Nursing HomeInspections

Life Care Center of Gray

Nursing home in Gray, TN

Medicare & Medicaid certified1★ overall (CMS)

Call (423) 477-7146Send a messageMap ↗

Public-record details

Address
791 Old Gray Station Road, Gray, TN 37615
Phone
(423) 477-7146
Listed under
For-profit
Medicare CCN
445479
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
133
Average residents per day
56
Ownership
For-profit, corporation
Legal business name
Gray Medical Investors, LLC
Chain
Life Care Centers of America (194 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 24, 2005
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 445479. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 19, 2023. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 31, 2018 to Jun 20, 2024): 8 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 20, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 12, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 12, 2024Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Apr 12, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Apr 12, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Apr 12, 2024Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Sep 19, 2023Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 19, 2023Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 19, 2023Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 19, 2023Dispose of garbage and refuse properly.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Sep 19, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 19, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 16. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,039 in the last three years.

Apr 12, 2024Fine: $10,039

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.40 hours
Registered nurse (RN) time per resident per day
0.61 hours
Nurse aide time per resident per day
1.88 hours
Total nurse staffing on weekends
2.80 hours
Nursing staff turnover (yearly)
33%
RN turnover (yearly)
25%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.