Carter Nursing And Rehabilitation
Carter Nursing and Rehabilitation in Grayson, KY — inspection on August 29, 2025.
Found 5 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 08/26/2025 at 10:00 AM, with R29's roommate R130, she stated SRNA1 and SRNA11 treated R29 awful after she fell, explaining the staff accused R29 of falling for attention, and left R29 in feces for an extended period. R130 further stated the pungent odor of bowel movement made her sick to her stomach, and her family had to leave the facility to purchase a room spray.
During an interview on 08/28/2025 at 9:17 PM with R130's Family Member (FM) 6, she stated after R29 fell, SRNA1 stated, I knew this would happen.
I knew I should have called off today, and You should have had a depend on. FM6 further stated she did not believe SRNA1 or SRNA11 cleaned the feces from R29 after assisting her back to bed, as the strong and prolonged smell of bowel movement remained in the room.
She stated the odor made her mother sick, and she had to leave the facility to buy a room deodorizer. FM6 stated R29 remained in the uncleaned condition for approximately three to four hours before another staff member cleaned R29. FM6 further stated when SRNA10 later cleaned R29, she overheard SRNA10 repeatedly apologizing for the condition she had been left in by SRNA1 and SRNA11.
During an interview on 08/28/2025 at 11:29 PM with SRNA10, she stated R29 was upset because she had been left in feces and not been cleaned.
She stated R29 explained that SRNA1 and SRNA11 told R29 they would get supplies to clean her but never returned. SRNA10 further stated the feces appeared to have been on R29 for a while before she provided cleaning. SRNA10 stated it was inappropriate for SRNA1 and SRNA11 to leave the resident in that condition.
During an interview on 08/28/2025 at 9:17 PM with SRNA1, she stated she did not make inappropriate remarks to R29.
She also stated she did not leave R29 soiled for three hours.The State Survey Agency (SSA) Surveyor attempted to reach SRNA11 per telephone on 08/26/2025, 08/27/2025, and 08/28/2025.
However, she did not answer the telephone.
During an interview on 08/28/2025 at 9:54 PM, Licensed Practical Nurse (LPN) 1 stated R29 appeared angry while she conducted a skin assessment following the fall. LPN1 further stated she believed the resident was having an anxiety attack and repeatedly told her, I'm sorry I messed on myself.During an interview on 08/28/2025 at 5:04 PM with the Administrator, she stated Resident 29 had not reported anything to her, and she had been unaware of the incident until the State Survey Agency (SSA) Surveyor brought it to her attention on 08/26/2025.
She stated she was going to immediately talk with Resident 29 and left the room.During additional interview with the Administrator on 08/28/2025 at 5:24 PM, she stated she suspended SRNA1 and SRNA11, reported the incident to the Office of Inspector General (OIG) and the local police, and began the investigation on 08/26/2025.
She stated R29 told her about the poor care and neglect by SRNA1 and SRNA11 but did not tell her about SRNA1's abusive remarks to her.
She stated R29 requested that neither staff member provide her care in the future.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/29/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Carter Nursing and Rehabilitation
250 McDavid Boulevard Grayson, KY 41143
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 08/28/2025 at 11:29 PM with SRNA10, she reported R29 was upset SRNA1 and SRNA11 had left her lying in feces for hours after they told her they would return after gathering supplies to clean her. SRNA10 stated the feces appeared to have been on R29 for a while, and it was inappropriate for SRNA1 and SRNA11 to leave R29 in that condition. SRNA10 further stated she did not report the incident because R29 frequently complained, and she did not want to say anything that might get SRNA1 and SRNA11 in trouble.During an interview on 08/28/2025 at 5:04 PM with the Administrator, she stated Resident 29 had not reported anything to her, and she had been unaware of the incident until the State Survey Agency (SSA) Surveyor brought it to her attention on 08/26/2025.
She stated she was going to immediately talk with Resident 29 and left the room.During additional interview with the Administrator on 08/28/2025 at 5:24 PM, she stated she suspended SRNA1 and SRNA11, reported the incident to the Office of Inspector General (OIG) and the local police, and began the investigation on 08/26/2025.
She stated R29 told her about the poor care and neglect by SRNA1 and SRNA11, and the resident requested that neither staff member provide her care in the future.
She stated R29 did not tell her about SRNA1's abusive remarks to her.
She also stated the facility had not yet completed an investigation of the incident.
During an interview on 08/26/2025 at 6:00 PM, the Administrator stated she expected staff to always report inappropriate comments or behaviors to her.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/29/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Carter Nursing and Rehabilitation
250 McDavid Boulevard Grayson, KY 41143
SUMMARY STATEMENT OF DEFICIENCIES
precautions for residents and was a requirement for staff to stay within their scope of practice.
Facility ID:
Federal health inspectors cited Carter Nursing and Rehabilitation in Grayson, KY for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-29.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of Carter Nursing and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-12.
Federal health inspectors cited Carter Nursing and Rehabilitation in Grayson, KY for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-29.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of Carter Nursing and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-12.