Grayson Nursing and Rehab Center
505 William Thomason Byway, Leitchfield, KY 42754
Grayson Nursing and Rehab Center, a 72-bed for profit - limited liability company nursing facility in Leitchfield, KY, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #47 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 2702593676
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #47 of 265
- In-state rank among rated KY homes
- 3.95
- About average · nurse hrs/day · nat'l 3.86
- 1
- Inspection findings
The verdict
Grayson Nursing and Rehab Center, a 72-bed for profit - limited liability company nursing facility in Leitchfield, KY, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #47 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 5 / 5
- CMS overall · national 3.0
- #47 of 265
- In-state rank among rated KY homes
- 3.95
- Nurse hrs/resident-day · national 3.86
- 1
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 267 KY nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 185177
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 72
- Residents
- 70
- In Hospital
- No
- County
- Grayson
- Last Inspection
- Feb 18, 2026
Staffing Data
How the 3.95 total nursing hours per resident-day are staffed:
- RN Hours
- 0.57 (nat'l avg: 0.69)
- LPN Hours
- 0.73
- CNA Hours
- 2.64
- Total Nursing Hours
- 3.95 (nat'l avg: 3.86)
- PT Hours
- 0.02
- Nursing Turnover
- 37.1%
- RN Turnover
- 28.6%
What the CMS Record Reveals About Grayson Nursing and Rehab Center
According to CMS Nursing Home Compare, Grayson Nursing and Rehab Center ranks #47 of 265 rated nursing homes in KY on overall stars (tie-broken by health+staffing+quality, then fewer fines). Grayson Nursing and Rehab Center operates 72 certified beds in Leitchfield, KY with approximately 70 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 3★ · quality 3★).
The inspection file contains 1 deficiency record from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 5 penalties totaling $12K against this provider. Reported nurse staffing runs 3.95 total hours per resident day (national average 3.86); RN hours specifically are 0.57 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Grayson Nursing and Rehab Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 37.1% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (1 most recent)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 8, 2025
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 26.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 23.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 19.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 98.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 98.4% | No |
Penalty History 5 penalties totaling $12K
| Date | Type | Amount |
|---|---|---|
| Oct 23, 2023 | Fine | $3K |
| Oct 17, 2023 | Fine | $2K |
| Oct 10, 2023 | Fine | $2K |
| Oct 2, 2023 | Fine | $2K |
| Sep 11, 2023 | Fine | $3K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Grayson Nursing and Rehab Center, both outside KY so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside KY (72 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside KY (3.28 here).
Nearby Nursing Homes in KY
266 other nursing homes are on record in KY; 6 are shown here.
Auburn Nursing and Rehabilitation Center
Auburn, KY
Baptist Health Hardin
Elizabethtown, KY
Barbourville Health and Rehabilitation Center
Barbourville, KY
Bardstown Health & Rehabilitation
Bardstown, KY
Barren County Nursing and Rehabilitation
Glasgow, KY
Beaver Dam Nursing & Rehab Center, INC
Beaver Dam, KY
Understanding Nursing Home Data
What the CMS records show for Grayson Nursing and Rehab Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The KY registry aggregates state averages and the highest-rated homes in this cohort. View KY registry
- Peer homes near 72 beds show how CMS stars vary at a similar scale in KY. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Grayson Nursing and Rehab Center?
Where does Grayson Nursing and Rehab Center rank among nursing homes in KY?
What are the staffing levels at Grayson Nursing and Rehab Center?
How many beds does Grayson Nursing and Rehab Center have?
Does Grayson Nursing and Rehab Center have any deficiencies on record?
Has Grayson Nursing and Rehab Center received any fines or penalties?
Who owns Grayson Nursing and Rehab Center?
When was Grayson Nursing and Rehab Center last inspected?
What quality measures are tracked for Grayson Nursing and Rehab Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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