Tennessee average 3.5
Last Health inspection on Jun 2024

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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.
Occupancy lower than 85% suggests more openings may be available.
Life Care Center of Gray is administrated by Ashley Lee.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTennessee average 3.5
Last Health inspection on Jun 2024
Tennessee average 15.4
Tennessee average 4.39
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).
Tennessee average: 1.1
Tennessee average: 0.6
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
No contractors work on this role.
Assists with medical care and medications.
No contractors work on this role.
Helps with daily care and mobility.
No contractors work on this role.
Total hours from contractors
144 contractor hours this quarter
| 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 |
Includes penalties issued in 2024
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 12, 2024 · $10K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
19% of new residents, usually for short-term rehab.
62% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Life Care Center of Gray based on CMS SNF Cost Reports.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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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Life Care Center of Gray is located in Gray, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Life Care Center of Gray is in the East Tennessee neighborhood of Gray.
The legal owner and operator of Life Care Center of Gray is Gray Medical Investors, LLC.
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.
According to TN state health department records, Life Care Center of Gray's license number is 00000288.
Ashley Lee is the administrator of Life Care Center of Gray.
Life Care Center of Gray has 133 beds.
Yes — there are 10 photos of Life Care Center of Gray in the photo gallery on this page.
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