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Nursing HomeMedicaid Investigative

Life Care Center of Gray

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

791 Old Gray Station Road, Gray, TN 37615133 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 79 Google reviews

5
4
3
2
1
Life Care Center of Gray Nursing Home in Gray, TN — Street View
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3/ 10
moderate Risk

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

Source: Medicare data

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 details
Food7.0Staff5.0Clean4.0Activities9.0MedsN/AMemory2.0Comms6.0ValueN/A

Strengths

  • 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

234'13(1)'17(4)'19(11)'21(2)'23(2)'25(35)'26(11)

Distribution · 85 analyzed

5
68
4
3
3
0
2
0
1
14

How They Respond to Reviews

100%response rate

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.

Long-term resident's family · 2024★★★★★

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!

Memory care family member · 2019☆☆☆☆

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.

Family member · 2026★★★★★
Source: 79 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
77%
Registered nurses for medical care
Total Nursing
3.26hrs
80%
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility54.0%
Worse than Avg
Here
54.0%
US
19.5%
TN
31.9%
Washington
18.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.0%
Worse than Avg
Here
29.0%
US
15.4%
TN
16.9%
Washington
13.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
TN
12.9%
Washington
9.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
TN
89.5%
Washington
93.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TN
94.5%
Washington
96.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility16.1%
Worse than Avg
Here
16.1%
US
14.4%
TN
14.6%
Washington
12.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.7%
Better than Avg
Here
93.7%
US
81.8%
TN
79.4%
Washington
83.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TN
1.6%
Washington
1.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility81.3%
Better than Avg
Here
81.3%
US
79.7%
TN
79.8%
Washington
80.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Above state avg (5.9)
13 complaint-triggered
$10,039 in fines

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, 2024Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Apr 12, 2024Complaint
10
0603Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

0609Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0675Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Honor each resident's preferences, choices, values and beliefs.

0603Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

0609Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0675Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Honor each resident's preferences, choices, values and beliefs.

0656Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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, 2023Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Sep 19, 2023Complaint
2
0584Potential for harm · IsolatedCorrected

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.

0758Potential for harm · IsolatedCorrected

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, 2019Routine
1
0321Potential for harm · IsolatedCorrected

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, 2018Routine
7
0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Minimal · WidespreadCorrected

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

Owner / Operator

Life Care Center of Gray

Organization Type

for profit

Chain Affiliation

Chain Name

Life Care Centers of America

Chain Size

194 facilities nationwide

Chain avg rating: 3.5/5 · Rank 186 of 194 (Worst)

Ownership & Management

Owners

Swanker, Richard

Owner

25%

Key personnel

Lee, AshleyW-2 Managing EmployeeCross, CindyOfficer / DirectorPreston, ForrestOfficer / DirectorSwanker, RichardOfficer / DirectorThurmond, JoanOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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