Life Care Center of Gray

791 Old Gray Station Road · Gray, TN · 37615 · 4234777146

133 certified beds For profit - Corporation Chain: Life Care Centers of America

  • Inspection results have improved across recent cycles.

Red flags

4 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

3 abuse-related citations at the actual-harm level

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

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 60
Staffing 20% 63
Federal penalties 15% 76
Trend 10% 91
Context 5% 85

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: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.263.48 min · 4.1 strong
RN hours / resident-day0.580.55–0.75
Weekend hours / resident-day2.72≈ weekday level
Nursing turnover / year35%median 45%
Fines (3-yr window)1 · $10,039

Inspection citations (16 in the current record)

  • Potential for harm · D June 20, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 12, 2024 · Resident Rights

  • Immediate jeopardy · J April 12, 2024 · found via complaint

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Corrected May 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J April 12, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J April 12, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J April 12, 2024 · found via complaint

    Honor each resident's preferences, choices, values and beliefs.

    Corrected May 12, 2024 · Quality of Life and Care

  • Potential for harm · D April 12, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 19, 2023

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

    Corrected November 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · F September 19, 2023

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

    Corrected November 3, 2023 · Nutrition and Dietary

  • Potential for harm · D September 19, 2023

    Dispose of garbage and refuse properly.

    Corrected November 3, 2023 · Nutrition and Dietary

  • Potential for harm · D September 19, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 3, 2023 · Infection Control

  • Potential for harm · D September 19, 2023 · found via complaint

    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 3, 2023 · Resident Rights

  • Potential for harm · D September 19, 2023 · found via complaint

    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 3, 2023 · Pharmacy Service

  • Potential for harm · D October 31, 2018

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected December 15, 2018 · Resident Assessment and Care Planning

  • Potential for harm · D October 31, 2018

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected December 15, 2018 · Quality of Life and Care

  • Potential for harm · E October 31, 2018

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 15, 2018 · Pharmacy Service

  • No harm found · C October 31, 2018

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected December 15, 2018 · Environmental

Federal penalties

DateTypeAmount / length
April 12, 2024Fine$10,039

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 445479 · certified since April 24, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.