

Carter Nursing and Rehabilitation has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Carter Nursing and Rehabilitation?

No, Carter Nursing and Rehabilitation has a no-pet policy.

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.

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