Greystone Healthcare Center

Assisted Living in USA

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Greystone Healthcare Center

Assisted Living in USA

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Greystone Healthcare Center accepts Medicare, Medicaid, and private pay.

Overview of Greystone Healthcare Center

Greystone Healthcare Center is a leading provider of long-term skilled nursing care and short-term rehabilitation solutions. The center offers a full continuum of services and care focused around each individual in today’s ever-changing healthcare environment. Their mission is to restore health, improve daily functioning, increase independence, and provide comfort.
(423) 323-7112

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 0m per day
Rank #114 / 134Nurse hours — state benchmarkedThis home is ranked 114th out of 134 homes in Tennessee.Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 134 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg

4 of 6 metrics below state avg

Standout metric LPN / LVN is +11% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 34m per day ▼ 8% State avg: 37m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 12m per day ▲ 11% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 23m per day ▲ 11% State avg: 2h 9m per day · National avg: 2h 20m per day
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 11m per day ▼ 5% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day ▼ 40% State avg: 5m per day · National avg: 4m per day
RN (Weekend) Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 23m per day ▼ 4% State avg: 24m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
115 days

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Breakdown by payment type

Medicare

20% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

22% of new residents, often for short stays.

Typical stay 3 months

Medicaid

58% of new residents, often for long-term daily care.

Typical stay 4 - 5 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$17.1M
Profit
$746.3K
Privately-owned community Operated by a business corporation.
Home revenue
$17.1M Rank #43 / 139Revenue — state benchmarkedThis home is ranked 43rd out of 139 homes in Tennessee.Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$746.3K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #78 / 139Payroll — state benchmarkedThis home is ranked 78th out of 139 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$4.3M
25.4% of revenue Rank #133 / 139Payroll % — state benchmarkedThis home is ranked 133rd out of 139 homes in Tennessee.Shows payroll as a percentage of revenue versus the Tennessee average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$12.0M
Total costs $16.3M
Bed community size
24-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy

Occupancy rate
75%
Rank #119 / 139Occupancy rate — state benchmarkedThis home is ranked 119th out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Similar to the Tennessee average: 71.6%
Occupied beds
18 / 24
Average residents 82 per day

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
CountyWashington
License Number00000263
CMS Certification Number445242

Ownership & Operating Entity

Greystone Healthcare Center is administrated by Mark Defluiter.

Owner NameBlounts Operator LLC

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

3 services
Doctor on Staff
Licensed Nurses/CNAs
24-Hour Staffing

Additional Services

1 service
Skilled Nursing Care

Additional Policies & Features

Admission CriteriaYou will need a photo ID, Social Security card, Medicare card, and if applicable: insurance card, Medicaid card, and Advanced Directives (living will, power of attorney).

Amenities & Lifestyle

900 Square-Foot Rehabilitation / Therapy Center
On-Site Medical Director
On-Site Podiatrist
On-Site Dentist
On-Site Salon / Spa Services
On-Site Religious Services
State-Of-The-Art Therapy Equipment
Pet Therapy
Wifi Accessibility
Fine Dining With Gourmet Menus
Warmly Decorated Private And Semi-Private Rooms
In-Room Free Cable Service
Private Phones
Tranquil Courtyard
Outdoor Patio
Comfortable Family / Resident Lounge
Specific Programs24-hour Skilled Nursing Care, Short & Long Term Care, Physical Therapy, Respiratory Therapy, Occupational Therapy, Wound Care Therapies, Tracheostomy Care, Hospice Support Services, IV Medication Therapy, Laryngectomy Stoma Care, Ventilator Care and Weaning, Nutritional Management Service
Religious ServicesYes

Contact Greystone Healthcare Center

Residents information

Stay stats

Average length of stay
146 days
Total residents
34
Total admissions (2024)
21
Total discharges (2024)
14

Discharges

  • To hospital 1
  • To Private Residence or Home 6

Demographics

GENDER

  • Female Residents 61.8%
  • Male Residents 38.2%

AGE DISTRIBUTION

  • 70-74 5.9%
  • 80-84 20.6%
  • 85-89 17.6%
  • 90 or more 55.9%

ETHNICITY

  • White Residents 97.1%
  • Total Other Race Residents 2.9%

Access & Eligibility

Ways to qualify for care at this community, including accepted programs.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Inspection History

In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.

The data displayed corresponds to the last 3 years.

Tennessee average: 9 complaint visits

Latest inspection

Date October 13, 2021

Health Inspection History

Inspections
Total health inspections 7

State average N/A


Last Health inspection on May 2025

Total health citations
26 Rank #122 / 138Health citations — state benchmarkedThis home is ranked 122nd out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.

State average N/A

Citations per inspection
3.71 Rank #47 / 138Citations per inspection — state benchmarkedThis home is ranked 47th out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

20 of 26 citations resulted from standard inspections; and 6 of 26 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0
In line with State average

State average: N/A


Serious Health citations More info 2
In line with State average

State average: N/A

0 critical citations More info State average: N/A

2 serious citations More info State average: N/A

24 moderate citations More info State average: N/A

0 minor citations More info State average: N/A
Citations history (last 3 years)
Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. May 14, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Apr 07, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Apr 07, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Oct 30, 2024
Corrected

Places of interest near Greystone Healthcare Center

Address 0.0 miles from city center Info Estimated distance in miles from Blountville's city center to Greystone Healthcare Center's address, calculated via Google Maps.

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 153
Employees 136
Contractors 17
Staff to resident ratio 1.61:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 56
Average shift 9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 45,949
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 30
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 60
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

8.9%

4,097 contractor hours this quarter

Physical Therapy Aide: 4 Speech Language Pathologist: 3 Occupational Therapy Assistant: 3 Qualified Social Worker: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Occupational Therapy Aide: 1
Staff by category
Certified Nursing Assistant6006019,75091100%9.5
Licensed Practical Nurse300308,78191100%9.9
Qualified Activities Professional120123,95291100%9.3
Registered Nurse110113,26591100%10.5
Speech Language Pathologist0331,3958492%6.7
Clinical Nurse Specialist8081,2257077%5.8
RN Director of Nursing3031,2256470%8.9
Physical Therapy Aide0441,1688796%7.8
Other Dietary Services Staff2028496369%8.5
Nurse Practitioner2026886571%8
Administrator2025206571%8
Dietitian1015126268%8.3
Mental Health Service Worker1014936167%8.1
Respiratory Therapy Technician0224777380%6.5
Dental Services Staff1014736470%7.4
Qualified Social Worker0224496571%6.5
Physical Therapy Assistant0222935560%5.3
Occupational Therapy Aide1122343336%7.1
Medical Director2021022022%5.1
Occupational Therapy Assistant033991415%6.2
60 Certified Nursing Assistant
% of Days 100%
30 Licensed Practical Nurse
% of Days 100%
12 Qualified Activities Professional
% of Days 100%
11 Registered Nurse
% of Days 100%
3 Speech Language Pathologist
% of Days 92%
8 Clinical Nurse Specialist
% of Days 77%
3 RN Director of Nursing
% of Days 70%
4 Physical Therapy Aide
% of Days 96%
2 Other Dietary Services Staff
% of Days 69%
2 Nurse Practitioner
% of Days 71%
2 Administrator
% of Days 71%
1 Dietitian
% of Days 68%
1 Mental Health Service Worker
% of Days 67%
2 Respiratory Therapy Technician
% of Days 80%
1 Dental Services Staff
% of Days 70%
2 Qualified Social Worker
% of Days 71%
2 Physical Therapy Assistant
% of Days 60%
2 Occupational Therapy Aide
% of Days 36%
2 Medical Director
% of Days 22%
3 Occupational Therapy Assistant
% of Days 15%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 95
Medicare
2
2.1% of residents
Medicaid
60
63.2% of residents
Private pay or other
33
34.7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.6
20% worse than State average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.6
6% worse than State average

State average: 19.5

Long-stay resident measures
Above average State avg: 3.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.6%
22% better than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.1%
16% worse than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.2%
16% worse than State average

State average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.4%
20% worse than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.5%
93% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.8%
14% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.3%
64% worse than State average

State average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
93% better than State average

State average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.8%
32% worse than State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.7%
9% better than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
In line with State average

State average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.51
In line with State average

State average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.75
52% better than State average

State average: 1.57

Short-stay resident measures
Significantly below average State avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.6%
In line with State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.0%
20% worse than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 76.4%
In line with State average

State average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.6%
20% worse than State average

State average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 9.0%
20% better than State average

State average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 33.9%
33% worse than State average

State average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $31K
65% lower than State average

State average: $86K

Number of fines 2
15% more fines than State average

State average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.5

Fines amount comparison
Fines amount comparison
This facility $31K
State average $86K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jul 31, 2024 · $15K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 31, 2024
$15K

Last updated: Jan 2026

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