Federal inspection record · CMS data as of October 1, 2026
Generations Center Of Spencer
87 Generations Drive, Spencer, TN · (931) 946-7768
- Certified beds
- 70
- Residents per day
- 67
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 23, 1997
1
How this home got 3 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Generations Center Of Spencer carries 33 inspection points. That is fewer than 39% 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
9 health citations on record since 2024. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation3F
- F
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning3D
- 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary1F
- F
Dispose of garbage and refuse properly.
Quality of Life and Care1E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspection history
2026-05-15
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-10-23
5 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2021-12-15
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 8 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 8 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.2 pts better | 1.4 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 0.9 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.2 pts worse | 89.3% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts worse | 90.1% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 2.2% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.1 pts better | 10.8% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts better | 1.4% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.8 pts worse | 41.5% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication31.9 pts worse | 48.9% | 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 worsened3.3 pts worse | 18.7% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts worse | 18.9% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.5% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 2.2% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts better | 18.4% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 4.0% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better | 83.8% | 79.4% | 82.3% |
·
Who owns and runs it
18 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 |
|---|---|---|---|
| Campbell, James | Corporate Director · Individual | 0% | 1 facilities |
| Campbell, Kathryn | Corporate Director · Individual | 0% | 1 facilities |
| Campbell, Kathryn | Corporate Officer · Individual | 0% | 1 facilities |
| Campbell, Kathryn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Campbell, Kathryn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dibrell, Fredrick | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dibrell, Fredrick | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gaither, Buffy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gaither, Buffy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gaither, David | Corporate Director · Individual | 0% | 1 facilities |
| Gaither, Patricia | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Gaither, Patricia | Corporate Director · Individual | 0% | 1 facilities |
| Gaither, Patricia | Corporate Officer · Individual | 0% | 1 facilities |
| Gaither, Patricia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gaither, Patricia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Generations Health Association, Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sapp, Robert | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sapp, Robert | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3E
- E
Have restrictions on the use of highly flammable decorations.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Smoke2D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Nhc Healthcare, Sparta
Sparta, TN · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0
-
Life Care Center Of Sparta
Sparta, TN · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0
-
Willow Branch Health And Rehabilitation
Mcminnville, TN · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 8 min
- Fines
- $0