facebook tracking Life Care Center of Gray, Gray TN: CMS Ratings & Inspections
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Life Care Center of Gray

All states › Tennessee › Gray › Life Care Center of Gray

791 Old Gray Station Road Gray, TN 37615 · Washington County

(423) 477-7146

Accepts Medicare Accepts Medicaid 133 certified beds For profit

CMS certification number 445479 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Life Care Center of Gray a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Life Care Center of Gray as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Tennessee average of 3.1. Inspectors issued 16 citations in the last three years. CMS imposed 1 penalty, including $10,039 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.11 hours per resident per day at Life Care Center of Gray, below the Tennessee median of 3.66 (US median: 3.72). About 0.65 of those hours are from registered nurses. On weekends it falls to 2.58 hours, 17% below its all-week average. Ask how weekends are staffed. 38.6% of nursing staff left within a year (Tennessee median 48.7%). That is lower than most homes in Tennessee, a sign of a steadier team.

Nursing care per resident per day 3.11 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.65 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.58 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 38.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 37.5% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds133
Residents per day 60 About 45% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceApril 2005
Part of a chainLife Care Centers of America
Legal business nameGRAY MEDICAL INVESTORS, LLC

Paying for care at Life Care Center of Gray: Medicare and Medicaid

Life Care Center of Gray is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 19, 2023 and found 6 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 16 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 16 citations at Life Care Center of Gray across 4 inspection dates, 6 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 12, 2024 (complaint inspection). The most common areas cited were freedom from abuse, neglect, and exploitation (3) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "protect each resident from separation (from other residents, his/her room, or confinement to his/her room)" (tag F0603, level J, April 12, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.

June 20, 2024 · 1 citation · includes complaint inspection

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Jul 12, 2024)

April 12, 2024 · 5 citations, includes immediate jeopardy · includes complaint inspection

JProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 · Complaint inspection · Deficient, Provider has date of correction (May 12, 2024)

JTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (May 12, 2024)

JRespond appropriately to all alleged violations.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (May 12, 2024)

JHonor each resident's preferences, choices, values and beliefs.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0675 · Complaint inspection · Deficient, Provider has date of correction (May 12, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (May 12, 2024)

September 19, 2023 · 6 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 3, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Nov 3, 2023)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Nov 3, 2023)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Nov 3, 2023)

DDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Nov 3, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 3, 2023)

October 31, 2018 · 4 citations

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Dec 15, 2018)

DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0646 · Deficient, Provider has date of correction (Dec 15, 2018)

DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0744 · Deficient, Provider has date of correction (Dec 15, 2018)

CMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Dec 15, 2018)

Questions to ask on a tour of Life Care Center of Gray

  1. Inspectors cited the home at the immediate-jeopardy level on April 12, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on April 12, 2024. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
  4. The home averages about 45% of its beds filled. Are any units closed?
  5. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $10,039 in fines.

DateTypeAmount or length
Apr 12, 2024 Fine $10,039

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 1/5 3/5 5/5
August 2026 1/5 1/5 4/5 4/5
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Location

Hospitals near Life Care Center of Gray

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

NHC Healthcare, Johnson City Johnson City · 4.3 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 167 beds · Medicaid
Greystone Health Care Center Blountville · 5.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 160 beds · Medicaid
The Waters of Johnson City Johnson City · 5.3 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 84 beds · Medicaid
Princeton Transitional Care & Assisted Living Johnson City · 5.3 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 47 beds
Agape Rehabilitation & Nursing Center, a Waters Johnson City · 5.7 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 84 beds · Medicaid

More nursing homes near Life Care Center of Gray ›   All nursing homes in Gray ›

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Other Life Care Centers of America nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 194 Life Care Centers of America nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/tennessee/gray/life-care-center-of-gray/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.