Greystone Health Care Center
181 Dunlap Road, Blountville, TN 37617 · Sullivan County · 160 certified beds · avg 108 residents/day · certified since Dec 14, 1989
Part of chain: PRESTIGE ADMINISTRATIVE SERVICES (9 facilities, chain avg rating 2.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 31, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 24, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 14, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Apr 7, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Apr 7, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Oct 30, 2024 | F · Potential for harm, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Oct 30, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 30, 2024 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Oct 30, 2024 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Oct 30, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Jul 31, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 31, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 13, 2021 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 8, 2019 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Oct 8, 2019 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Oct 8, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 8, 2019 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Oct 8, 2019 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 5 | 0 | D |
| 2021 | 1 | 0 | D |
| 2024 | 16 | 1 | G ▲ |
| 2025 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $15,041.
| Date | Type | Amount / length |
|---|---|---|
| Jul 31, 2024 | Fine | $15,041 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.55 | 3.62 | 3.95 | top 44% in Tennessee; bottom 39% in the U.S. |
| Registered Nurse hours | 0.54 | 0.57 | 0.69 | top 43% in Tennessee; bottom 44% in the U.S. |
| Weekend total nurse staffing | 3.14 | 3.15 | 3.50 | top 40% in Tennessee; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.39 | 0.48 | top 32% in Tennessee; top 42% in the U.S. |
| Total nursing staff turnover (%) | 54.6 | 48.9 | 45.8 | bottom 33% in Tennessee; bottom 26% in the U.S. |
| RN turnover (%) | 61.1 | 43.2 | 42.9 | bottom 19% in Tennessee; bottom 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.17, RN 0.64, weekend 3.69. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| B&y Healthcare S Corp | Organization | 5% or Greater Direct Ownership Interest | 50% | 12/31/2019 |
| B&y Trust | Organization | 5% or Greater Indirect Ownership Interest | 50% | 12/31/2019 |
| Cody Healthcare S Corp | Organization | 5% or Greater Direct Ownership Interest | 50% | 12/31/2019 |
| Craig Flashner 2007 Trust | Organization | 5% or Greater Indirect Ownership Interest | 50% | 12/31/2019 |
| Flashner, Craig | Individual | Corporate Director | NOT APPLICABLE | 12/31/2019 |
| Flashner, Craig | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2019 |
| Kirk, Kristine | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/18/2011 |
| Norcross, Robert | Individual | Contracted Managing Employee | NOT APPLICABLE | 02/01/2007 |
| Northpoint Regional LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2007 |
| Perlstein, Yitzchok | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2019 |
| Prestige Administrative Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Rogers, Stacey | Individual | Contracted Managing Employee | NOT APPLICABLE | 10/30/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can I see where garbage is stored and how often it's removed?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Life Care Center of Gray | 5.2 mi | Gray, TN | ★☆☆☆☆ | 1/5 | |
| Holston Rehabilitation and Care Center | 6.2 mi | Kingsport, TN | ★☆☆☆☆ | 2/5 | |
| Wexford House | 7.3 mi | Kingsport, TN | ★☆☆☆☆ | 2/5 | |
| NHC Healthcare, Kingsport | 7.4 mi | Kingsport, TN | ★★★★★ | 4/5 | |
| Waters of Bristol a Rehabilitation and Nursing | 7.6 mi | Blountville, TN | ★★★★☆ | 5/5 | |
| NHC Healthcare, Johnson City | 8.0 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Orchardview Post-Acute and Rehabilitation Center | 8.9 mi | Kingsport, TN | ★★☆☆☆ | 2/5 | |
| Princeton Transitional Care & Assisted Living | 9.1 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Agape Rehabilitation & Nursing Center, a Waters CM | 9.7 mi | Johnson City, TN | ★★★★☆ | 4/5 | |
| Abundant Christian Living Community Rehabilitation | 9.8 mi | Johnson City, TN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445242.