Tennessee › Washington County › Gray
Life Care Center of Gray
791 Old Gray Station Road, Gray, TN 37615
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Life Care Center of Gray, in Gray, Tennessee, is certified for 133 beds under for-profit, corporation ownership and belongs to the Life Care Centers Of America chain.
CMS gives it 1 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (6, 0, 10 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 12.0 per 100 beds, about the same as the state median of 12.2.
CMS lists 1 penalty in the period covered: fines totalling $10K.
Reported nurse staffing is 3.4 hours per resident per day (0.6 RN), close to the Tennessee median of 3.6; nursing staff turnover is 33.3%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Washington Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 7 | 13 | 28.7 |
| Citations per 100 beds | 12.0 | 8.3 | 12.2 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 33.3% | 52.2% | 50.0% | 45.8% |
| Fines listed | $10,039 | $0 | $0 | — |
County and state figures are medians across facilities (8 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Sep 2023, 18 Dec 2019.
Severity mix: J ×4 D ×9 E ×1 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 12 Jul 2024 |
| 12 Apr 2024 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | J | Complaint investigation | 12 May 2024 |
| 12 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 12 May 2024 |
| 12 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 12 May 2024 |
| 12 Apr 2024 | F0675 | Honor each resident's preferences, choices, values and beliefs. | J | Complaint investigation | 12 May 2024 |
| 12 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 12 May 2024 |
| 19 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Nov 2023 |
| 19 Sep 2023 | F0584 | 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. | D | Complaint investigation | 3 Nov 2023 |
| 19 Sep 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 3 Nov 2023 |
| 19 Sep 2023 | F0758 | 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. | D | Complaint investigation | 3 Nov 2023 |
| 19 Sep 2023 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 3 Nov 2023 |
| 19 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Nov 2023 |
| 31 Oct 2018 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 15 Dec 2018 |
| 31 Oct 2018 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 15 Dec 2018 |
| 31 Oct 2018 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 15 Dec 2018 |
| 31 Oct 2018 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | C | Standard survey | 15 Dec 2018 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Apr 2024 | Fine | $10,039 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 33.3%, RNs 25.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.4% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.4% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.5% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.8% | 15.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Gray Medical Investors, Llc. Chain: Life Care Centers Of America (194 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Life Care Centers of America, Inc. | Operational/managerial control | NOT APPLICABLE | 03/24/2005 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Washington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Abundant Christian Living Community Rehabilitation | Johnson City | 103 | 5 | 5 | 2 | 6 | 5.8 | — | 9 Jul 2024 |
| Nhc Healthcare, Johnson City | Johnson City | 167 | 5 | 5 | 3 | 1 | 0.6 | — | 11 May 2022 |
| Princeton Transitional Care & Assisted Living | Johnson City | 47 | 5 | 5 | 4 | 3 | 6.4 | — | 13 May 2026 |
| Agape Rehabilitation & Nursing Center, A Waters Cm | Johnson City | 84 | 4 | 4 | 1 | 7 | 8.3 | — | 19 May 2026 |
| Four Oaks Health Care Center | Jonesborough | 84 | 4 | 4 | 1 | 10 | 11.9 | — | 3 Dec 2025 |
| Lakebridge, A Waters Community, LLC | Johnson City | 109 | 3 | 4 | 1 | 7 | 6.4 | — | 25 Jul 2023 |
| The Waters of Johnson City, LLC | Johnson City | 84 | 2 | 3 | 1 | 12 | 14.3 | — | 25 Feb 2025 |
All 8 facilities in Washington County
Questions and answers
How many deficiencies has Life Care Center of Gray been cited for?
16 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has Life Care Center of Gray been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at Life Care Center of Gray compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates Life Care Center of Gray?
It is part of the Life Care Centers Of America chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Life Care Centers of America, Inc.. Individual owners and managers are not listed on this site.
When was Life Care Center of Gray last inspected?
The most recent survey or investigation in the CMS record is dated 20 Jun 2024; the most recent standard health survey was 19 Sep 2023.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.