Nursing Home

Carter Nursing and Rehabilitation

250 McDavid Boulevard, Grayson, KY 41143

Part of David Marxsee all 10 affiliated facilities

120 certified beds 110 residents per day on average

CMS Five-Star Quality Rating

1 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
3.2 hours

KY average: 4.0 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.4 hours

KY average: 0.8 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
2.5 hours

KY average: 3.5 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
68.5%

KY average: 46.4% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

2 fines totaling $18,000 in the recent inspection window (most recent: August 29, 2025).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Corporation
Chain
David Marx
Who owns this facility — 25 entries in CMS's ownership records expand ↓
  • Carter Nursing And Rehabilitation Holdings LLC Organization
    Direct owner (≥5%) 100% ownership since 07/25/2019
  • Pruitt, Paul Individual
    Managing control (governing body) since 05/01/2023
  • 250 Mcdavid Blvd Snf Realty LLC Organization
    Operational/managerial control since 09/01/2019
  • Bluegrass Consulting Group LLC Organization
    Operational/managerial control since 09/01/2019
  • Alexander, David Individual
    Operational/managerial control since 05/01/2023
  • Chamberlain, Margaret Individual
    Operational/managerial control since 09/11/2023
  • Gibbs, Sarah Individual
    Operational/managerial control since 01/01/2025
  • Marx, David Individual
    Operational/managerial control since 09/01/2019
  • Pruitt, Paul Individual
    Operational/managerial control since 05/01/2023
  • Rewa, Angela Individual
    Operational/managerial control since 10/23/2023

…and 15 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 5 health (KY avg 2.9) · 3 fire (KY avg 3) · ⚠ 3 serious Details

16 deficiencies cited across recent inspection cycles, including ⚠ 3 serious (actual harm or immediate jeopardy). Most recent survey: August 29, 2025.

Most recent inspection cycle: 5 health deficiencies · KY average: 2.9 · National: 9.3

17 fire-safety deficiencies cited — most often miscellaneous (5) and smoke (5).

Most recent fire-safety inspection (2025-08-29): 3 deficiencies · KY average: 3 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Carter Nursing and Rehabilitation compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Carter Nursing and Rehabilitation's overall star rating is 1★; the median among the 8 peers reporting it is 4★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 1★ 4★ 4★
Health inspections reported by 8 of 8 nearby peers 1★ 3★ 4★
Staffing reported by 8 of 8 nearby peers 1★ 2★ 5★
Quality measures reported by 8 of 8 nearby peers 3★ 3★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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