Federal inspection record · CMS data as of October 1, 2026
Greystone Health Care Center
181 Dunlap Road, Blountville, TN · (423) 323-7112
- Certified beds
- 160
- Residents per day
- 111
- Ownership
- For-Profit
- Chain
- Prestige Administrative Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 14, 1989
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Greystone Health Care Center carries 65 inspection points. That is fewer than 17% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
31 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Rights7E
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- 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.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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.
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care5D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary3F
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Dispose of garbage and refuse properly.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Administration1D
- 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.
Nursing and Physician Services1F
- F
Post nurse staffing information every day.
Inspection history
2026-07-22
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-10-30
17 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2021-10-13
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 22 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
4 h 22 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 59% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$15,041 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-31 | Fine | $15,041 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.7 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.4 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9 pts better | 98.5% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 98.0% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse | 4.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.6 pts better | 0.3% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 6.8% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication18 pts worse | 49.7% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.1 pts worse | 18.1% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts better | 15.1% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 11.5% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts worse | 24.2% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts worse | 7.4% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 85.8% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5 pts better | 6.3% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 2.3% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.7 pts better | 88.9% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.3 pts worse | 27.9% | 22.6% | 23.4% |
·
Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| B&Y Healthcare S Corp | 5% Or Greater Direct Ownership Interest · Organization | 50% | 74 facilities |
| B&Y Trust | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 78 facilities |
| Cody Healthcare S Corp | 5% Or Greater Direct Ownership Interest · Organization | 50% | 75 facilities |
| Craig Flashner 2007 Trust | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 78 facilities |
| Flashner, Craig | Corporate Director · Individual | 0% | 78 facilities |
| Flashner, Craig | Operational/Managerial Control · Individual | 0% | 78 facilities |
| Kirk, Kristine | W-2 Managing Employee · Individual | 0% | 77 facilities |
| Norcross, Robert | Contracted Managing Employee · Individual | 0% | 78 facilities |
| Northpoint Regional LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Perlstein, Yitzchok | Operational/Managerial Control · Individual | 0% | 78 facilities |
| Prestige Administrative Services, LLC | Operational/Managerial Control · Organization | 0% | 75 facilities |
| Rogers, Stacey | Contracted Managing Employee · Individual | 0% | 78 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Install corridor and hallway doors that block smoke.
- 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.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems2E
- D
Meet requirements for the installation and maintenance of electrical systems.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous1D
- D
Have restrictions on the use of portable space heaters.
·
Other homes nearby
-
Life Care Center Of Gray
Gray, TN · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 7 min
- Fines
- $10,039
-
Holston Rehabilitation And Care Center
Kingsport, TN · Venza Care Management
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 39 min
- Fines
- $10,868
-
Wexford House
Kingsport, TN · Ahava Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 59 min
- Fines
- $0