nursing home in Gray, TN
Life Care Center of Gray
791 Old Gray Station Road, Gray, TN 37615 · (423) 477-7146
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Life Care Center of Gray at a glance
Life Care Center of Gray is a 133-bed for-profit nursing home in Gray, Tennessee (Washington County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Tennessee average of 3.
Residents receive about 3.4 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (September 19, 2023) found 6 health citations. The Tennessee average is 4.4.
Federal regulators fined it 1 time in the past three years, totaling $10,039.
Nursing staff turnover is 33.3% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 133
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Life Care Centers of America
- Medicare-certified since
- April 24, 2005
- Resident/family council
- Resident
- County
- Washington County
- CMS Certification Number
- 445479
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.40 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.61 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.88 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.80 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 33.3% | 48.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 25% | 43.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 104 | 47.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $10,039 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 133 | 114 | 107 | |
| Average residents per day | 56 | 84 | 86 | |
| Occupancy | 42.1% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.8% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.7% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 30.8% | 16.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.4% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.4% | 14% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.5% | 17.2% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 10.9% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.5% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 52.9% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.5% | 20% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.5% | 89.4% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.7% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 81.3% | 79.8% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.9% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 20, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 12, 2024 |
| April 12, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | J Immediate jeopardy, isolated | Corrected May 12, 2024 |
| April 12, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | J Immediate jeopardy, isolated | Corrected May 12, 2024 |
| April 12, 2024 Complaint | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Tag F0675 | J Immediate jeopardy, isolated | Corrected May 12, 2024 |
| April 12, 2024 Complaint | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 | J Immediate jeopardy, isolated | Corrected May 12, 2024 |
| April 12, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 12, 2024 |
| September 19, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 19, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 19, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 3, 2023 |
| September 19, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 19, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 19, 2023 Complaint | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 19, 2023 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected November 3, 2023 |
| September 19, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 3, 2023 |
| December 18, 2019 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 18, 2019 |
| October 31, 2018 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected December 15, 2018 |
| October 31, 2018 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected December 15, 2018 |
| October 31, 2018 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected December 15, 2018 |
| October 31, 2018 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected December 15, 2018 |
| October 31, 2018 Standard | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Tag F0646 | D Potential harm, isolated | Corrected December 15, 2018 |
| October 31, 2018 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected December 15, 2018 |
| October 31, 2018 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | C No harm, widespread | Corrected December 15, 2018 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $10,039 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 12, 2024 | Fine | $10,039 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SWANKER, RICHARD Individual | 5% or greater direct ownership interest | 25% | 07/01/2006 |
| CROSS, CINDY Individual | corporate officer | NOT APPLICABLE | 11/24/2004 |
| PRESTON, FORREST Individual | corporate officer | NOT APPLICABLE | 11/24/2004 |
| SWANKER, RICHARD Individual | corporate officer | NOT APPLICABLE | 07/01/2006 |
| THURMOND, JOAN Individual | corporate officer | NOT APPLICABLE | 11/24/2004 |
| LIFE CARE CENTERS OF AMERICA, INC. Organization | operational/managerial control | NOT APPLICABLE | 03/24/2005 |
| LEE, ASHLEY Individual | w-2 managing employee | NOT APPLICABLE | 05/11/2009 |
Other nursing homes near Life Care Center of Gray
Nhc Healthcare, Johnson City
3209 Bristol Hwy, Johnson City, TN 37601 · 4.3 mi
For-profit · 167 beds · Part of National Healthcare Corporation
★★★★★5Much above averageGreystone Health Care Center
181 Dunlap Road, Blountville, TN 37617 · 5.2 mi
For-profit · 160 beds · Part of Prestige Administrative Services
★★★★★1Much below averageThe Waters of Johnson City, LLC
140 Technology Lane, Johnson City, TN 37604 · 5.3 mi
For-profit · 84 beds · Part of Infinity Healthcare Consulting
★★★★★2Below averagePrinceton Transitional Care & Assisted Living
401 Princeton Road, Johnson City, TN 37601 · 5.3 mi
For-profit · 47 beds · Part of Signature Healthcare
- CMS high performer
★★★★★5Much above averageAgape Rehabilitation & Nursing Center, A Waters Cm
505 N Roan Street, Johnson City, TN 37604 · 5.7 mi
For-profit · 84 beds · Part of Infinity Healthcare Consulting
★★★★★4Above averageAbundant Christian Living Community Rehabilitation
2012 Sherwood Drive, Johnson City, TN 37601 · 5.8 mi
For-profit · 103 beds
★★★★★5Much above average
Frequently asked questions
What is Life Care Center of Gray's rating?
Life Care Center of Gray has 1 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Life Care Center of Gray receive?
Its most recent standard health inspection found 6 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Life Care Center of Gray accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Life Care Center of Gray?
It is for profit - corporation and part of Life Care Centers of America. The ownership section on this page lists the owners and managers reported to CMS.
Where is Life Care Center of Gray and how do I contact it?
Life Care Center of Gray is at 791 Old Gray Station Road, Gray, TN 37615. Phone: (423) 477-7146.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.