nursing home in Spencer, TN
Generations Center of Spencer
87 Generations Drive, Spencer, TN 38585 · (931) 946-7768
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Generations Center of Spencer at a glance
Generations Center of Spencer is a 70-bed non-profit nursing home in Spencer, Tennessee (Van Buren County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Tennessee average of 3.
Residents receive about 3.7 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (May 15, 2026) found 4 health citations. The Tennessee average is 4.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 38.9% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 70
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 23, 1997
- Resident/family council
- Resident
- County
- Van Buren County
- CMS Certification Number
- 445388
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.6 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.67 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.36 hrs | 2.12 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.84 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 38.9% | 48.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 25% | 43.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 1 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 33 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 70 | 114 | 107 | |
| Average residents per day | 67 | 84 | 86 | |
| Occupancy | 95% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.9% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 48.4% | 16.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.2% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 24.2% | 14% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 26.7% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.2% | 6.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 10.5% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 43% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 17.1% | 20% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92.3% | 89.4% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.2% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 15, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | F Potential harm, widespread | Corrected June 3, 2026 |
| May 15, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 25, 2026 |
| May 15, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 22, 2026 |
| May 15, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected April 5, 2026 |
| October 23, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | E Potential harm, pattern | Corrected November 13, 2024 |
| October 23, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 13, 2024 |
| October 23, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected November 13, 2024 |
| October 23, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected November 13, 2024 |
| October 23, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected November 13, 2024 |
| October 23, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected November 13, 2024 |
| October 23, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected November 8, 2024 |
| October 23, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected November 8, 2024 |
| October 23, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 8, 2024 |
| October 23, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 8, 2024 |
| October 23, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 8, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CAMPBELL, KATHRYN Individual | adp of the snf | NOT APPLICABLE | 01/23/2017 |
| DIBRELL, FREDRICK Individual | adp of the snf | NOT APPLICABLE | 07/14/2010 |
| GAITHER, BUFFY Individual | adp of the snf | NOT APPLICABLE | 06/01/2007 |
| GAITHER, PATRICIA Individual | adp of the snf | NOT APPLICABLE | 07/18/2003 |
| SAPP, ROBERT Individual | adp of the snf | NOT APPLICABLE | 07/14/2010 |
| CAMPBELL, JAMES Individual | corporate director | NOT APPLICABLE | 07/18/2003 |
| CAMPBELL, KATHRYN Individual | corporate director | NOT APPLICABLE | 01/23/2017 |
| GAITHER, DAVID Individual | corporate director | NOT APPLICABLE | 07/18/2003 |
| GAITHER, PATRICIA Individual | corporate director | NOT APPLICABLE | 07/18/2003 |
| CAMPBELL, KATHRYN Individual | corporate officer | NOT APPLICABLE | 01/23/2017 |
| GAITHER, PATRICIA Individual | corporate officer | NOT APPLICABLE | 07/18/2003 |
| GAITHER, PATRICIA Individual | managing control - governing body | NOT APPLICABLE | 07/18/2003 |
| CAMPBELL, KATHRYN Individual | operational/managerial control | NOT APPLICABLE | 01/23/2017 |
| DIBRELL, FREDRICK Individual | operational/managerial control | NOT APPLICABLE | 07/17/2010 |
| GAITHER, BUFFY Individual | operational/managerial control | NOT APPLICABLE | 06/01/2007 |
| GAITHER, PATRICIA Individual | operational/managerial control | NOT APPLICABLE | 07/18/2003 |
| GENERATIONS HEALTH ASSOCIATION, INC Organization | operational/managerial control | NOT APPLICABLE | 02/26/1997 |
| SAPP, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 07/17/2010 |
Other nursing homes near Generations Center of Spencer
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★★★★★3AverageLife Care Center of Sparta
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★★★★★5Much above averageWillow Branch Health and Rehabilitation
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★★★★★2Below averageBledsoe County Nursing Home
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★★★★★4Above averageNhc Healthcare, McMinnville
928 Old Smithville Rd PO Box 528, McMinnville, TN 37110 · 18.1 mi
For-profit · 115 beds · Part of National Healthcare Corporation
★★★★★5Much above average- ★★★★★1Much below average
Frequently asked questions
What is Generations Center of Spencer's rating?
Generations Center of Spencer has 3 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Generations Center of Spencer receive?
Its most recent standard health inspection found 4 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Generations Center of Spencer accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Generations Center of Spencer?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Generations Center of Spencer and how do I contact it?
Generations Center of Spencer is at 87 Generations Drive, Spencer, TN 38585. Phone: (931) 946-7768.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.