Home / Tennessee / Blountville
Greystone Health Care Center
181 Dunlap Road, Blountville, TN 37617 · Sullivan County · (423) 323-7112
160 certified beds, about 108 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445242 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 22, 2026, inspectors cited 11 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
Of 31 health citations since October 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $15,041 in the last three years; the largest was $15,041, and the latest is dated July 31, 2024.
Nurses and nurse aides worked 4.17 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
54.6% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Prestige Administrative Services, an affiliated group of 9 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
110/21
207/24
1410/24
204/25
105/25
1107/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 31 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
25D
3E
2F
Potential for minimal harm
0A
0B
0C
July 22, 2026Standard inspection · 11 citations
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on facility policy review, medical record reviews, and interviews, the facility failed to ensure appropriate and timely Notice of Medicare Non-Coverage (NOMNC) Form CMS-10123 and Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) Form CMS-10055 were provided to 4 residents (Resident #20, Resident #42, Resident #60 and Resident #103) of 6 residents reviewed for beneficiary notices.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on Centers for Medicare and (&) Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.20.1 review, medical record reviews, observations, and interviews, the facility failed to accurately code a Minimum Data Set (MDS) assessment for Pre-admission Screening and Resident Review (PASRR) for 4 residents (Resident #14, #42 #108 and #12) of 36 residents reviewed for MDS assessment accuracy.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to develop a care plan for 1 resident (Resident #40) of 36 residents reviewed for care planning.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to revise a care plan for 1 resident (Resident #95) for respiratory interventions of 16 care plans reviewed.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record reviews, observations, and interviews, the facility failed to ensure the environment was free of accidental hazards for 1 resident (Resident #5) when an unsecured scalpel (a small extremely sharp instrument used in surgery, anatomical dissection, and podiatry) was observed on the bedside table and failed to secure medications for 3 residents (Resident #12, #54, and Resident #111) of 36 residents reviewed for accident hazards.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on facility policy review, observations, and interview the facility failed to serve a meal tray timely for 1 resident (Resident #9) of 3 residents reviewed for meal tray distribution.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy reviews, medical record reviews, observations, and interviews the facility failed to ensure oxygen was administered according to Physician's Orders for 2 residents (Residents #20 and #19) of 10 residents reviewed for oxygen (O2) therapy, the facility failed to maintain infection control practices during tracheostomy (trach) (a surgically created opening in the front of the neck leading to the windpipe/trachea for breathing) care and failed to perform tracheostomy care appropriately for 1 resident (Resident #95) of 4 residents reviewed for tracheostomies.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to check refrigerator temperatures for 3 resident's (Resident #25, Resident #73, and Resident #104) and failed to ensure expired food items were discarded for 1 resident (Resident #104) of 7 personal refrigerators observed.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on facility policy review, facility contract review, medical record review, and interviews, the facility failed to ensure communication between the facility and hospice services for 1 resident (Resident #16) of 3 residents reviewed for hospice services.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility policy review, disinfectant label review, medical record review, observation, and interview, the facility failed to ensure a glucometer (blood glucose machine) (a handheld device used to measure blood glucose levels, to assist with the management of Diabetes) was sanitized after each use for 2 residents (Resident #54 and #5), failed to follow infection control practices during 1 of 2 medication administration observations for 2 Residents (Resident #54 and #5) and failed to follow infection control practices during wound care for 1 resident (Resident #40) of 2 residents observed for wound care.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews the facility failed to ensure the call light was in reach for 2 residents (Resident #13 and Resident #108) of 35 residents reviewed.
May 14, 2025Complaint inspection · 1 citation
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on medical record review, observation, and interview the facility failed to ensure resident's right to retain personal possessions for 1 resident (Resident #1) of 3 residents reviewed.
April 7, 2025Complaint inspection, Infection control · 2 citations
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on medical record review, observation, and interview the facility failed to ensure resident's right to retain personal possessions for 1 resident (Resident #1) of 3 residents reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility documentation review, observation, and interview the facility failed to use a disinfectant according to the manufacturer's instructions on 1 of 3 hallways observed for disinfectant use to prevent the spread of candida auris and other infectios organisms.
October 30, 2024Standard inspection · 14 citations
- F Post nurse staffing information every day.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure daily staff posting information included the resident census, the facility name, and actual number of hours worked by Registered Nurses (RN), Licensed Practical Nurses (LPN), and Certified Nursing Assistants (CNA) on 3 of 3 days reviewed for staff postings.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to maintain kitchen equipment in a sanitary condition, ensure spices were properly sealed, and failed to discard expired food which had the potential to affect 92 of 95 residents.
- E 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.
Inspectors wroteBased on facility document review, medical record review, and interviews, the facility failed to ensure Durable Power of Attorney (POA) documents were entered into the medical record for 2 residents (Residents #23 and #86) and failed to provide education regarding Advance Directives on admission for 6 residents (Residents #7, #8, #18, #37, #342 and #343).
- E Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to ensure garbage and refuse were properly contained in 3 of 3 dumpsters.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on facility document review, observations, and interviews, the facility failed to offer 8 residents (Residents #33, #8, #34, #1, #63, #70, #292, and #24) with hand hygiene assistance before a lunch and breakfast meal on 2 of 3 hallways observed for meal service.
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on facility policy review, review of resident council minutes, and interview, the facility failed to ensure the residents' grievances related to adding more fresh fruits to meals and staff yelling and cursing in the hallways were promptly acted upon for 12 of 12 residents who attended the 10/29/2024 resident council meeting.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to provide 3 of 3 residents (Resident #12, Resident #400, and Resident #401) an Advanced Beneficiary Notice (ABN) after therapy services were discontinued, the resident remained in the facility for long-term care services, or was discharged from the facility. The facility's failure resulted in residents not being informed of the cost of therapy services if continued therapy services were desired which did not allow the residents to have an informed choice.
- D 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.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to provide effective housekeeping and maintenance services to ensure a safe, sanitary homelike environment for 1 resident (Resident #51) of 95 residents reviewed for a safe, sanitary homelike environment.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to submit a Level 2 Preadmission Screening and Resident Review (PASARR) for 2 residents (Resident #7 and #37).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to maintain resident-care oxygen equipment in a clean and sanitary condition for 2 residents (Resident #23 and Resident #50) of 8 residents observed for oxygen use.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure proper administration of an oral inhaler for 1 resident (Resident #52) of 4 residents observed for medication administration.
- D 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.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure medications were properly and securely stored in 1 of 3 medication storage rooms.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure a device containing electronic health records was secured and not visible to unauthorized persons for 1 medication cart of 6 medication carts observed.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to ensure 1 resident's (Resident #50) call light was within reach out of 24 residents observed.
July 31, 2024Complaint inspection · 2 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy review, medical record review, police report review, facility investigation review, and interview the facility failed to protect the residents' right to be free from sexual abuse and physical abuse by another resident for 4 of 14 (Resident #11, #17, #18, and #5) sampled residents reviewed for abuse. On 6/25/2024, Resident #9 was observed with his hand on Resident #11's pelvic region and Resident #11 was observed shaking his head no. On 11/26/2023, Resident #18 grabbed Resident #17's arm resulting in a scratch to her finger and Resident #17 scratched Resident #18 on the face when Resident #18 entered Resident #17's room. On 3/15/2024, Resident #6 hit Resident #5 with a soda can in her chest area. The facility's failure to protect the residents' right to be free from abuse resulted in actual harm for Resident #11, #17, and #18.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policy review, medical record review, and interview, the facility failed to ensure physician orders were followed for 1 resident (Resident #26) of 15 residents reviewed.
October 13, 2021Standard inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review and interview, the facility failed to maintain complete and accurate medical records for 2 residents (#45 and #68) of 25 residents reviewed for medical records.
Fire safety inspections
8 fire safety citations on file: 2 on July 22, 2026, 1 on April 14, 2025, 4 on October 30, 2024, 1 on October 13, 2021.
Every fire safety citation8 citations
- E Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Meet requirements for the installation and maintenance of electrical systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Have restrictions on the use of portable space heaters.
- E Ensure that testing and maintenance of electrical equipment is performed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 31, 2024 | Fine | $15,041 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.17 | 3.80 | 3.86 |
| Registered nurses | 0.64 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.69 | 3.31 | 3.42 |
| Nurse aides | 2.41 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 54.6% | 48.9% | 45.8% |
| Registered nurse turnover | 61.1% | 43.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.36 on weekdays and 3.69 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 4.17 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.17 | 0.64 | 4.36 | 3.69 | 0.0% | 0 of 90 | 108 |
| Oct to Dec 2025 | 4.37 | 0.66 | 4.54 | 3.94 | 0.0% | 0 of 92 | 101 |
| Jul to Sep 2025 | 4.16 | 0.57 | 4.32 | 3.74 | 0.2% | 0 of 92 | 109 |
| Apr to Jun 2025 | 3.57 | 0.53 | 3.73 | 3.19 | 0.0% | 0 of 91 | 108 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.6 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.2 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.1 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.1 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.1 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.8 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.1 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.6 | 1.8 |
Owners and operators
Legal business name: BLOUNTS OPERATOR LLC. CMS links this home to Prestige Administrative Services, a group of 9 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| B&y Healthcare S Corp | 5% or greater direct ownership interest | Organization | 50% | 12/31/2019 |
| Cody Healthcare S Corp | 5% or greater direct ownership interest | Organization | 50% | 12/31/2019 |
| B&y Trust | 5% or greater indirect ownership interest | Organization | 50% | 12/31/2019 |
| Craig Flashner 2007 Trust | 5% or greater indirect ownership interest | Organization | 50% | 12/31/2019 |
| Norcross, Robert | Contracted managing employee | Individual | 02/01/2007 | |
| Rogers, Stacey | Contracted managing employee | Individual | 10/30/2014 | |
| Kirk, Kristine | W-2 managing employee | Individual | 07/18/2011 | |
| Flashner, Craig | Corporate director | Individual | 12/31/2019 | |
| Northpoint Regional LLC | Operational/managerial control | Organization | 02/01/2007 | |
| Prestige Administrative Services, LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Flashner, Craig | Operational/managerial control | Individual | 12/31/2019 | |
| Perlstein, Yitzchok | Operational/managerial control | Individual | 12/31/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on July 22, 2026: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on July 22, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 22, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 22, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Life Care Center of Gray Gray, 5.2 mi · 1 of 5 stars · 16 citations
- Holston Rehabilitation and Care Center Kingsport, 6.2 mi · 1 of 5 stars · 23 citations
- Wexford House Kingsport, 7.3 mi · 1 of 5 stars · 15 citations
- NHC Healthcare, Kingsport Kingsport, 7.4 mi · 5 of 5 stars · 3 citations
- Waters of Bristol a Rehabilitation and Nursing Blountville, 7.6 mi · 4 of 5 stars · 3 citations
- NHC Healthcare, Johnson City Johnson City, 8 mi · 5 of 5 stars · 1 citation
- Orchardview Post-Acute and Rehabilitation Center Kingsport, 8.9 mi · 2 of 5 stars · 22 citations
- Princeton Transitional Care & Assisted Living Johnson City, 9.1 mi · 5 of 5 stars · 3 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Greystone Health Care Center's Medicare star rating?
- CMS rates Greystone Health Care Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Greystone Health Care Center get at its last inspection?
- 11 health deficiencies at the standard inspection on July 22, 2026. The Tennessee average is 4.4.
- Has Greystone Health Care Center been fined?
- Yes. CMS lists 1 fine totaling $15,041 in the last three years.
- Does Greystone Health Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Greystone Health Care Center?
- CMS lists 12 owners and managers, and links the home to Prestige Administrative Services. Legal business name: BLOUNTS OPERATOR LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.