Life Care Center Of Gray
Gray, Washington County, Tennessee · CCN 445479 · For-profit (Corporation) · part of Life Care Centers Of America (194 facilities, chain average 3.4 stars)
CMS rates Life Care Center Of Gray 1 of 5 overall as of August 2026. 133 certified beds, 56 residents a day on average. 16 citations on record from the current inspection cycles, 4 at immediate jeopardy; 1 fine totalling $10,039.
On record
- No health inspection in more than two years, by CMS’s own flag.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 3 / 4 of 5 |
Staffing
| Total nurse staffing | 3.40393 hours per resident per day |
|---|---|
| Registered nurses | 0.6109 hours per resident per day |
| Weekend total | 2.8023 hours per resident per day |
| Nursing staff turnover | 33.3% (registered nurses 25%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2024-06-20 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-12 |
| 2024-04-12 complaint survey |
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0603 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2024-04-12 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2024-04-12 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2024-04-12 complaint survey |
Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · tag F0675 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2024-04-12 complaint survey |
Develop 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 Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-12 |
| 2023-09-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-11-03 |
| 2023-09-19 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
| 2023-09-19 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
| 2023-09-19 complaint survey |
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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
| 2023-09-19 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
| 2023-09-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
| 2018-10-31 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2018-12-15 |
| 2018-10-31 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · tag F0646 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-15 |
| 2018-10-31 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · tag F0744 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2018-12-15 |
| 2018-10-31 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2018-12-15 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-12 | Fine | $10,039 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Life Care Centers Of America, Inc. Organization | operational/managerial control | — | 2005-03-24 |
| Swanker, Richard Individual | 5% or greater direct ownership interest | 25% | 2006-07-01 |
| Cross, Cindy Individual | corporate officer | — | 2004-11-24 |
| Preston, Forrest Individual | corporate officer | — | 2004-11-24 |
| Swanker, Richard Individual | corporate officer | — | 2006-07-01 |
| Thurmond, Joan Individual | corporate officer | — | 2004-11-24 |
| Lee, Ashley Individual | w-2 managing employee | — | 2009-05-11 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Life Care Center Of Gray.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Washington County.