Carter Nursing and Rehabilitation
250 McDavid Blvd, Grayson, KY 41143
Grayson, Kentucky · CMS verdict
Carter Nursing and Rehabilitation's CMS overall star rating stands at 1 of 5, below the Kentucky state average (2.9) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Carter Nursing and Rehabilitation in Grayson, Kentucky holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 25 of 100 (grade F). The 120-bed facility operates where a semi-private nursing-home room in Kentucky runs a median of $9,718 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 25 is built
Each segment is a dimension's weighted points toward the score, summing to 25.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Carter Nursing and Rehabilitation's overall quality rating at 1 out of 5 stars, a composite of three sub-ratings: health inspection (1/5), staffing (1/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Grayson, Kentucky, this facility operates 120 certified beds with an average daily census of roughly 111 residents - an occupancy rate of about 93%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 93% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.
Same-ownership peers
Within Kentucky, Carter Nursing and Rehabilitation is one of 88 for profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the for profit - corporation-segment average of 2.9 stars, ahead of roughly 0% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (18 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Carter Nursing and Rehabilitation compares to Kentucky
CMS five-star sub-ratings (0–5) for this facility against the Kentucky facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Kentucky state average. Higher is better on all four CMS measures.
Where Carter Nursing and Rehabilitation ranks in Kentucky
Among the 266 CMS-rated nursing homes in Kentucky, Carter Nursing and Rehabilitation’s 1-star overall rating is higher than 0% of them. The bars show how all Kentucky homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
60 Kentucky homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 120 |
| Residents | 111 |
| Ownership | For profit - Corporation |
| County | Carter |
| Penalties | 1 |
| Deficiencies | 18 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Carter Nursing and Rehabilitation? ▾
Carter Nursing and Rehabilitation has an overall CMS quality rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 3/5.
How much does a nursing home cost per month in Kentucky? ▾
CareScout's 2025 survey puts Kentucky's median semi-private nursing home rate at $9,718 per month ($116,618 per year), with private rooms averaging $11,254 per month.
What services does Carter Nursing and Rehabilitation offer? ▾
Carter Nursing and Rehabilitation operates as a skilled nursing facility (120 beds with approximately 111 current residents) under for profit - corporation ownership. CMS inspections have recorded 18 deficiencies and 1 penalties there.
Does Carter Nursing and Rehabilitation have any deficiencies or penalties? ▾
Carter Nursing and Rehabilitation has multiple deficiencies (18 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Kentucky? ▾
In Kentucky, alternatives include assisted living ($5,528/mo), home health aides ($6,197/mo), and adult day care ($1,907/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Kentucky elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 185253.
Read our methodology - how this data is sourced, computed, and verified.