Home›Kentucky›Carter County›Carter Nursing and Rehabilitation
D
Poor

Carter Nursing and Rehabilitation

250 McDavid Blvd · Grayson, KY 41143

6064747835 · For profit - Corporation

120 beds111 residents111 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Carter Nursing and Rehabilitation receives an overall staffing grade of D (Poor). With 2.5893 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4451 HPRD, below the recommended 0.75. It is 1.31 HPRD below the national average.

Weekend staffing drops significantly — dropping 37.89% compared to weekdays. The facility uses a moderate level of agency staff (8.81% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.5893 HPRD — needs 0.89 more hours per resident per day.
⚠️RN staffing (0.4451 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 37.89% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
2.5893hrs/resident/day▼ 1.31
CMS benchmark: 3.48
RN HPRD
0.4451hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
37.89%
2.8999 weekday → 1.8011 weekend
⚠ Significant weekend reduction
Agency Staff
8.81%
15.46% of RN hours from contractors
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
1.4728hrs/resident/day
Direct care aides
LPN HPRD
0.4171hrs/resident/day
Licensed practical nurses
Consistency
0.5951std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Carter County Average+0.00 HPRD
2.59
02.59 HPRD
vs. Kentucky State Average-1.46 HPRD
4.05
02.59 HPRD
vs. National Average-1.31 HPRD
3.90
02.59 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Carter Nursing and Rehabilitation ★
Grayson · This facility
—
D
2.58930.4451★☆☆☆☆
Wurtland Nursing and Rehabilitation
Wurtland
17.1 mi
D
3.70440.3477★☆☆☆☆
Oakmont Manor
FLATWOODS
18.2 mi
B
4.3590.576★★☆☆☆
Jordan Rehabilitation and Healthcare Center
Louisa
23.1 mi
A
4.51840.9747★★☆☆☆
South Shore Nursing and Rehabilitation
South Shore
27.1 mi
C
3.04130.6491★★★☆☆
Vanceburg Hills
Vanceburg
28.1 mi
C
3.12480.4566★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
18
Total Deficiencies
$87,165
Fines Assessed
Aug 29, 2025Health
5 deficiencies cited· Includes actual harm
▼
Jul 17, 2023Health
12 deficiencies cited· Includes actual harm
▼
Nov 7, 2019Health
1 deficiency cited
▼

Penalty History

Jul 17, 2023Fine
$87,165
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.