Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Carter Nursing And Rehabilitation during CMS and state inspections, most recent first.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
The facility did not promptly report suspected abuse, neglect, or theft, nor did it communicate the results of its investigation to the proper authorities as required.
Unsafe food handling and improper dry storage labeling were observed in the kitchen. A Dietary Aide handled fresh cabbage without hand hygiene or gloves, then moved to another task and returned to the cabbage without cleaning her hands. Surveyors also found opened dry storage items that were undated and expired canned fruit in storage. Facility policy and the FDA Food Code required hand hygiene, glove use, and proper dating and discard of food items.
A resident with multiple chronic conditions was given Zofran for nausea by a KMA after an LPN mistakenly believed it was a standing order, despite no such order existing. The medication was administered without prior physician authorization, and the Medical Director was not notified or consulted before the order was entered. Facility leadership confirmed that staff are expected to follow protocols requiring physician orders for all medications not on the standing order list.
A resident with MS, dementia, and neurogenic bladder had a suprapubic catheter, and the urine collection bag was observed lying on the floor beside the bed. Facility policy and CDC guidance required the bag to stay below the bladder and off the floor, and staff including the RN, IP RN, DON, and Administrator stated catheter bags should never be on the floor for infection control.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on the facility's lack of prompt action in notifying the appropriate agencies when an incident of suspected abuse, neglect, or theft occurred. The report indicates that the required notifications and investigation results were not communicated as mandated.
Unsafe Food Handling and Improper Dry Storage Labeling
Penalty
Summary
The facility failed to follow safe food handling practices when a Dietary Aide handled fresh cabbage without performing hand hygiene or putting on gloves. During the observation, the aide briefly left the cabbage, went to the refrigerator, removed a tray of desserts, handed it to another dietary staff member, and then returned to the cabbage without performing hand hygiene during the change in tasks. The report also notes that the facility’s policies and the FDA Food Code required hand hygiene and glove use when handling exposed food and when moving between tasks in the kitchen. The facility also failed to ensure food items in dry storage were properly labeled and dated. During the kitchen tour, surveyors found one opened container of cocoa dated 11/27/2024, 26 opened individual containers of dry cereal that were undated, 10 cookies in individual fold-over sandwich bags that were undated, and 10 cans of mandarin oranges with expiration dates of 12/2023. Facility policy stated opened dry storage items were to be dated with the opened date and discard date if applicable, and foods were to be used or discarded by the manufacturer’s expiration date. Interviews with dietary leadership and other staff confirmed the expectations for hand hygiene, glove use, labeling, dating, and discarding expired food. The Dietary Manager stated staff were expected to date food when received and when opened, and to discard expired items. The Assistant Dietician stated she had already re-educated the Dietary Aide and other kitchen staff on safe food handling. The Administrator, DON, and Infection Preventionist all stated they expected dietary staff to use hand hygiene and gloves when handling produce and to follow infection control and food storage procedures.
Medication Administered Without Valid Physician Order
Penalty
Summary
A deficiency occurred when a resident with dementia, diabetes, and congestive heart failure was administered a Zofran tablet for nausea without a valid physician's order. The resident, who was severely cognitively impaired, requested something for nausea. A Kentucky Medication Aide (KMA) checked the electronic health record and found no order for Zofran, then informed an LPN, who incorrectly stated that Zofran was available as a standing order. However, review of the facility's standing orders confirmed that Zofran was not included. Despite this, the KMA administered Zofran to the resident after the LPN entered an order under the Medical Director's name, but without prior authorization or notification to the Medical Director. Interviews revealed that the Medical Director was not contacted about the new medication and was unaware of the order, expressing that she would have needed more information before approving Zofran for the resident. The LPN later acknowledged the mistake, stating she should have obtained a proper order before administration. The Director of Nursing and the Administrator both confirmed that staff are expected to know the standing orders and obtain physician orders for all medications not on the list, emphasizing the importance of following these protocols for resident safety. The facility was unable to generate a Pyxis report to verify the medication dispensing process.
Suprapubic catheter bag left on floor
Penalty
Summary
Provide and implement an infection prevention and control program was deficient for a resident with an indwelling catheter. The facility’s policy stated catheter care would be provided in accordance with current professional standards of practice, and CDC guidance reviewed by surveyors stated the urine collection bag should be kept below the level of the bladder at all times and not rest on the floor. The resident involved had diagnoses including multiple sclerosis, dementia, and neuromuscular dysfunction of the bladder, and was care planned for risk for infection/complications related to a suprapubic catheter with interventions to observe catheter tubing for kinks or twists. During observation, the resident’s suprapubic catheter urine collection bag was seen lying on the floor on the left side of the bed. Staff interviews reflected that catheter bags should never be on the floor and should hang on the bed or wheelchair to avoid contact with the floor and prevent infection control issues. The RN, IP RN, DON, and Administrator all stated it was not appropriate for a catheter bag to be on the floor and that their expectation was for the bag to be in the proper place and never on the floor.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 55 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Grayson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Boyd Nursing And Rehabilitation | 10.1 mi | ★★★★★ | 7 | 0 |
| Kingsbrook Lifecare Center | 14.4 mi | ★★★★★ | 0 | 0 |
| Wurtland Nursing And Rehabilitation | 17.1 mi | ★★★★★ | 12 | 3 |
| Woodland Oaks | 17.7 mi | ★★★★★ | 0 | 0 |
| Oakmont Manor | 18.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.