Grayson Nursing and Rehab Center
505 William Thomason Byway, Leitchfield, KY 42754 · Grayson County · (270) 259-3676
72 certified beds, about 70 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185177 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 18, 2026, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 1 health citation since December 2019 was rated as actual harm or immediate jeopardy.
CMS lists 4 fines totaling $9,090 in the last three years; the largest was $2,797, and the latest is dated October 23, 2023.
Nurses and nurse aides worked 3.95 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
37.1% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Encore Health Partners, an affiliated group of 12 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 1 health citation on file.
February 18, 2026Standard inspection · 0 citations
November 21, 2024Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Observation of the kitchen on 11/17/2024, revealed Cook1's hair net was not properly covering her hair while she was preparing food trays at the holding table. Additional observations of the kitchen, revealed refrigerator1 contained expired food and food that was not sealed after opening. Further, other kitchen refrigerators and freezers contained food that had been opened, but was not sealed or covered when stored. Furthermore, the kitchen dry storage area, revealed a box of spaghetti noodles in the original container, which was opened and not sealed when stored. [...]
December 13, 2019Standard inspection · 0 citations
Fire safety inspections
6 fire safety citations on file: 2 on November 21, 2024, 4 on December 13, 2019.
Every fire safety citation6 citations
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- F Inspect, test, and maintain automatic sprinkler systems.
- 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.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 23, 2023 | Fine | $2,797 |
| October 17, 2023 | Fine | $2,447 |
| October 10, 2023 | Fine | $2,098 |
| October 2, 2023 | Fine | $1,748 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.95 | 3.95 | 3.86 |
| Registered nurses | 0.57 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.29 | 3.49 | 3.42 |
| Nurse aides | 2.64 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 37.1% | 46.4% | 45.8% |
| Registered nurse turnover | 28.6% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.22 on weekdays and 3.29 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.95 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.95 | 0.57 | 4.22 | 3.29 | 0.0% | 0 of 90 | 70 |
| Oct to Dec 2025 | 3.70 | 0.47 | 3.96 | 3.05 | 0.0% | 0 of 92 | 70 |
| Jul to Sep 2025 | 3.67 | 0.48 | 3.95 | 2.97 | 0.0% | 0 of 92 | 66 |
| Apr to Jun 2025 | 3.64 | 0.46 | 3.90 | 2.97 | 0.0% | 0 of 91 | 68 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.7 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.7 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.1 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.6 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.4 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: GRAYSON NURSING & REHABILITATION CENTER LLC. CMS links this home to Encore Health Partners, a group of 12 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Encore Parent Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 10/20/2023 |
| Encore Investors 2 LLC | 5% or greater indirect ownership interest | Organization | 10/20/2023 | |
| Grinspan, Eli | 5% or greater indirect ownership interest | Individual | 10/20/2023 | |
| Bloom, David | Indirect ownership interest | Individual | 10/20/2023 | |
| Zoberman, Sarah | Indirect ownership interest | Individual | 10/20/2023 | |
| 505 William Thomason Byway Realty LLC | 5% or greater mortgage interest | Organization | 10/20/2023 | |
| Cbre Capital Markets Inc | 5% or greater mortgage interest | Organization | 10/20/2023 | |
| Grinspan, Eli | Managing control - governing body | Individual | 10/20/2023 | |
| Fischel, Mayer | Corporate officer | Individual | 10/20/2023 | |
| Grinspan, Eli | Corporate officer | Individual | 10/20/2023 | |
| Encore Health Partners 2 LLC | Operational/managerial control | Organization | 10/20/2023 | |
| Fischel, Mayer | Operational/managerial control | Individual | 10/20/2023 | |
| Fulkerson, Melinda | Operational/managerial control | Individual | 10/20/2023 | |
| Grinspan, Eli | Operational/managerial control | Individual | 10/20/2023 | |
| 505 William Thomason Byway Realty LLC | Adp of the SNF | Organization | 10/20/2023 | |
| Baldwin Cpas PLLC | Adp of the SNF | Organization | 10/20/2023 | |
| Balt M4 LLC | Adp of the SNF | Organization | 10/20/2023 | |
| Encore Health Partners 2 LLC | Adp of the SNF | Organization | 04/16/2025 | |
| Encore Realty 2 LLC | Adp of the SNF | Organization | 10/20/2023 | |
| Gefner Family Holding LLC | Adp of the SNF | Organization | 10/20/2023 | |
| Hargis & Associates, LLC | Adp of the SNF | Organization | 01/01/2022 | |
| J & R Family Investments, LLC | Adp of the SNF | Organization | 10/20/2023 | |
| J&r Kc Derby Ky Family Investments LLC | Adp of the SNF | Organization | 10/20/2023 | |
| Kc Derby Ky Jv LLC | Adp of the SNF | Organization | 10/20/2023 | |
| Kc Derby Ky Parent LLC | Adp of the SNF | Organization | 10/20/2023 | |
| Kc Derby Ky Partners LLC | Adp of the SNF | Organization | 10/20/2023 | |
| Landau Family Investment Trust | Adp of the SNF | Organization | 10/20/2023 | |
| Perigrove 1034 LLC | Adp of the SNF | Organization | 10/20/2023 | |
| Bloom, David | Adp of the SNF | Individual | 10/20/2023 | |
| Butler, Leon | Adp of the SNF | Individual | 10/20/2023 | |
| Eldridge, Timothy | Adp of the SNF | Individual | 10/20/2023 | |
| Fischel, Mayer | Adp of the SNF | Individual | 10/20/2023 | |
| Fisher, Myron | Adp of the SNF | Individual | 10/20/2023 | |
| Foley, Lisa | Adp of the SNF | Individual | 10/20/2023 | |
| Fulkerson, Melinda | Adp of the SNF | Individual | 10/20/2023 | |
| Gefner, David | Adp of the SNF | Individual | 10/20/2023 | |
| Grinspan, Eli | Adp of the SNF | Individual | 10/20/2023 | |
| Grinspan, Isaac | Adp of the SNF | Individual | 10/20/2023 | |
| Hargis, Forwood | Adp of the SNF | Individual | 01/01/2024 | |
| Hatcher, Christopher | Adp of the SNF | Individual | 10/20/2023 | |
| McIntosh, Sarah | Adp of the SNF | Individual | 01/01/2022 | |
| Overbey, Beth | Adp of the SNF | Individual | 10/20/2023 | |
| Rubenstein, David | Adp of the SNF | Individual | 10/20/2023 | |
| Stone, Kelly | Adp of the SNF | Individual | 10/20/2023 | |
| Zoberman, Sarah | Adp of the SNF | Individual | 10/20/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on November 21, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.29 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Spring View Nursing & Rehabilitation Leitchfield, 0.4 mi · 1 of 5 stars · 14 citations
- Edmonson Nursing and Rehabilitation Center Brownsville, 19.4 mi · 5 of 5 stars · 3 citations
- Hardinsburg Nursing and Rehabilitation Center Hardinsburg, 22.2 mi · 3 of 5 stars · 12 citations
- Breckinridge Memorial Nursing Facility Hardinsburg, 23.3 mi · 4 of 5 stars · 7 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Grayson Nursing and Rehab Center's Medicare star rating?
- CMS rates Grayson Nursing and Rehab Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grayson Nursing and Rehab Center get at its last inspection?
- 0 health deficiencies at the standard inspection on February 18, 2026. The Kentucky average is 2.9.
- Has Grayson Nursing and Rehab Center been fined?
- Yes. CMS lists 4 fines totaling $9,090 in the last three years.
- Does Grayson Nursing and Rehab Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Grayson Nursing and Rehab Center?
- CMS lists 45 owners and managers, and links the home to Encore Health Partners. Legal business name: GRAYSON NURSING & REHABILITATION CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.