Blountville, TN

Greystone Health Care Center

1-star overall rating with 1-star inspections with $15,041 in total fines with 17 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

181 Dunlap Road, Blountville, TN

(423) 323-7112

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

160

Certified beds

Average residents

109

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Prestige Administrative Services

Operator or chain grouping

Approved since

1989-12-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.57

Registered nurse staffing

LPN hours / resident day

1.20

Licensed practical nurse staffing

Aide hours / resident day

2.39

Nurse aide staffing

Weekend hours

3.74

Weekend nurse staffing

RN turnover

62%

Annual RN turnover

Total nurse turnover

56%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.6
0.1 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.6
0.9 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.5%
89.9%
7.6 pts better
93.4%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
94.5%
3.4 pts better
95.5%
2.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.4%
3.6%
0.8 pts worse
3.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.7%
11.8%
11.1 pts better
11.4%
10.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 9.5%
6.2%
3.3 pts worse
5.4%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 50.2%
32.2%
18 pts worse
19.6%
30.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.9%
18.1%
3.8 pts worse
16.7%
5.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 17.8%
19.9%
2.1 pts better
16.3%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 11.9%
15.3%
3.4 pts better
14.9%
3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.9%
0.3 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.8%
1.9%
1.1 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.7%
20.2%
0.5 pts better
19.8%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 10.8%
5.4%
5.4 pts worse
5.1%
5.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.1%
79.6%
3.5 pts worse
81.7%
5.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.0%
11.2%
2.2 pts better
12.0%
3 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.6%
1.6%
About the same
1.6%
About the same
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 76.4%
79.8%
3.4 pts worse
79.7%
3.3 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.6%
22.2%
4.4 pts worse
23.9%
2.7 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-30 · Fire 2024-10-30

17 health deficiencies

Top issue: Resident Rights (6 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2021-10-13 · Fire 2021-10-13

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-10-08 · Fire 2019-10-08

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-14

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-05-02

E · Potential for more than minimal harm 2024-10-30

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-11-29

E · Potential for more than minimal harm 2021-10-13

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-12-01

F · Potential for more than minimal harm 2019-10-08

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2019-11-22

E · Potential for more than minimal harm 2019-10-08

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-11-22

E · Potential for more than minimal harm 2019-10-08

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2019-11-22

E · Potential for more than minimal harm 2019-10-08

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-11-22

E · Potential for more than minimal harm 2019-10-08

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2019-11-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-14

F557 · Resident Rights Deficiencies

Health

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

Corrected 2025-05-21

D · Potential for more than minimal harm 2025-04-07

F557 · Resident Rights Deficiencies

Health

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

Corrected 2025-05-21

D · Potential for more than minimal harm 2025-04-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-02

F · Potential for more than minimal harm 2024-10-30

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-11-29

F · Potential for more than minimal harm 2024-10-30

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-10-30

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-10-30

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-10-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

F565 · Resident Rights Deficiencies

Health

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

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

F582 · Resident Rights Deficiencies

Health

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

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

F644 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-30

F919 · Environmental Deficiencies

Health

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

Corrected 2024-11-29

G · Actual harm 2024-07-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-08-24

D · Potential for more than minimal harm 2024-07-31

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-24

D · Potential for more than minimal harm 2021-10-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-11-15

D · Potential for more than minimal harm 2019-10-08

F644 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-08

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-08

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-08

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-11-22

Penalties and ownership

What sits behind the stars

$15,041 2024-07-31

Fine

Fine · fine $15,041

Fine

Ownership

B&Y Healthcare S Corp

5% Or Greater Direct Ownership Interest · Organization

50% 71 facilities 2019-12-31
B&Y Trust

5% Or Greater Indirect Ownership Interest · Organization

50% 75 facilities 2019-12-31
Cody Healthcare S Corp

5% Or Greater Direct Ownership Interest · Organization

50% 72 facilities 2019-12-31
Craig Flashner 2007 Trust

5% Or Greater Indirect Ownership Interest · Organization

50% 75 facilities 2019-12-31
Flashner, Craig

Operational/Managerial Control · Individual

0% 75 facilities 2019-12-31
Flashner, Craig

Corporate Director · Individual

0% 75 facilities 2019-12-31
Kirk, Kristine

W-2 Managing Employee · Individual

0% 74 facilities 2011-07-18
Norcross, Robert

Contracted Managing Employee · Individual

0% 74 facilities 2007-02-01
Northpoint Regional LLC

Operational/Managerial Control · Organization

0% 8 facilities 2007-02-01
Perlstein, Yitzchok

Operational/Managerial Control · Individual

0% 75 facilities 2019-12-31
Prestige Administrative Services, LLC

Operational/Managerial Control · Organization

0% 72 facilities 2016-01-01
Rogers, Stacey

Contracted Managing Employee · Individual

0% 74 facilities 2014-10-30

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Staffing
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Staffing
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