Life Care Center of Gray

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.
Life Care Center of Gray

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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Life Care Center of Gray accepts Medicare, Medicaid, and private pay.

Overview of Life Care Center of Gray

Life Care Center of Gray is a skilled nursing and rehabilitation facility located in Gray, TN. It offers a variety of services including skilled nursing care and rehabilitation therapies. The center is conveniently located near hospitals, making it an ideal choice for individuals in need of care.
(423) 477-7146

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 50m per day
Rank #30 / 134Nurse hours — state benchmarkedThis home is ranked 30th 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

3 of 6 metrics below state avg

Standout metric Physical Therapist is +20% 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. 38m per day ▲ 3% 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. 57m per day ▼ 12% 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. 1h 39m per day ▼ 23% 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 32m per day ▲ 6% 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. 6m per day ▲ 20% 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. 19m per day ▼ 21% State avg: 24m per day · National avg: 28m per day

Capacity and availability

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

Lower occupancy than the state average
Occupancy rate 77.1% Rank #66 / 139Occupancy rate — state benchmarkedThis home is ranked 66th 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.
Avg. Length of Stay 46 days
Occupancy rate
77.1% Rank #66 / 139Occupancy rate — state benchmarkedThis home is ranked 66th 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.
Avg. Length of Stay
46 days

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Breakdown by payment type

Medicare

37% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

60% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Home revenue
$18.7M
Profit
$1.2M
Privately-owned community
Home revenue
$18.7M Rank #24 / 139Revenue — state benchmarkedThis home is ranked 24th 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
$1.2M
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 #31 / 139Payroll — state benchmarkedThis home is ranked 31st 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.
$6.8M
36.2% of revenue Rank #74 / 139Payroll % — state benchmarkedThis home is ranked 74th 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.
$10.8M
Total costs $17.5M
Bed community size
133-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating
BBB Rating: B- (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000288
CMS Certification Number445380

Ownership & Operating Entity

Life Care Center of Gray is administrated by Ashley Lee.

Owner NameGray Medical Investors, LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Licensed Nurses/CNAs
24-Hour Staffing

Amenities & Lifestyle

24-Hour Security And Fire Safety Systems
Beauty Salon And Barber Shop
Bedside And Bathroom Call Lights
Certified Dietitian
Community Re-Entry Program
Complimentary Wireless Internet
Daily Activity Schedule
Family/Resident Councils
Fine Dining Program
Flat-Screen Tvs
Flexible Visiting Hours
Full-Time
Certified Activity Director
Homelike Setting
Housekeeping And Laundry Services
Landscaped Grounds And Courtyards
Library
Non-Smoking Facility
Pet Visitors Allowed
Private And Semiprivate Rooms
Private Bathrooms
Religious Services
Patient/Family Education Program
Telephone And Cable Television Hookups
Transportation Services
Specific ProgramsAlzheimer's & Dementia Care, Independent & Assisted Living

Contact Life Care Center of Gray

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 September 19, 2023

Health Inspection History

Inspections
Total health inspections 2

State average N/A


Last Health inspection on Oct 2022

Total health citations
12 Rank #49 / 138Health citations — state benchmarkedThis home is ranked 49th 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
6 Rank #105 / 138Citations per inspection — state benchmarkedThis home is ranked 105th 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.

All 12 citations resulted from standard inspections.

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 0
In line with State average

State average: N/A

0 critical citations More info State average: N/A

0 serious citations More info State average: N/A

12 moderate citations More info State average: N/A

0 minor citations More info State average: N/A
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 12, 2022
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Oct 12, 2022
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Oct 12, 2022
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Oct 12, 2022
Corrected

Places of interest near Life Care Center of Gray

Address 0.0 miles from city center Info Estimated distance in miles from Gray's city center to Life Care Center of Gray's address, calculated via Google Maps.

Calculate Travel Distance to Life Care Center of Gray

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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 159
Employees 153
Contractors 6
Staff to resident ratio 1.92:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 60
Average shift 8.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 44,266
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 56
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.6%

252 contractor hours this quarter

Occupational Therapy Assistant: 3 Occupational Therapy Aide: 2 Medical Director: 1
Staff by category
Certified Nursing Assistant5605618,31291100%8
Licensed Practical Nurse270276,13291100%8.8
Registered Nurse170174,92191100%9.8
Speech Language Pathologist8082,3348998%6.7
Respiratory Therapy Technician7071,9897886%7.4
Physical Therapy Aide7071,7046571%7.1
Physical Therapy Assistant6061,6907785%7.2
Clinical Nurse Specialist3031,0476875%7.7
RN Director of Nursing3039656774%7.7
Other Dietary Services Staff4049529099%7
Therapeutic Recreation Specialist2029266774%7.8
Qualified Social Worker7078076774%7.3
Mental Health Service Worker1016407380%8.8
Administrator1015206571%8
Nurse Practitioner1015126470%8
Nurse Aide in Training1013283437%9.6
Occupational Therapy Aide0221521921%8
Dental Services Staff10114467%24
Dietitian101931011%9.3
Occupational Therapy Assistant0336678%9.5
Medical Director0113533%11.5
56 Certified Nursing Assistant
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 100%
8 Speech Language Pathologist
% of Days 98%
7 Respiratory Therapy Technician
% of Days 86%
7 Physical Therapy Aide
% of Days 71%
6 Physical Therapy Assistant
% of Days 85%
3 Clinical Nurse Specialist
% of Days 75%
3 RN Director of Nursing
% of Days 74%
4 Other Dietary Services Staff
% of Days 99%
2 Therapeutic Recreation Specialist
% of Days 74%
7 Qualified Social Worker
% of Days 74%
1 Mental Health Service Worker
% of Days 80%
1 Administrator
% of Days 71%
1 Nurse Practitioner
% of Days 70%
1 Nurse Aide in Training
% of Days 37%
2 Occupational Therapy Aide
% of Days 21%
1 Dental Services Staff
% of Days 7%
1 Dietitian
% of Days 11%
3 Occupational Therapy Assistant
% of Days 8%
1 Medical Director
% of Days 3%

Facility Characteristics

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

Total residents 83
Medicare
27
32.5% of residents
Medicaid
25
30.1% of residents
Private pay or other
31
37.3% of residents
Programs & Services
Residents Group

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

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. 17.8
70% 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. 31.3
60% 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 21.1%
32% worse than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 45.2%
108% 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 27.7%
33% 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 4.0%
9% 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 11.3%
109% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.4%
17% 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 32.0%
94% worse than State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.8%
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. 1.40
11% better than 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. 1.12
29% better than State average

State average: 1.57

Short-stay resident measures
Above 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 99.6%
25% better than State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.9%
14% worse than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.6%
15% better than 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. 19.5%
12% better than State average

State average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 20.1%
79% worse 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. 2.6%
242% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 70.0%
30% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 35.7%
29% 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

Penalty History

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

Filter by care type
Life Care Center of Gray
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

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Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

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