Greystone Health Care Center

181 Dunlap Road · Blountville, TN · 37617 · 4233237112

160 certified beds For profit - Limited Liability company Chain: Prestige Administrative Services

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 84
Staffing 20% 76
Federal penalties 15% 74
Trend 10% 29
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.373.48 min · 4.1 strong
RN hours / resident-day0.660.55–0.75
Weekend hours / resident-day3.94≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)1 · $15,041

Inspection citations (25 in the current record)

  • Potential for harm · D May 14, 2025 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected May 21, 2025 · Resident Rights

  • Potential for harm · D April 7, 2025 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected May 21, 2025 · Resident Rights

  • Potential for harm · D April 7, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 2, 2025 · Infection Control

  • Potential for harm · D October 30, 2024

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected November 29, 2024 · Resident Rights

  • Potential for harm · E October 30, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected November 29, 2024 · Resident Rights

  • Potential for harm · D October 30, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected November 29, 2024 · Resident Rights

  • Potential for harm · D October 30, 2024

    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.

    Corrected November 29, 2024 · Resident Rights

  • Potential for harm · D October 30, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected November 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 30, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 29, 2024 · Quality of Life and Care

  • Potential for harm · F October 30, 2024

    Post nurse staffing information every day.

    Corrected November 29, 2024 · Nursing and Physician Services

  • Potential for harm · D October 30, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 29, 2024 · Pharmacy Service

  • Potential for harm · D October 30, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected November 29, 2024 · Pharmacy Service

  • Potential for harm · F October 30, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 29, 2024 · Nutrition and Dietary

  • Potential for harm · E October 30, 2024

    Dispose of garbage and refuse properly.

    Corrected November 29, 2024 · Nutrition and Dietary

  • Potential for harm · D October 30, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 30, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 29, 2024 · Infection Control

  • Potential for harm · D October 30, 2024

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected November 29, 2024 · Environmental

  • Actual harm · G July 31, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 24, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 31, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 24, 2024 · Quality of Life and Care

  • Potential for harm · D October 13, 2021

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 15, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D October 8, 2019

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected November 22, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D October 8, 2019

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected November 22, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D October 8, 2019

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 22, 2019 · Quality of Life and Care

  • Potential for harm · D October 8, 2019

    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.

    Corrected November 22, 2019 · Pharmacy Service

  • Potential for harm · D October 8, 2019

    Provide and implement an infection prevention and control program.

    Corrected November 22, 2019 · Infection Control

Federal penalties

DateTypeAmount / length
July 31, 2024Fine$15,041

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445242 · certified since December 14, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.