Nursing Home Lookup

Federal inspection record · CMS data as of October 1, 2026

Grayson Nursing and Rehab Center

505 William Thomason Byway, Leitchfield, KY · (270) 259-3676

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
72
Residents per day
67
Ownership
For-Profit
Chain
Encore Health Partners
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 19, 1985

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Kentucky homes

Grayson Nursing and Rehab Center carries 4 inspection points. That is fewer than 82% of Kentucky's 265 rated homes.

5★4★3★2★1★+8 homes above 204.505102550100200inspection points → fewer is better on the leftThis home · 4 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–2 pts
  • 4★ 2–11 pts
  • 3★ 11–22 pts
  • 2★ 22–45 pts
  • 1★ over 45 pts

Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

1 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 0 4 pts
E 0 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 21, 2024 · Standard · F812 · Corrected January 8, 2025

Inspection history

  1. 2026-02-18

    0 health deficiencies · 0 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2024-11-21

    1 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  3. 2019-12-13

    0 health deficiencies · 4 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 4 h 5 min of nursing staff time a day, 36 min of it from a registered nurse.

This home

4 h 5 min

Kentucky average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 14% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$5,244 in federal fines on record over the past three years.

DatePenaltyAmount
2023-10-23Fine$2,797
2023-10-17Fine$2,447

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.51.91.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better1.42.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better100.0%94.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better100.0%96.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury4.1 pts worse7.9%3.8%3.2%
Percentage of long-stay residents who have depressive symptoms3.4 pts worse22.3%18.9%13.5%
Percentage of long-stay residents who lose too much weight3.5 pts better3.1%6.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.5 pts better23.4%29.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.7 pts better15.5%16.2%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.9 pts worse17.2%12.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.9 pts worse20.1%13.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts worse2.1%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts better18.1%18.3%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts better2.6%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.6 pts better98.1%84.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts worse19.3%13.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse2.3%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.2 pts better97.9%83.7%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.6 pts better17.3%23.9%23.4%

·

Who owns and runs it

45 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Encore Parent Holdings LLC5% Or Greater Direct Ownership Interest · Organization100%7 facilities
505 William Thomason Byway Realty LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
505 William Thomason Byway Realty LLCAdp Of The SNF · Organization0%1 facilities
Baldwin Cpas PllcAdp Of The SNF · Organization0%1 facilities
Balt M4 LLCAdp Of The SNF · Organization0%6 facilities
Bloom, DavidIndirect Ownership Interest · Individual0%13 facilities
Bloom, DavidAdp Of The SNF · Individual0%13 facilities
Butler, LeonAdp Of The SNF · Individual0%6 facilities
Cbre Capital Markets Inc5% Or Greater Mortgage Interest · Organization0%5 facilities
Eldridge, TimothyAdp Of The SNF · Individual0%1 facilities
Encore Health Partners 2 LLCOperational/Managerial Control · Organization0%13 facilities
Encore Health Partners 2 LLCAdp Of The SNF · Organization0%13 facilities
Encore Investors 2 LLC5% Or Greater Indirect Ownership Interest · Organization0%7 facilities
Encore Realty 2 LLCAdp Of The SNF · Organization0%12 facilities
Fischel, MayerCorporate Officer · Individual0%50 facilities
Fischel, MayerOperational/Managerial Control · Individual0%50 facilities
Fischel, MayerAdp Of The SNF · Individual0%50 facilities
Fisher, MyronAdp Of The SNF · Individual0%1 facilities
Foley, LisaAdp Of The SNF · Individual0%1 facilities
Fulkerson, MelindaOperational/Managerial Control · Individual0%1 facilities
Fulkerson, MelindaAdp Of The SNF · Individual0%1 facilities
Gefner Family Holding LLCAdp Of The SNF · Organization0%7 facilities
Gefner, DavidAdp Of The SNF · Individual0%4 facilities
Grinspan, Eli5% Or Greater Indirect Ownership Interest · Individual0%29 facilities
Grinspan, EliManaging Control - Governing Body · Individual0%29 facilities
Grinspan, EliCorporate Officer · Individual0%29 facilities
Grinspan, EliOperational/Managerial Control · Individual0%29 facilities
Grinspan, EliAdp Of The SNF · Individual0%29 facilities
Grinspan, IsaacAdp Of The SNF · Individual0%12 facilities
Hargis & Associates, LLCAdp Of The SNF · Organization0%12 facilities
Hargis, ForwoodAdp Of The SNF · Individual0%12 facilities
Hatcher, ChristopherAdp Of The SNF · Individual0%1 facilities
J & R Family Investments, LLCAdp Of The SNF · Organization0%31 facilities
J&R Kc Derby Ky Family Investments LLCAdp Of The SNF · Organization0%7 facilities
Kc Derby Ky Jv LLCAdp Of The SNF · Organization0%7 facilities
Kc Derby Ky Parent LLCAdp Of The SNF · Organization0%7 facilities
Kc Derby Ky Partners LLCAdp Of The SNF · Organization0%7 facilities
Landau Family Investment TrustAdp Of The SNF · Organization0%31 facilities
Mcintosh, SarahAdp Of The SNF · Individual0%12 facilities
Overbey, BethAdp Of The SNF · Individual0%1 facilities
Perigrove 1034 LLCAdp Of The SNF · Organization0%7 facilities
Rubenstein, DavidAdp Of The SNF · Individual0%53 facilities
Stone, KellyAdp Of The SNF · Individual0%1 facilities
Zoberman, SarahIndirect Ownership Interest · Individual0%11 facilities
Zoberman, SarahAdp Of The SNF · Individual0%11 facilities

·

Fire safety

6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 21, 2024 · K353 · Corrected December 19, 2024

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 13, 2019 · K353 · Corrected January 22, 2020

  3. D

    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

    December 13, 2019 · K361 · Corrected January 22, 2020

  4. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    December 13, 2019 · K374 · Corrected January 22, 2020

Construction1F
  1. F

    Meet requirements for sections of health care facilities separated by fire resistive construction.

    November 21, 2024 · K131 · Corrected December 19, 2024

Egress1F
  1. F

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    December 13, 2019 · K222 · Corrected January 22, 2020

·

Other homes nearby

  1. Spring View Nursing & Rehabilitation

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    Worst citation, 3 yrs
    L
    Nursing / resident / day
    3 h 29 min
    Fines
    $17,346
  2. Edmonson Nursing and Rehabilitation Center

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    Worst citation, 3 yrs
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    Nursing / resident / day
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    Fines
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  3. Hardinsburg Nursing and Rehabilitation Center

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    Worst citation, 3 yrs
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