Life Care Center of Gray

Nursing Home & Skilled Nursing · Gray, TN

CMS overall rating

791 Old Gray Station Road, Gray, TN 37615 View map

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

Calculator: See prices in your area

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 133-bed skilled nursing and rehabilitation facility administered by Ashley Lee in Gray, Tennessee, owned by Gray Medical Investors, LLC. Situated in Washington County and operating since 1992, the facility accepts Medicare, Medicaid, and private pay.
CMS rates Life Care Center of Gray 1 star, 67 percent below the Tennessee average, driven primarily by a health inspection rating 66 percent below the state benchmark. 4 critical abuse, neglect, and exploitation citations were issued in April 2024, all subsequently corrected, along with a $10,000 civil money penalty. 6 of the facility’s 16 total health citations since 2018 resulted from complaint investigations. The 4 critical citations recorded within eight years are 264 percent above the Tennessee average of 1.1, the most consequential data point in the inspection record. The CMS staffing rating runs 22 percent above the Tennessee average, though CNA hours at 1 hour and 39 minutes per resident per day are 23 percent below the state benchmark, and weekend total nursing at 2 hours and 32 minutes per day is 24 percent below the Tennessee average. Long-stay quality measures are rated above average. Hospitalizations run at 1.40 per 1,000 resident days, 11 percent better than the Tennessee average of 1.58, and ED visits at 1.12 per 1,000 days are 29 percent better than the state figure. Pressure ulcer rates at 3.0 percent are 46 percent below the Tennessee average. Short-stay falls with major injury at 2.6 percent are 242 percent worse than the state average of 0.8 percent, and the community return rate of 35.7 percent is 29 percent below the Tennessee benchmark of 50.6 percent, limiting the facility’s fit for residents aiming for post-acute rehabilitation with discharge home.
Amenities feature an Alzheimer’s and dementia care program, a Community Re-Entry Program, landscaped grounds and courtyards, and a fine dining program.
Life Care Center of Gray may suit families in Washington County seeking long-term skilled nursing care, where the long-stay clinical outcomes are more favorable. The 2024 abuse and neglect findings and the 1-star overall rating warrant discussion with facility leadership before placement. Families should ask specifically about the April 2024 findings, the corrective actions taken, and current oversight practices before deciding.

Facility Direct Line (423) 477-7146

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 31m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	35m per day	▼ 6% State avg: 37m per day · National avg: 41m per day
LPN / LVN 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.	56m per day	▼ 14% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide 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 45m per day	▼ 19% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	2h 43m per day	▼ 19% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist 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	▼ 38% State avg: 5m per day · National avg: 4m per day
Weekend RN 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.	14m per day	▼ 41% State avg: 24m per day · National avg: 28m per day

Capacity and availability

115 days

133-bed community

A larger shared setting that may offer more common spaces and organized community services.

34 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 46 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

53%

Lower than the Tennessee average: 71.6%

Occupied beds

70 / 133

Average occupied beds in Tennessee homes 82 beds

Facility TypeNursing Home

IssuanceJuly 1, 1992

License Number00000288

CMS Certification Number445380

Life Care Center of Gray is administered by Ashley Lee.

Owner NameGray Medical Investors, LLC

Rehabilitation Services

24-Hour Staffing

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

Inspection oversight

Latest inspection: September 19, 2023

Show Inspection Reports

Inspections since 2018

Total health inspections 4

State average N/A

Last Health inspection on Jun 2024

Total health citations

State average N/A

Citations per inspection

State average N/A

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

8 of 16 citations resulted from standard inspections; 6 of 16 resulted from complaint investigations; and 2 of 16 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 8 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

4 critical citations State average: N/A

0 serious citations State average: N/A

11 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 8 years)

Resident Rights moderate citation Jun 20, 2024

Corrected

Abuse/Neglect critical citation Apr 12, 2024

Corrected

Abuse/Neglect critical citation Apr 12, 2024

Corrected

Abuse/Neglect critical citation Apr 12, 2024

Corrected

Total staff 77

Employees 72

Contractors 5

Staff to resident ratio 1.10 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 26

Average shift 8.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,642

Nursing staff breakdown

9.1 hours

9.3 hours

9.1 hours

Contractor staffing

144 contractor hours this quarter

Occupational Therapy Assistant: 2 Occupational Therapy Aide: 2 Medical Director: 1

Staff by category


Certified Nursing Assistant	29	0	29	9,453	92	100%	9.1
Licensed Practical Nurse	13	0	13	4,579	92	100%	9.3
Clinical Nurse Specialist	3	0	3	1,320	73	79%	8.1
Registered Nurse	4	0	4	1,299	90	98%	9.1
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	512	64	70%	8
RN Director of Nursing	1	0	1	460	61	66%	7.5
Physical Therapy Aide	2	0	2	425	61	66%	6.8
Qualified Social Worker	5	0	5	421	63	68%	6.4
Speech Language Pathologist	6	0	6	416	64	70%	6.3
Physical Therapy Assistant	2	0	2	413	55	60%	7.5
Mental Health Service Worker	1	0	1	395	53	58%	7.4
Respiratory Therapy Technician	4	0	4	280	50	54%	4.4
Occupational Therapy Aide	0	2	2	80	11	12%	7.2
Medical Director	0	1	1	35	3	3%	11.5
Occupational Therapy Assistant	0	2	2	30	4	4%	7.5

29 Certified Nursing Assistant

% of Days 100%

13 Licensed Practical Nurse

% of Days 100%

3 Clinical Nurse Specialist

% of Days 79%

4 Registered Nurse

% of Days 98%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 70%

1 RN Director of Nursing

% of Days 66%

2 Physical Therapy Aide

% of Days 66%

5 Qualified Social Worker

% of Days 68%

6 Speech Language Pathologist

% of Days 70%

2 Physical Therapy Assistant

% of Days 60%

1 Mental Health Service Worker

% of Days 58%

4 Respiratory Therapy Technician

% of Days 54%

2 Occupational Therapy Aide

% of Days 12%

1 Medical Director

% of Days 3%

2 Occupational Therapy Assistant

% of Days 4%

View All Staffing Data

Total fines amount $10K

88% lower than State average

State average: $86K

Number of fines 1

43% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $10K

State average $86K

Penalty History

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

1 penalty in the past 3 years

Apr 12, 2024 · $10K

Civil Money Penalty Apr 12, 2024

$10K

Last updated: Jan 2026

High-risk clinical events score 7.4

29% better than State average

State average: 10.5

Functional decline score 14.7

25% better than State average

State average: 19.5

Long-stay resident measures

Above average State avg: 3.7

Need for Help with Daily Activities Increased 13.8%

14% better than State average

State average: 16.0%

Walking Ability Worsened 13.0%

40% better than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence 17.1%

17% better than State average

State average: 20.7%

Falls with Major Injury 3.4%

8% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers 3.0%

46% better than State average

State average: 5.4%

Urinary Tract Infection 4.0%

95% worse than State average

State average: 2.1%

Lost Too Much Weight 3.9%

38% better than State average

State average: 6.3%

Depressive Symptoms 0.0%

100% better than State average

State average: 11.0%

Antipsychotic Use 27.0%

64% worse than State average

State average: 16.5%

Pneumococcal Vaccine 99.5%

11% better than State average

State average: 89.9%

Influenza Vaccine 100.0%

6% better than State average

State average: 94.5%

Hospitalizations per 1,000 days 1.40

11% better than State average

State average: 1.58

ED visits per 1,000 days 1.12

29% better than State average

State average: 1.57

Short-stay resident measures

Above average State avg: 3.4

Pneumococcal Vaccine 94.5%

19% better than State average

State average: 79.7%

Antipsychotic medication increase 1.3%

26% better than State average

State average: 1.7%

Influenza Vaccine 81.3%

In line with State average

State average: 79.8%

Re-hospitalized after SNF stay 19.5%

12% better than State average

State average: 22.2%

Emergency department visits 20.1%

79% worse than State average

State average: 11.2%

Falls with major injury 2.6%

242% worse than State average

State average: 0.8%

Ability to care for self at discharge 70.0%

30% better than State average

State average: 53.7%

Successful return to home or community 35.7%

29% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

19% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

62% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 70

Medicare

5.7% of residents

Medicaid

68.6% of residents

Private pay or other

25.7% 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.

Financial Trends

Historical financial and operational data for Life Care Center of Gray from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 52.6% ↓ 3.3pp vs 2022

Net Patient Income $544.3K ↑ ~$164.9K vs 2022

Payroll Costs $4.0M ↑ ~$97.5K vs 2022

Operating Margin 7.3% ↑ 2.0pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	91.3%	86.4%	78.8%	74.3%	67.6%	69.1%	66.7%	62.2%	57.9%	52.6%	48.7%	55.9%	52.6%
Beds	129	129	133	133	133	133	133	133	133	133	133	133	133
Net Income	-$175,946	-$645,392	-$58,814	-$182,391	-$364,090	$219,597	$14,735	-$104,026	$83,701	$1,083,321	$671,757	$654,190	$957,986
Gross Revenue	$9,898,563	$9,494,614	$9,415,767	$9,355,639	$8,588,700	$9,078,952	$8,519,574	$7,961,467	$7,503,889	$7,117,712	$7,694,564	$8,576,888	$8,587,220
Operating Expenses	$9,176,909	$8,661,978	$8,110,888	$7,801,759	$7,533,956	$7,481,480	$7,412,308	$7,062,345	$6,760,827	$6,792,163	$6,717,513	$6,773,282	$6,953,252
Net Patient Income	-$177,311	-$646,193	-$60,501	-$183,912	-$367,299	$217,121	$12,476	-$108,175	$81,066	-$59,469	-$209,679	$379,365	$544,311
Net Patient Revenue	$8,999,598	$8,015,785	$8,050,387	$7,617,847	$7,166,657	$7,698,601	$7,424,784	$6,954,170	$6,841,893	$6,732,694	$6,507,834	$7,152,647	$7,497,563
Payroll Costs	$4,923,314	$4,971,705	$4,466,083	$4,119,145	$3,991,350	$3,961,272	$3,958,724	$3,818,816	$3,574,126	$3,436,302	$3,572,602	$3,863,813	$3,961,361
Operating Margin %	-2.0%	-8.1%	-0.8%	-2.4%	-5.1%	2.8%	0.2%	-1.6%	1.2%	-0.9%	-3.2%	5.3%	7.3%
Medicare %	11.2%	13.2%	10.1%	10.5%	10.6%	12.9%	9.3%	9.9%	8.1%	8.9%	10.3%	6.6%	6.8%
Medicaid %	62.1%	66.7%	64.0%	64.2%	59.4%	60.1%	64.0%	70.2%	64.8%	68.1%	58.1%	64.2%	67.1%
Private %	26.7%	20.2%	25.8%	25.3%	29.8%	26.7%	26.6%	19.7%	27.1%	23.0%	31.7%	29.2%	26.1%
Net Patient Revenue/Day	$209	$197	$211	$211	$218	$229	$229	$230	$243	$263	$275	$264	$294
Cost/Day	$214	$212	$212	$216	$230	$222	$229	$234	$241	$265	$284	$250	$273
Avg Length of Stay	102.5 days	113.6 days	118.0 days	108.2 days	75.0 days	79.3 days	71.2 days	80.5 days	78.1 days	109.4 days	87.9 days	110.2 days	115.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$7.5M

Net patient income

$544.3K

For-profit Corporation

Net patient revenue

$7.5M

Net patient income

$544.3K

Other income

$413.7K

Payroll costs

$4.0M 52.8% of net patient revenue

Other operating costs

$3.0M

Total costs

$7.0M

TYPE OF STAY

Primarily short stays

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

Most new residents arrive under private pay (62% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 19%

Private pay 62%

Medicaid 19%

Coverage residents most often leave under.

Medicare 12%

Private pay 59%

Medicaid 29%

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

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The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.


The Heritage at Brentwood	NH AL IL MC SNF	Brentwood	-	66	A+	7	1 Bed / 2 Bed / 3 Bed
Kirby Pines	NH AL IL MC SNF	Memphis	-	120	-	31	1 Bed / 2 Bed
Ben Atchley Tennessee State Veterans‘ Home	NH SNF	Knoxville	-	140	-	7	-
The Health Center at Standifer Place	NH ADC AL HC HOS IL MC SNF	Chattanooga (Walker Road)	-	125	A+	38	-
Life Care Center of Gray	NH SNF	Gray (East Tennessee)	-	133	-	46	-

Nursing Home Explorer

What neighborhood is Life Care Center of Gray in?

Life Care Center of Gray is in the East Tennessee neighborhood of Gray.

Who is the owner of Life Care Center of Gray?

Life Care Center of Gray is legally operated by Gray Medical Investors, LLC, and administered by Ashley Lee.

Is Life Care Center of Gray in a walkable area?

Life Care Center of Gray has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Life Care Center of Gray?

According to TN state health department records, Life Care Center of Gray's license number is 00000288.

What is the occupancy rate at Life Care Center of Gray?

Life Care Center of Gray's occupancy is 53%.

Does Life Care Center of Gray operate as a for-profit or non-profit?

Life Care Center of Gray is registered as a for-profit in TN.

Who is the administrator of Life Care Center of Gray?

Ashley Lee is the administrator of Life Care Center of Gray.

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Life Care Center of Gray

Overview of Life Care Center of Gray

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Life Care Center of Gray

Inspection History

Inspection oversight

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

29 Certified Nursing Assistant

13 Licensed Practical Nurse

3 Clinical Nurse Specialist

4 Registered Nurse

1 Administrator

1 Nurse Practitioner

1 RN Director of Nursing

2 Physical Therapy Aide

5 Qualified Social Worker

6 Speech Language Pathologist

2 Physical Therapy Assistant

1 Mental Health Service Worker

4 Respiratory Therapy Technician

2 Occupational Therapy Aide

1 Medical Director

2 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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