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Assisted Living in USA

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.

Greystone Healthcare Center

Assisted Living in USA

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.

Greystone Healthcare Center

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.
1/5
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.
1/5
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.
2/5
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.
1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 0m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 24

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the state average
Occupancy rate 56.3%
Residents per day (avg) 108
Occupancy rate
56.3%
Residents per day (avg)
108

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

Might be optimal for
Long-term daily care Ongoing support needs

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
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.
$4.3M
25.4% of revenue
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%
5% higher than the state average

the state average: 72%

Occupied beds
18 / 24

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
CountyWashington

Additional Licensing Details

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

5 services
Doctor on Staff
Nursing Services
Skilled Nursing
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

16 amenities
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, Respite Care, 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 and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

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.

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

State average N/A

Citations per inspection
3.71

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

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
Greystone Healthcare Center
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).

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.

Blountville
160
No
-
-
Job Haines Home
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.

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

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Bloomfield
40
No
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
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.

Conroe
16
No
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
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.

Conroe
12
No
8
-
Anton’s Assisted Living
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.

Boerne
10
No
-
-

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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 census
95 residents
Residents by payment source
Medicare
2 residents (2.1%)
Medicaid
60 residents (63.2%)
Private pay or other
33 residents (34.7%)
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
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%

Short-stay resident measures
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%

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.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 31, 2024
$15K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 18, 2023
$16K

Last updated: Jan 2026

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