Life Care Center of Gray
791 Old Gray Station Road, Gray, TN 37615


Life Care Center of Gray is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 445479. The address is 791 Old Gray Station Road, Gray, TN 37615. The zip code is 37615. The phone number is 4234777146.


Life Care Center of Gray · 791 Old Gray Station Road, Gray, TN 37615

Federal Provider Number 445479
Provider Name LIFE CARE CENTER OF GRAY
Address 791 OLD GRAY STATION ROAD
GRAY, TN 37615
Phone Number 4234777146
SSA County Code 890
County Name Washington
Ownership Type For profit - Corporation
Certified Beds 133
Certified Beds Residents 90
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GRAY MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare Medicaid Services 04/24/2005
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 3
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.01611
Reported LPN Staffing Hours per Resident per Day 1.26833
Reported RN Staffing Hours per Resident per Day 0.945
Reported Licensed Staffing Hours per Resident per Day 2.21333
Reported Total Nurse Staffing Hours per Resident per Day 4.22944
Reported Physical Therapist Staffing Hours per Resident Per Day 0.15889
Expected CNA Staffing Hours per Resident per Day 2.533
Expected LPN Staffing Hours per Resident per Day 0.61042
Expected RN Staffing Hours per Resident per Day 0.996
Expected Total Nurse Staffing Hours per Resident per Day 4.13942
Adjusted CNA Staffing Hours per Resident per Day 1.95299
Adjusted LPN Staffing Hours per Resident per Day 1.72457
Adjusted RN Staffing Hours per Resident per Day 0.70894
Adjusted Total Nurse Staffing Hours per Resident per Day 4.11856
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 11/02/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 4
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 11/18/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 09/10/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 16
Number of Substantiated Complaints 5
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Life Care Center of Gray

Owner Name Role Association Date
CROSS, CINDY (Individual) OFFICER since 11/24/2004
HARRIS, CHARLES (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
since 03/23/2005
HARRIS, GAYE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
since 03/23/2005
LEE, ASHLEY (Individual) MANAGING EMPLOYEE since 05/11/2009
LIFE CARE CENTERS OF AMERICA, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/24/2005
PRESTON, FORREST (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
49%
since 02/14/2005
PRESTON, FORREST (Individual) OFFICER since 11/24/2004
SWANKER, RICHARD (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
since 07/01/2006
SWANKER, RICHARD (Individual) OFFICER since 07/01/2006
THURMOND, JOAN (Individual) OFFICER since 11/24/2004

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