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GRAYSON NURSING & REHABILITATION CENTER LLC

Leitchfield, KY · Grayson County · For profit - Limited Liability company · 72 certified beds

📍 505 William Thomason Byway, Leitchfield, KY 42754  ·  📞 (270) 259-4028

Medicare ID: 185177  ·  Last Medicare inspection: Nov 21, 2024

Overall Safety Score
67
out of 100
Fair
Component Scores
100
Inspection
42
Staffing
36
Enforcement
✓ None
Complaints
61
Quality
📋 Last inspected: November 21, 2024 📦 CMS data as of: May 2026

Score Breakdown

Inspection
100
Staffing
42
Enforcement
36
Complaints
100
Quality Outcomes
61

What the numbers mean

GRAYSON NURSING & REHABILITATION CENTER LLC scored 67 out of 100 — near the state average.

📋 Inspections: 1 citation over the last 36 months — 6 fewer than the state average (7). None were rated as causing actual harm to residents.

🚨 Staffing: Staffing levels are well below average — this is a serious concern. Understaffing leads to worse resident outcomes. We strongly recommend asking for staffing schedules and speaking with current residents or family members before making any decision.

⚠️ Penalties & enforcement: CMS has recorded 5 enforcement actions totaling $12,235 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.

💬 Complaints: Low complaint activity — few formal complaints from residents or families have triggered inspections. Ask if there is a family council you can speak with.

📊 Resident quality outcomes: Quality outcome measures are in an acceptable range. Some measures are at or near national benchmarks. Review the quality section in the full report for specifics.

What inspectors found (last 3 surveys)

1
Total citations
State avg: 7.2
0
Serious (G+)
State avg: 1.1
0
Repeat findings

Top concern areas

1

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

$12,235
Total federal fines
5
Enforcement actions

⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.

📋 Enforcement Context Analysis
📊
Enforcement score: 36/100 — 42 points below the state average of 78/100 — worse than most comparable facilities. A score below 70 indicates a meaningful enforcement history that warrants direct conversation with facility management.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
1.3% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
22.3% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
13.4% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
18.8% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 21 total measures shown
Premium unlocks all quality measures, quarterly trends, hospitalization rates, and how this facility compares to others in the state.
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

See every citation, score history, ownership, and get monthly alerts

Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 5, 2026.