Carter Nursing: Abuse Reporting Failures - KY
The incident at Carter Nursing and Rehabilitation forced the resident's roommate to leave the facility because the smell made her sick. A family member had to buy spray deodorizer to make the room bearable.
When another staff member finally cleaned Resident 29, she repeatedly apologized for the condition the woman had been left in by the two assistants who had promised to return.
The nursing assistant who eventually cleaned the resident told inspectors the feces appeared to have been on the woman "for a while" and called it inappropriate for her colleagues to abandon someone in that condition. But she never reported what she found because the resident "frequently complained" and she didn't want to get the other staff members in trouble.
FM6, identified in the inspection report as a family member, discovered the situation during a visit. She reported that nursing assistants SRNA1 and SRNA11 had helped the resident back to bed after the bowel movement but failed to clean her properly. The strong smell of feces filled the room and lingered for hours.
The family member stated the odor became so overwhelming that the resident's roommate became sick and had to leave. She went out and purchased a spray deodorizer herself to address the situation.
Hours passed before SRNA10 arrived to clean Resident 29. During that cleaning, FM6 overheard SRNA10 apologizing repeatedly to the resident for being left in such conditions by the other staff members.
When inspectors interviewed SRNA10 on August 28 at 11:29 PM, she confirmed that Resident 29 was upset about being abandoned after SRNA1 and SRNA11 had specifically told her they would return with cleaning supplies. The assistant said the feces had clearly been on the resident for an extended period.
SRNA10 acknowledged the situation was inappropriate but explained why she never filed a report about finding a colleague's neglect. She told inspectors that Resident 29 complained frequently, and she chose not to say anything that might get SRNA1 and SRNA11 in trouble.
The administrator learned about the incident only when state surveyors brought it to her attention on August 26. During an interview at 5:04 PM on August 28, she told inspectors that Resident 29 had never reported the incident to her directly.
She immediately left the interview to speak with the resident.
Twenty minutes later, the administrator returned for a follow-up interview. She had suspended both SRNA1 and SRNA11, reported the incident to the Office of Inspector General and local police, and begun an internal investigation.
During her conversation with Resident 29, the administrator learned about the poor care and neglect by the two suspended staff members. The resident specifically requested that neither SRNA1 nor SRNA11 provide her care in the future.
However, the resident did not mention any abusive remarks made by SRNA1 during the incident. The administrator told inspectors the facility had not yet completed its investigation of the neglect.
The administrator stated she expected all staff members to report inappropriate comments or behaviors to her immediately. The failure of SRNA10 to report what she discovered when cleaning Resident 29 represented a breakdown in the facility's reporting system.
Federal inspectors classified the violation as causing actual harm to few residents. The incident occurred at the 250 McDavid Boulevard facility, which provides nursing and rehabilitation services in Carter County.
The inspection was conducted in response to a complaint. State surveyors completed their review on August 29, three days after first learning of the incident from the complaint.
Resident 29 endured hours of lying in her own waste after being explicitly told that help was coming. Her roommate suffered secondary effects from the prolonged exposure to the unsanitary conditions. A family member was forced to leave the facility to purchase cleaning supplies that should have been readily available to trained staff.
The nursing assistant who eventually provided proper care knew immediately that her colleagues had failed in their basic duties. Yet she chose silence over reporting, allowing a system that abandons vulnerable residents to continue operating without accountability.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Carter Nursing and Rehabilitation from 2025-08-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 22, 2026 · Our methodology
Carter Nursing and Rehabilitation in Grayson, KY was cited for abuse-related violations during a health inspection on August 29, 2025.
The incident at Carter Nursing and Rehabilitation forced the resident's roommate to leave the facility because the smell made her sick.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.