Tennessee › Van Buren County › Spencer
Generations Center of Spencer
87 Generations Drive, Spencer, TN 38585
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Generations Center of Spencer, in Spencer, Tennessee, is certified for 70 beds under non-profit, corporation ownership.
CMS gives it 3 of 5 stars overall, equal to the Tennessee median; the health inspection rating is 3, staffing 2 and quality measures 2.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (4, 5, 0 by cycle, most recent first), none at the actual-harm level. That is 12.9 per 100 beds, about the same as the state median of 12.2.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the Tennessee median of 3.6; nursing staff turnover is 38.9%.
Compared with county, state and nation
| Measure | This facility | Van Buren Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 9 | 13 | 28.7 |
| Citations per 100 beds | 12.9 | 12.9 | 12.2 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 38.9% | 38.9% | 50.0% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (1 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 May 2026, 23 Oct 2024.
Severity mix: D ×6 E ×1 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | Complaint investigation | 3 Jun 2026 |
| 15 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Apr 2026 |
| 15 May 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 May 2026 |
| 15 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 May 2026 |
| 23 Oct 2024 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 8 Nov 2024 |
| 23 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 8 Nov 2024 |
| 23 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Nov 2024 |
| 23 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 8 Nov 2024 |
| 23 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 8 Nov 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 38.9%, RNs 25.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.2% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.1% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.7% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 48.4% | 15.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Generations Health Association, Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Generations Health Association, Inc | Operational/managerial control | NOT APPLICABLE | 02/26/1997 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Generations Center of Spencer been cited for?
9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has Generations Center of Spencer been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Generations Center of Spencer compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates Generations Center of Spencer?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Generations Health Association, Inc. Individual owners and managers are not listed on this site.
When was Generations Center of Spencer last inspected?
The most recent survey or investigation in the CMS record is dated 15 May 2026; the most recent standard health survey was 15 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.