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Nursing homeFAID #4919

Carter Nursing and Rehabilitation

250 McDavid Boulevard, GRAYSON, KY, 41143
(606) 474-7835
120 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo via Google · Carter Nursing and Rehabilitation
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Bed capacity
120
CMS facility ID
185253
Care type
Nursing home
County
Carter
Facility name
Carter Nursing and Rehabilitation
Street address
250 McDavid Boulevard
City / state / ZIP
Grayson, KY 41143
Phone
(606) 474-7835

Carter Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Grayson, Kentucky. It is licensed for 120 beds — above the median for skilled nursing facilities in Kentucky (95 beds).

It is one of 1 senior care facility in Grayson and 268 skilled nursing facilities across Kentucky. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Carter Nursing and Rehabilitation 33 times across 7 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $18,000 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
David Marx
Ownership type
For profit - Corporation

Registered owners & officers

Carter Nursing and Rehabilitation Holdings Llc
Direct owner — 100% stake — since 2019
250 Mcdavid Blvd Snf Realty Holdings Llc
Additional disclosable party — since 2019
250 Mcdavid Blvd Snf Realty Llc
Operational control · Additional disclosable party — since 2019
Alexander, David
Operational control · Additional disclosable party — since 2023
Bluegrass Consulting Group Llc
Operational control · Additional disclosable party — since 2019
Chamberlain, Margaret
Operational control · Additional disclosable party — since 2023
Gibbs, Sarah
Operational control · Additional disclosable party — since 2025
Kentucky Snf Realty Holdings Llc
Additional disclosable party — since 2019
Marx, David
Operational control · Additional disclosable party — since 2019
Mdg Real Estate Global Limited
Additional disclosable party — since 2019
Pruitt, Paul
Governing body · Operational control · Additional disclosable party — since 2023
Rewa, Angela
Operational control · Additional disclosable party — since 2023
Russell, Robert
Operational control · Additional disclosable party — since 2024
Shatrov, Anzhelika
Operational control · Additional disclosable party — since 2024
Shields, Kari
Operational control · Additional disclosable party — since 2019
Wolfe, Eric
Operational control · Additional disclosable party — since 2023

Regulatory standing

Federal court records
14 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-02-21
CMS overall rating
1 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$18,000 total
Last standard inspection
2025-08-29
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$345 per day (≈ $10,490/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
78% Medicaid · 9% Medicare · 13% private/other
Occupancy
95% (fiscal year 2023)
Vs. state median
1% above the KY median of $341/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-08-29Health inspectionComplaint-triggered5 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-12
F-0609
G · Actual harmFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-12
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-12
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-12
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-12
2023-07-17Health inspection10 citations
F-0602
D · No harm found
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-08-08
F-0606
D · No harm found
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2023-08-06
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-10
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-08-06
F-0689
K · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-06
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-08
F-0761
D · No harm found
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.
Corrected 2023-08-06
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-08-08
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-06
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-10
4 earlier / fire-safety inspections (18 citations)
2019-11-07Health inspection1 citation
F-0761
D · No harm found
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.
Corrected 2019-12-14
2025-08-29Fire-safety inspection3 citations
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-09-06
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2025-09-06
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-06
2023-07-17Fire-safety inspection8 citations
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-08-06
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-06
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-08-06
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-08-06
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-08-06
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-06
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-06
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-08-06
2019-11-07Fire-safety inspection6 citations
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-12-06
K-0232
D · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-12-06
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-12-06
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-06
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-12-06
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2019-12-06

Federal penalties

2025-08-29Fine$8,000
2025-08-29Fine$10,000
Total fines$18,000
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 185253.
What people say on Google.
4.551 ratings on Google
★★★★★Crissie · 2026-01-11 · via Google

“⭐️⭐️⭐️⭐️⭐️ I’ve had a very positive experience with Carter Nursing and Rehab, and a big reason for that is the management team. They are organized, approachable, and genuinely involved in what’s going on day to day. You can tell they don’t just sit behind desks. They communicate clearly, address concerns quickly, and make sure staff have the support they need to provide good care”

★★★★★Adam Webb · 2026-01-11 · via Google

“Great facility, dedicated staff, and one of the best management teams! Would highly recommend.”

★★★★Sharla Menix · 2024-08-07 · via Google

“This is J.M. and I am a resident here. I enjoy getting to know the residents and workers here. The treatment I receive here is good. Everyone treats me nice. I feel they have good programs here. To me it seems they are really interested in the residents. Physical Therapy is really good, and the Nursing staff treat me real good. J.M.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 33 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered