Life Care Center of Gray
791 Old Gray Station Road, Gray, TN 37615
Life Care Center of Gray is a nursing home in Gray, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionSeptember 19, 2023 (3 years ago)
- Health citations since October 31, 201816 (Tennessee average 14)
- Fines in the past three years1, $10,039 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of November 20, 2025
Staffing
Total nurse staffing reported to CMS went from 3.5 to 3.1 hours per resident per day.
CMS update of May 28, 2025
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of December 20, 2024
Fine
CMS changed the fine from April 12, 2024 from $15,445 to $10,039.
CMS update of September 26, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on June 20, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 12, 2024.
Health inspection on April 12, 2024
5 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
33 of 303 Tennessee homes (11%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $10,039 on April 12, 2024.
Show the 5 citations
Citation F0603. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
CMS lists it as corrected on May 12, 2024.
Citation F0609. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on May 12, 2024.
Citation F0610. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on May 12, 2024.
Citation F0675. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Honor each resident's preferences, choices, values and beliefs.
CMS lists it as corrected on May 12, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 12, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on September 19, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 3, 2023.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 3, 2023.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on November 3, 2023.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 3, 2023.
Citation F0814. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on November 3, 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on November 3, 2023.
Fire safety inspection on September 19, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on November 3, 2023.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on November 3, 2023.
Fire safety inspection on December 18, 2019
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on December 18, 2019.
Health inspection on October 31, 2018
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0759. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on December 15, 2018.
Citation F0646. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
CMS lists it as corrected on December 15, 2018.
Citation F0744. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS lists it as corrected on December 15, 2018.
Citation F0921. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on December 15, 2018.
Fire safety inspection on October 31, 2018
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on December 15, 2018.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on December 15, 2018.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 15, 2018.
CMS star ratings
- 2 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (423) 477-7146
- Last standard health inspection
- September 19, 2023 (3 years ago)
- Certified beds
- 133
- Residents per day, on average
- 60
- Ownership type
- For profit - Corporation
- Legal business name
- Gray Medical Investors, LLC
- Chain
- Life Care Centers of America
- Takes part in
- Medicare and Medicaid
More health citations than the Tennessee average (16 vs 14).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SWANKER, RICHARD5% or greater direct ownership interest · 25% · since 07/01/2006
- LIFE CARE CENTERS OF AMERICA, INC.Operational/managerial control · not applicable · since 03/24/2005
Questions
When was Life Care Center of Gray last inspected?
CMS lists September 19, 2023 as the date of its most recent standard health inspection.
How many citations (violations) does Life Care Center of Gray have?
CMS lists 16 health citations since October 31, 2018. CMS also calls these deficiencies.
Has Life Care Center of Gray been fined?
CMS lists 1 fine in the past three years, $10,039 in total.
What is the CMS star rating of Life Care Center of Gray?
Its CMS overall star rating is 2 of 5.
Is Life Care Center of Gray a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.