Carter Nursing and Rehabilitation
250 McDavid Boulevard, Grayson, KY, 41143
Yes. Federal inspectors cited 5 deficiencies against Carter Nursing and Rehabilitation in Grayson, Kentucky at its most recent standard inspection on 2025-08-29, 3 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $105,165. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 18 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-08-29 · from a complaint · Actual harm to a resident
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-08-29 · from a complaint · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-08-29 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-08-29 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-08-29 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2023-07-17 · standard survey · Immediate jeopardy to resident health or safety
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2023-07-17 · from a complaint · No actual harm, potential for more than minimal harm
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0606 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · F0761 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · F0806 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2023-07-17 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · F0584 · 2023-07-17 · from a complaint · Immediate jeopardy to resident health or safety
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2023-07-17 · from a complaint · No actual harm, potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · F0761 · 2019-11-07 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Carter Nursing and Rehabilitation
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| CARTER NURSING AND REHABILITATION HOLDINGS LLC | Organization | 100% | since 07/25/2019 |
| PRUITT, PAUL | Individual | NOT APPLICABLE | since 05/01/2023 |
| 250 MCDAVID BLVD SNF REALTY LLC | Organization | NOT APPLICABLE | since 09/01/2019 |
| BLUEGRASS CONSULTING GROUP LLC | Organization | NOT APPLICABLE | since 09/01/2019 |
| ALEXANDER, DAVID | Individual | NOT APPLICABLE | since 05/01/2023 |
| CHAMBERLAIN, MARGARET | Individual | NOT APPLICABLE | since 09/11/2023 |
| GIBBS, SARAH | Individual | NOT APPLICABLE | since 01/01/2025 |
| MARX, DAVID | Individual | NOT APPLICABLE | since 09/01/2019 |
| PRUITT, PAUL | Individual | NOT APPLICABLE | since 05/01/2023 |
| REWA, ANGELA | Individual | NOT APPLICABLE | since 10/23/2023 |
| RUSSELL, ROBERT | Individual | NOT APPLICABLE | since 04/08/2024 |
| SHATROV, ANZHELIKA | Individual | NOT APPLICABLE | since 12/02/2024 |
Part of the DAVID MARX group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 185253.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction