PlainNursing
CMS Nursing Home Compare · August 2026

Greystone Health Care Center

181 Dunlap Road, Blountville, TN 37617

Greystone Health Care Center, a 160-bed for profit - limited liability company nursing facility in Blountville, TN, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #280 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 4233237112

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1 / 5
Much below average · CMS overall · nat'l 3.0
#280 of 300
In-state rank among rated TN homes
4.17
Above average · nurse hrs/day · nat'l 3.86
25
Inspection findings · 1 serious

The verdict

Greystone Health Care Center, a 160-bed for profit - limited liability company nursing facility in Blountville, TN, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #280 of 300 rated homes in TN on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#280 of 300
In-state rank among rated TN homes
4.17
Nurse hrs/resident-day · national 3.86
25
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 303 TN nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
445242
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
160
Residents
108
In Hospital
No
County
Sullivan
Last Inspection
Oct 30, 2024

Staffing Data

How the 4.17 total nursing hours per resident-day are staffed:

RN Hours
0.64 (nat'l avg: 0.69)
LPN Hours
1.12
CNA Hours
2.41
Total Nursing Hours
4.17 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
54.6%
RN Turnover
61.1%

What the CMS Record Reveals About Greystone Health Care Center

According to CMS Nursing Home Compare, Greystone Health Care Center ranks #280 of 300 rated nursing homes in TN on overall stars (tie-broken by health+staffing+quality, then fewer fines). Greystone Health Care Center operates 160 certified beds in Blountville, TN with approximately 108 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 2★).

The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $15K. Per resident day, this facility reports 4.17 total nursing hours (national average 3.86) and 0.64 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Greystone Health Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 54.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D - Isolated - Minimal harm May 14, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: May 21, 2025

D - Isolated - Minimal harm Apr 7, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 2, 2025

D - Isolated - Minimal harm Apr 7, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: May 21, 2025

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Nov 29, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 29, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 29, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Nov 29, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 29, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 29, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Nov 29, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Nov 29, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Nov 29, 2024

E - Pattern - Minimal harm Oct 30, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 29, 2024

E - Pattern - Minimal harm Oct 30, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 29, 2024

E - Pattern - Minimal harm Oct 30, 2024 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Nov 29, 2024

F - Widespread - Minimal harm Oct 30, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 29, 2024

F - Widespread - Minimal harm Oct 30, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 29, 2024

D - Isolated - Minimal harm Jul 31, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 24, 2024

G - Isolated - Actual harm Jul 31, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 24, 2024

D - Isolated - Minimal harm Oct 13, 2021 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 15, 2021

D - Isolated - Minimal harm Oct 8, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 22, 2019

D - Isolated - Minimal harm Oct 8, 2019 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 22, 2019

D - Isolated - Minimal harm Oct 8, 2019 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 22, 2019

D - Isolated - Minimal harm Oct 8, 2019 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 22, 2019

D - Isolated - Minimal harm Oct 8, 2019 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 22, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 9.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 18.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 49.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 80.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 76.4% No

Penalty History 1 penalties totaling $15K

Date Type Amount
Jul 31, 2024 Fine $15K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Greystone Health Care Center, both outside TN so the neighborhoods are not the same-state geography list below.

What the CMS records show for Greystone Health Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TN registry aggregates state averages and the highest-rated homes in this cohort. View TN registry
  • Peer homes near 160 beds show how CMS stars vary at a similar scale in TN. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Greystone Health Care Center?
Greystone Health Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (2★).
Where does Greystone Health Care Center rank among nursing homes in TN?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Greystone Health Care Center ranks 280th among 300 rated nursing homes in TN (#280 of 300). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Greystone Health Care Center?
Greystone Health Care Center reports 4.17 total nursing hours per resident day (national average: 3.86). RN hours are 0.64 per resident day (national average: 0.69). Nursing staff turnover is 54.6%.
How many beds does Greystone Health Care Center have?
Greystone Health Care Center has 160 certified beds with approximately 108 residents. The facility is located at 181 Dunlap Road, Blountville, TN 37617.
Does Greystone Health Care Center have any deficiencies on record?
Yes, Greystone Health Care Center has 25 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Greystone Health Care Center received any fines or penalties?
Yes, Greystone Health Care Center has received 1 penalties totaling $15K.
Who owns Greystone Health Care Center?
Greystone Health Care Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Greystone Health Care Center last inspected?
The most recent health inspection for Greystone Health Care Center was on Oct 30, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Greystone Health Care Center?
Greystone Health Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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