791 Old Gray Station Road, Gray, TN 37615 (opens Google Maps) · Washington County · (423) 477-7146· 133 certified beds · avg 56 residents/day · certified since Apr 24, 2005 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Apr 12, 2024 · F-0603 · triggered by a complaint
The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment.
Why it matters: Forced isolation is emotionally harmful and can hide neglect or abuse from view.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 12, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Apr 12, 2024 · F-0609 · triggered by a complaint
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 12, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Apr 12, 2024 · F-0610 · triggered by a complaint
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 12, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Apr 12, 2024 · F-0675 · triggered by a complaint
The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care.
Why it matters: Ignoring who a resident is as a person diminishes their dignity and quality of life.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 12, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint F-0550
The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint F-0603
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint F-0609
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Apr 12, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint · F-0603 |
| Apr 12, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Apr 12, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Apr 12, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · from a complaint · F-0675 |
| Apr 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Sep 19, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Sep 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Sep 19, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Sep 19, 2023 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0758 |
| Sep 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Sep 19, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Oct 31, 2018 | E · Potential for more than minimal harm, pattern | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Oct 31, 2018 | D · Potential for more than minimal harm, isolated | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. · F-0646 |
| Oct 31, 2018 | D · Potential for more than minimal harm, isolated | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · F-0744 |
| Oct 31, 2018 | C · Potential for minimal harm, widespread | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 0 | E |
| 2023 | 6 | 0 | F |
| 2024 | 6 | 4 | J ▲ |
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.
How to file a complaint about care →
1 fine totaling $10,039.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Apr 12, 2024 | Fine | $10,039 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.87 | 3.62 | 3.95 | top 26% in Tennessee; top 45% in the U.S. |
| Registered Nurse hours | 0.70 | 0.57 | 0.69 | top 23% in Tennessee; top 37% in the U.S. |
| Weekend total nurse staffing | 3.19 | 3.15 | 3.50 | top 38% in Tennessee; bottom 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.39 | 0.48 | bottom 31% in Tennessee; bottom 25% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 48.9 | 45.8 | top 11% in Tennessee; top 20% in the U.S. |
| RN turnover (%) | 25.0 | 43.2 | 42.9 | top 18% in Tennessee; top 20% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.40, RN 0.61, weekend 2.80.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.40 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Life Care Center of Gray. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Swanker, Richard | Individual | 5% or Greater Direct Ownership Interest | 25% | 07/01/2006 |
| Cross, Cindy | Individual | Corporate Officer | NOT APPLICABLE | 11/24/2004 |
| Lee, Ashley | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/11/2009 |
| Life Care Centers of America, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/24/2005 |
| 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 |
All 7 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Life Care Centers of America — 194 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 193 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| NHC Healthcare, Johnson City | 4.3 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Greystone Health Care Center | 5.2 mi | Blountville, TN | ★☆☆☆☆ | 1/5 | |
| Princeton Transitional Care & Assisted Living | 5.3 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| The Waters of Johnson City, LLC | 5.3 mi | Johnson City, TN | ★★☆☆☆ | 3/5 | |
| Agape Rehabilitation & Nursing Center, a Waters CM | 5.7 mi | Johnson City, TN | ★★★★☆ | 4/5 | |
| Abundant Christian Living Community Rehabilitation | 5.8 mi | Johnson City, TN | ★★★★★ | 5/5 | |
| Lakebridge, a Waters Community, LLC | 7.1 mi | Johnson City, TN | ★★★☆☆ | 4/5 | |
| Four Oaks Health Care Center | 8.4 mi | Jonesborough, TN | ★★★★☆ | 4/5 | |
| Holston Rehabilitation and Care Center | 9.6 mi | Kingsport, TN | ★☆☆☆☆ | 2/5 | |
| NHC Healthcare, Kingsport | 11.0 mi | Kingsport, TN | ★★★★★ | 4/5 | |
| Wexford House | 11.0 mi | Kingsport, TN | ★☆☆☆☆ | 2/5 | |
| Waters of Bristol a Rehabilitation and Nursing | 11.5 mi | Blountville, TN | ★★★★☆ | 5/5 |
Facility data as of CMS processing date 2026-08-01. CCN 445479.
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