Carter Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Carter Nursing and Rehabilitation is a 120-bed for-profit nursing home in Grayson, Kentucky, part of David Marx. In the CMS August 2026 release it reported 2.13 nurse aide hours per resident per day, 10% below the Kentucky average of 2.36, and 68.5% nursing staff turnover (Kentucky average 46.4%).
Carter Nursing and Rehabilitation
250 McDavid BoulevardGrayson, KY 41143
Carter County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Carter Nursing and Rehabilitation, nurse aides logged 2.13 hours per resident per day, 10% below the Kentucky average. With about 110 residents a day, that works out to roughly 235 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 21% below the all-days figure.
| Hours per resident per day | This home | Kentucky avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.13 | 2.36 | 2.32 |
| Licensed practical nurses | 0.71 | 0.80 | 0.86 |
| Registered nurses | 0.37 | 0.79 | 0.69 |
| All nursing staff | 3.21 | 3.95 | 3.86 |
| All nursing staff, weekends | 2.54 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
68.5% of nursing staff at Carter Nursing and Rehabilitation left over the year CMS measured, against a Kentucky average of 46.4% and a US average of 45.8%. Registered nurse turnover was 61.5%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 29, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Kentucky average 2.9). CMS lists 2 fines totaling $18,000 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 29, 2025 | Fine | $8,000 |
| Aug 29, 2025 | Fine | $10,000 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Carter Nursing and Rehabilitation holds 1 of 5 overall; the Kentucky average is 3.0.
About Carter Nursing and Rehabilitation
- Ownership: For profit - Corporation
- Chain: David Marx, 10 homes
- Legal name: Carter Nursing and Rehabilitation LLC
- Medicare and Medicaid certified since: Feb 21, 1991
- Councils: resident and family councils
- Area: urban
Nursing homes near Carter Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Boyd Nursing and Rehabilitation Ashland | 10.1 | 60 | 1.96 | 3.52 | 43.2% | 3 | None |
| Kingsbrook Lifecare Center Ashland | 14.4 | 137 | 2.96 | 5.01 | 24.6% | 4 | $11,154 |
| Wurtland Nursing and Rehabilitation Wurtland | 17.1 | 126 | 2.38 | 3.51 | 50.0% | 1 | $69,908 |
| Woodland Oaks Ashland | 17.7 | 110 | 2.15 | 3.77 | 48.9% | 4 | None |
| Oakmont Manor Flatwoods | 18.2 | 85 | 2.42 | 4.14 | 41.5% | 3 | None |
| Sanctuary at Ohio Valley Ironton | 18.9 | 93 | 2.04 | 3.43 | 40.6% | 4 | None |
| Harbor Healthcare of Ironton Ironton | 19.3 | 125 | 2.29 | 3.82 | 43.8% | 4 | None |
| Crystal Care of Coal Grove Coal Grove | 19.5 | 57 | 1.87 | 3.16 | 48.8% | 3 | $159,708 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.