Greystone Health Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 109 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (17 vs median 5.0)
- High staff turnover (56%)
- High RN turnover (62%)
Bottom 25% in TN · Below recommended RN staffing · Above recommended total nurse staffing · Worst in PRESTIGE ADMINISTRATIVE SERVICES chain · $15,041 in fines
What this means for your family
Greystone has a specialized respiratory team that many families find effective for complex medical needs. However, there is a recurring pattern of serious complaints regarding medication management and communication. We strongly advise families to conduct unannounced visits and ask specifically about the facility's process for documenting and reporting changes in patient health.
Google Reviews
Google Reviews
109 reviews on Google“Greystone Health Care Center receives highly polarized feedback, with some families praising the dedicated respiratory and rehab staff, while others report severe concerns regarding neglect, understaffing, and poor communication. Many negative reviews cite instances of patients suffering from untreated infections, medication errors, and unhygienic conditions. Prospective families should be aware of the significant divide between those who experience professional care and those who report serious lapses in safety.”
Quality Themes
Tap a score for detailsStrengths
- Skilled respiratory therapy and vent weaning
- Active and engaging activities department
- Clean and well-maintained physical environment (noted by some)
- Compassionate individual staff members
Concerns
- Chronic understaffing leading to neglect (mentioned by 14 reviewers)
- Medication management errors or missed doses (mentioned by 5 reviewers)
- Missing personal belongings and clothing (mentioned by 4 reviewers)
- Poor communication with families regarding health changes (mentioned by 6 reviewers)
- Unsanitary conditions including odors and lack of cleaning (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 119 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the facility's specialization in respiratory therapy and vent weaning, how is the nursing staff structured to ensure these residents receive consistent, high-level monitoring around the clock?
- 2I noticed that communication is a high priority for families; what is your formal process for updating us immediately if there is a change in a resident's health status or a medication adjustment?
- 3With 160 residents, what specific protocols do you have in place to ensure that personal belongings and clothing are tracked and kept secure for each individual?
- 4I see that your activities department is very active; could you walk me through how you tailor these programs to ensure residents who may have limited mobility are still able to participate and stay engaged?
- 5Regarding the facility's environment, what is your daily schedule for housekeeping and sanitation to ensure that common areas and resident rooms remain consistently clean and odor-free?
- 6I appreciate that you actively respond to feedback online; how do you use that family input to make tangible improvements to the daily care and dining experience for your residents?
Personalized based on this facility's data
Key Review Excerpts
“I really enjoy our monthly trips out in the community. I love our hairstylist! I get one free haircut a month. Therapy is wonderful!!”
“The compassion, patience, and dignity they showed him and our family meant more than words can express. From start to finish, everything was handled with professionalism and genuine care.”
“The nursing staff and respiratory therapists did a great job caring for her as she quickly became worse until we had to help her in passing.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern with 6 complaint-triggered deficiencies, indicating families have filed reports about care issues. The most recurring problems involve resident rights and dignity, medication management, and infection control. While all deficiencies show correction dates, the facility continues to have new issues across multiple surveys, suggesting ongoing challenges with maintaining consistent care standards.
May 14, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Apr 14, 2025Complaint2
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Apr 7, 2025Complaint4
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 30, 2024Routine18
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Jul 31, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 13, 2021Routine2
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Jul 31, 2024
$15,041
Ownership & Operations
Who Operates This Facility
Greystone Health Care Center
for profit
Chain Affiliation
Prestige Administrative Services
9 facilities nationwide
Chain avg rating: 2.2/5 · Rank 9 of 9 (Worst)
Ownership & Management
Owners
B&y Healthcare S CORP
Owner · Organization
Cody Healthcare S CORP
Owner · Organization
B&y Trust
Owner (parent company) · Organization
Craig Flashner 2007 Trust
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
109 reviews from families & visitors
Official Website
Visit greystonehc.com
Medicare data downloads
Original nursing home datasets
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