Carter Nursing & Rehabilitation Center
250 Mcdavid Blvd, Grayson KY 41143 · (606) 474-7835 · 95.5% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Carter Nursing & Rehabilitation Center is the lone option we identified in Grayson, Kentucky. Featuring an overall grade of C, this is likely a middle of the road facility. Based on our analysis, there are certainly much worse nursing homes out there. You also may want to review this facility's category grades below. We discuss long-term care in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 120 Beds
CCRC :
For profit - Limited Liability company
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Long-term Care Quality
This facility fared well in our long-term care category, with a grade of A- in this category. This really helped its overall grade quite a bit. Nursing homes that excel in this category typically are well-staffed and provide extensive hands on care to residents. After considering the quantity of care provided by aids and other staff, we then analyzed the facility's vaccination record. This facility vaccinated 100 percent of its residents against pneumonia, which is better than the majority of nursing homes. Finally, we looked at the facility's number of hospitalizations. We found that this facility had 2.94 hospitalizations per one thousand long-term resident days. While this admittedly wasn't as impressive as some of its other scores in this category, this number may be skewed for some facilities due to the preexisting medical conditions of residents.
Facility Inspections
This facility also performed well in inspections. As a result, it received one of our best scores in that area with a score of B+. We weigh several aspects of a nursing home's inspection report in determining our inspection ratings. One of those factors is health deficiencies. It should be noted that the severity of deficiencies is arguably more meaningful than the number of deficiencies, as some of these are relatively minor. Although this facility had a few deficiencies on its inspection report, none were serious based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Short-term Care Quality
The next area we assessed is short-term care, where this nursing home was given an F. Our short-term care grades are believed to be most critical for those in need of a nursing home for rehabilitation. Rehabilitation typically requires more highly-skilled nursing. This means not just nursing, but also physical and speech therapy, as well as other variations of therapy. Given its grade in this area, we weren't stunned to learn that this facility was well below average in terms of its quantity of physical therapy and registered nurse hours offered to its residents based on the data we assessed. The final datapoint we looked at in this area is the number of patients who were able to leave the facility and return to the community. We discovered that just 35.8 percent of this facility's patients were able to return home, which is well below average. The combination of these poor metrics doomed this nursing home's short-term care grade.
Nurse Quality
The final area we looked at is nursing. Sadly, it received an abysmal F in this category, which is an abysmal grade. This is obviously a significant disappointment. The nursing grade includes several data points, however, the most important consideration is the number of nurse hours spent with patients. This nursing home averaged only 3.2 hours of nursing care per patient per day. To pair with its low totals in the area of nursing hours per resident, this place also did not perform as well in the quality-based measures we looked at in determining our nursing scores. We looked at the percent of residents sustaining major falls and pressure ulcers. This place had more pressure ulcers and falls than the average nursing home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Carter Nursing & Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of residents that sustained a pressure ulcer. Pressure ulcers are considered by many experts to be a barometer of nursing care . Pressure ulcers, which are also known as bed sores, are often the result of patients staying in one position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This metric is an indication of the percentage of long-term stay residents that have had a fall resulting in severe injury. Falls can arise for a variety of reasons, but high rates of major falls could be a sign of poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This metric is an indication of the percentage of long-term stay residents that suffered from a urinary tract infection. Although more of these infections may reflect poorly on a facility's nursing care, it can be difficult to compare different facilities due to nursing homes having inconsistent reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of residents prescribed antipsychotic medications. Antipsychotic medications are administered to patients for a variety of conditions, including dementia. Sadly, in some situations, increased usage of these drugs may mean a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of patients who were prescribed antianxiety drugs. Antianxiety drugs are administered to patients experiencing anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint is a measure of the percentage of long-term stay residents showing signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percent of patients that were given the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percentage of patients that needed more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living may be a sign of the decline of a patient's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This indicates the percentage of patients who maintained mobility over time. Optimizing mobility is often a good sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This metric is a measure of the number of hospitalizations per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric is a measure of the number of times residents are rehospitalized per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This datapoint measures the percentage of short-term stay patients who saw functional improvements, such as with activities of daily living. Some would argue that this is a reliable measure of a nursing home's rehabilitation performance.
Percentage of Resident
Higher is Better