Life Care Center of Gray
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 79 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)
- Above-median deficiencies (6 vs median 5.0)
Bottom 25% in TN · Below recommended RN staffing · Worst in LIFE CARE CENTERS OF AMERICA chain · $10,039 in fines
What this means for your family
This facility's rehabilitation team is frequently praised for helping patients regain strength, making it a potential option for short-term recovery. However, given the serious and repeated concerns regarding the memory care unit and responsiveness of staff, we strongly advise families to conduct an unannounced tour of the specific unit where their loved one would reside and to ask direct questions about staffing ratios on weekends.
Google Reviews
Google Reviews
79 reviews on Google“Life Care Center of Gray receives highly polarized feedback, with many families praising the rehabilitation therapy team and specific administrative staff for their dedication and kindness. However, there are serious, recurring allegations regarding neglect, poor facility conditions in the memory care unit, and significant delays in responding to patient call buttons. Families should be aware of these starkly different experiences when considering this facility for long-term or memory care.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective rehabilitation therapy team
- Compassionate and attentive nursing staff
- Helpful and communicative administrative staff
- Engaging resident activities and events
Concerns
- Significant delays in responding to patient call buttons (mentioned by 2 reviewers)
- Poor physical condition and 'dingy' atmosphere of the memory care unit (mentioned by 3 reviewers)
- Allegations of staff negligence and poor quality of care (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 85 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I've heard wonderful things about your rehabilitation therapy team; can you tell me more about how they work with residents to regain their independence?
- 2With the administrative team being so communicative, what is the best way for our family to stay updated on our loved one's daily care and well-being?
- 3How do you ensure that call buttons are answered promptly, especially during the night shifts when fewer staff members are on duty?
- 4What specific steps are being taken to refresh or upgrade the environment and cleanliness within the memory care unit?
- 5Could you describe the types of engaging activities and social events planned to keep residents active and connected?
- 6In the event of a sudden medical change or emergency, what is the specific protocol for notifying the family and coordinating with doctors?
Personalized based on this facility's data
Key Review Excerpts
“My mom has been here a few months now and receives excellent care. Her case was a sudden, unsafe discharge from a hospital as she lived alone... When I read the reviews, I was terrified but we have had no problems at all.”
“If your loved one has dementia or alzheimer do NOT use this facility. My father was at the Life Care Center of Gray for 3 of the worst days of his and my life. I found the conditions in the secure unit horrible!”
“The administration and staff go above and beyond for their residents. The Halloween parade, Valentines dance, cook outs, Prom, etc are a wonderful way to appreciate their residents.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
7
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic 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 vaccinated for the flu
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
Short-stay residents vaccinated for the flu
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed complaints that led to serious deficiencies in 2024 involving abuse reporting failures and improper resident confinement, raising significant safety concerns. The facility has recurring issues with resident rights protection, care planning, and medication management across multiple surveys. While all violations show correction dates, the pattern of complaint-triggered incidents and repeated problems with fundamental care areas suggests ongoing quality challenges that warrant careful consideration during any visit.
Jun 20, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 12, 2024Complaint10
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Sep 19, 2023Routine6
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 Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Sep 19, 2023Complaint2
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.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Dec 18, 2019Routine1
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Oct 31, 2018Routine7
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal Penalties
Fine
Apr 12, 2024
$10,039
Ownership & Operations
Who Operates This Facility
Life Care Center of Gray
for profit
Chain Affiliation
Life Care Centers of America
194 facilities nationwide
Chain avg rating: 3.5/5 · Rank 186 of 194 (Worst)
Ownership & Management
Owners
Swanker, Richard
Owner
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
79 reviews from families & visitors
Official Website
Visit lcca.com
Medicare data downloads
Original nursing home datasets
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