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C
Below Standard

GRAYSON NURSING AND REHAB CENTER

505 WILLIAM THOMASON BYWAY · LEITCHFIELD, KY 42754

2702594028 · For profit - Limited Liability company

72 beds66.2 residents94 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

GRAYSON NURSING AND REHAB CENTER receives an overall staffing grade of C (Below Standard). With 3.6852 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4794 HPRD, below the recommended 0.75. It is 0.21 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 24.66% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4794 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.6852hrs/resident/day▼ 0.21
CMS benchmark: 3.48
RN HPRD
0.4794hrs/resident/day▼ 0.20
Recommended: 0.75
Weekend Drop-off
24.66%
3.9612 weekday → 2.9844 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1445hrs/resident/day
Direct care aides
LPN HPRD
0.9154hrs/resident/day
Licensed practical nurses
Consistency
0.5568std 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. Grayson County Average+0.15 HPRD
3.54
03.69 HPRD
vs. Kentucky State Average-0.36 HPRD
4.05
03.69 HPRD
vs. National Average-0.21 HPRD
3.90
03.69 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
GRAYSON NURSING AND REHAB CENTER ★
LEITCHFIELD · This facility
—
C
3.68520.4794★★★★☆
Spring View Nursing & Rehabilitation
Leitchfield
0.4 mi
C
3.39060.4139★☆☆☆☆
Hardinsburg Nursing and Rehabilitation Center
Hardinsburg
22.2 mi
C
3.47050.6012★★★★☆
Breckinridge Memorial Nursing Facility
Hardinsburg
23.3 mi
A+
5.13481.8288★★★★☆
FORDSVILLE NURSING AND REHABILITATION CENTER
FORDSVILLE
26.6 mi
C
3.13670.5939★★★★☆
Morgantown Care & Rehabilitation Center
MORGANTOWN
27.6 mi
B
3.62690.8692★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
10
Total Deficiencies
$12,235
Fines Assessed
Nov 21, 2024Health
1 deficiency cited
▼
Sep 20, 2018Health
9 deficiencies cited
▼

Penalty History

Oct 23, 2023Fine
$2,797
Oct 17, 2023Fine
$2,447
Oct 10, 2023Fine
$2,098
Oct 2, 2023Fine
$1,748
Sep 11, 2023Fine
$3,145
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.