Nursing homeActive
Life Care Center Of Gray
791 Old Gray Station Road, Gray, TN 376154234777146133 certified beds · 56 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2018
Deficiencies
16
● 1● 11● 4
Penalties · 3 yrs
$10,039
1 fine
Last survey
2024-06-20
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Tennessee Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-06-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-12 | Complaint | 014 | CMS-2567 (Care Compare) | — |
| 2023-09-19 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2019-12-18 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2018-10-31 | Standard | 130 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 445479-20240620-F550
F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-12Record 445479-20240412-F603
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-12Record 445479-20240412-F609
F610Respond appropriately to all alleged violations.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-12Record 445479-20240412-F610
F675Honor each resident's preferences, choices, values and beliefs.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-12Record 445479-20240412-F675
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-12Record 445479-20240412-F656
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 445479-20230919-F584
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 445479-20230919-F644
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 445479-20230919-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 445479-20230919-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 445479-20230919-F814
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 445479-20230919-F880
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-15Record 445479-20181031-F646
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-12-15Record 445479-20181031-F744
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2018-12-15Record 445479-20181031-F759
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2018-12-15Record 445479-20181031-F921
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-04-12 | Civil money penalty | $10,039 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.61
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day3.40
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours2.80
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover33%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover25%
Facility
Tennessee
National
Tennessee 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Tennessee | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.7% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 30.8% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.4% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 17.4% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 10.9% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 52.9% | 31.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Swanker, Richard Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | — | — |
| Life Care Centers Of America, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cross, Cindy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lee, Ashley Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Swanker, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Thurmond, Joan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Life Care Centers Of America — 194 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.
No county cost figures on file for Washington.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Nhc Healthcare, Johnson City Johnson City | 4.3 mi | 2026-01-07 | 000 |
| Greystone Health Care Center Blountville | 5.2 mi | 2025-05-14 | 0181 |
| The Waters Of Johnson City, LLC Johnson City | 5.3 mi | 2025-02-25 | 0100 |
| Princeton Transitional Care & Assisted Living Johnson City | 5.3 mi | 2026-05-13 | 030 |
| Agape Rehabilitation & Nursing Center, A Waters Cm Johnson City | 5.7 mi | 2026-05-19 | 070 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |