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 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below 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: 2702594028
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 3.67
- Below average · nurse hrs/day · nat'l 3.89
- 10
- Inspection findings
- $12K
- Federal penalties (5)
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
- 66
- In Hospital
- No
- County
- Grayson
- Last Inspection
- Nov 21, 2024
Staffing Data
How the 3.67 total nursing hours per resident-day are staffed:
- RN Hours
- 0.48 (nat'l avg: 0.68)
- LPN Hours
- 0.91
- CNA Hours
- 2.28
- Total Nursing Hours
- 3.67 (nat'l avg: 3.89)
- PT Hours
- 0.02
- Nursing Turnover
- 34.3%
- RN Turnover
- 16.7%
What the CMS Record Reveals About Grayson Nursing and Rehab Center
Grayson Nursing and Rehab Center operates 72 certified beds in Leitchfield, KY with approximately 66 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (2★), and quality measures (2★). 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.
The inspection file contains 10 deficiency records 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, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.67 total nursing hours per resident day (national average 3.89), with RN coverage at 0.48 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
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. 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. Reported nursing turnover at this facility is 34.3%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (10 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
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: Oct 15, 2018
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Oct 15, 2018
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: Oct 15, 2018
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Category: Pharmacy Service Deficiencies
Corrected: Oct 15, 2018
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 15, 2018
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 15, 2018
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 15, 2018
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category: Resident Rights Deficiencies
Corrected: Oct 15, 2018
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Oct 15, 2018
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.0% | 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 | 4.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.8% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 23.9% | 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 | 23.0% | 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 | 21.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 98.3% | 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 |
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Understanding Nursing Home Data
Frequently Asked Questions
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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. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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