CCN 185177 · Grayson County, Kentucky
Grayson Nursing and Rehab Center
505 William Thomason Byway, Leitchfield, KY 42754
Grayson Nursing and Rehab Center is a 72-bed for-profit nursing home in Leitchfield, Kentucky, first certified for Medicare or Medicaid in 1985. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 70.1 residents a day, about 97% of its certified beds. It has an active FHA-insured Section 232 loan: $11.8 million originally, at 5.79%, with $11.7 million outstanding as of September 30, 2026 and maturity in July 2061.
Facility facts
- Certified beds
- 72
- Average residents per day
- 70.1 (97.4% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Grayson Nursing & Rehabilitation Center LLC
- Certified since
- Apr 19, 1985
- Chain or affiliated group
- Encore Health Partners (12 facilities, chain average 3.6 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Kentucky median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 59 at 1, 45 at 2, 55 at 3, 55 at 4, 52 at 5 | |
| Health inspections | 5 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.95 | 3.75 | 3.68 |
| RN hours per resident per day | 0.57 | 0.67 | 0.58 |
| Weekend nurse hours per resident per day | 3.29 | ||
| Nursing staff turnover | 37.1% | 45.0% | 44.9% |
| Occupancy (residents / beds) | 97.4% | 90.3% | 85.7% |
| Fines reported by CMS | 4 totaling $9,090 | ||
| Health deficiencies, latest standard survey | 0 (Feb 18, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Grayson Nursing and Rehab Center meets that part today: 5 stars overall, 5 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Encore Parent Holdings LLCOrganization | Direct Ownership Interest | 100% | 10/20/2023 |
| Encore Investors 2 LLCOrganization | Indirect Ownership Interest | n/a | 10/20/2023 |
| Grinspan, EliIndividual | Indirect Ownership Interest | n/a | 10/20/2023 |
| 505 William Thomason Byway Realty LLCOrganization | Mortgage Interest | n/a | 10/20/2023 |
| Cbre Capital Markets IncOrganization | Mortgage Interest | n/a | 10/20/2023 |
| Encore Health Partners 2 LLCOrganization | Operational / Managerial Control | n/a | 10/20/2023 |
| Fischel, MayerIndividual | Operational / Managerial Control | n/a | 10/20/2023 |
| Fulkerson, MelindaIndividual | Operational / Managerial Control | n/a | 10/20/2023 |
| Grinspan, EliIndividual | Operational / Managerial Control | n/a | 10/20/2023 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: 505 William Thomason Byway Realty LLC, Cbre Capital Markets Inc.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Oct 20, 2023 | Grayson Nursing & Rehabilitation Center LLC | Grayson Housing Incorporated |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 23, 2026 | 223(f) refinance or purchaseHUD project name: Grayson Nursing and Rehabilitation Center, 72 beds. Lender at endorsement: Dwight Capital LLC | $11,764,600 | Active: 5.79%, $11,747,227 balanceMatures Jul 1, 2061. Servicer: Dwight Capital LLC | 08322160 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.