Cycle 1
Health 2021-06-09 · Fire 2021-06-09
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Spring Hill, TN
The Reserve At Spring Hill
5-star overall rating with 5-star inspections
2000 Reserve Boulevard, Spring Hill, TN
(931) 486-4200
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
68
Certified beds
Average residents
52
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2018-06-07
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.43
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
2.01
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.77
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
5.21
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
2.44
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.70
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
4.83
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
1,879
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.34
Composite VBP score used to determine payment impact.
Payment multiplier
1.0080
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 16.90% · Performance 16.86% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
5.32
Baseline 4.98% · Performance 6.25% · Measure score 5.32 · Achievement 5.32 · Improvement 0
Total nurse turnover
1.45
Baseline 63.27% · Performance 57.75% · Measure score 1.45 · Achievement 1.45 · Improvement 0.94
Adjusted total nurse staffing
4.56
Baseline 5.08 hours · Performance 4.38 hours · Measure score 4.56 · Achievement 4.56 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.81% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 342 · Observed rate 11.11% · Lower 95% interval 9.16% |
| Discharge to community | 69.22% |
50.57%
18.6 pts better
|
Better than the National Rate · Eligible stays 322 · Observed rate 68.32% · Lower 95% interval 64.36% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.41% |
95.27%
4.1 pts better
|
Numerator 169 · Denominator 170 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 170 |
| Discharge self-care score | 45.93% |
53.69%
7.8 pts worse
|
Numerator 62 · Denominator 135 |
| Discharge mobility score | 45.93% |
50.94%
5 pts worse
|
Numerator 62 · Denominator 135 |
| Pressure ulcers or injuries, new or worsened | 0.59% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 170 · Adjusted rate 0.64% |
| Healthcare-associated infections requiring hospitalization | 6.24% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 171 · Observed rate 4.68% · Lower 95% interval 3.94% |
| Staff COVID-19 vaccination coverage | 2.91% |
8.2%
5.3 pts worse
|
Numerator 3 · Denominator 103 |
| Staff flu vaccination coverage | 14.38% |
42%
27.6 pts worse
|
Numerator 21 · Denominator 146 |
| Discharge function score | 53.33% |
56.45%
3.1 pts worse
|
Numerator 72 · Denominator 135 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 37 · Denominator 37 |
| Transfer of health information to patient | 99.14% |
96.28%
2.9 pts better
|
Numerator 115 · Denominator 116 |
| Resident COVID-19 vaccinations up to date | 27.17% |
25.2%
2 pts better
|
Numerator 25 · Denominator 92 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.5% |
89.9%
8.4 pts worse
|
93.4%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 82.6% · Q4 92.3% · 4Q avg 81.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.0% |
94.5%
14.5 pts worse
|
95.5%
15.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.6%
1.3 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 4.3% · Q4 11.5% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
11.8%
11.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
6.2%
3.3 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 4.5% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.6% |
32.2%
6.4 pts worse
|
19.6%
19 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 36.4% · 4Q avg 38.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.3% |
18.1%
3.2 pts worse
|
16.7%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 20.0% · 4Q avg 21.3% · Used in QM five-star |
| 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 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 0.0% |
19.9%
19.9 pts better
|
16.3%
16.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.7% |
15.3%
10.6 pts better
|
14.9%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.9%
0.7 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.2% |
20.2%
12 pts better
|
19.8%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 14.3% · Q4 0.0% · 4Q avg 8.2% |
| Percentage of long-stay residents with pressure ulcers | 0.8% |
5.4%
4.6 pts better
|
5.1%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 2.8% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.4% |
79.6%
5.8 pts better
|
81.7%
3.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.0% · Q2 83.1% · Q3 90.8% · Q4 89.4% · 4Q avg 85.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
11.2%
2 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.3% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.6%
0.1 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.7% · Q3 1.8% · Q4 1.3% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.0% |
79.8%
14.2 pts better
|
79.7%
14.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% |
22.2%
1.9 pts worse
|
23.9%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 21.2% · Expected 21.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-03-04 · Fire 2020-03-04
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-04-10 · Fire 2019-04-10
8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2020-03-04
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-04-16
D · Potential for more than minimal harm
2020-03-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-04-16
D · Potential for more than minimal harm
2019-04-10
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2019-05-15
Inspection history
Recent health citations
F · Potential for more than minimal harm
2020-03-04
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 2020-04-15
F · Potential for more than minimal harm
2019-04-10
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 2019-05-15
D · Potential for more than minimal harm
2019-04-10
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-05-15
D · Potential for more than minimal harm
2019-04-10
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-05-15
D · Potential for more than minimal harm
2019-04-10
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-05-15
D · Potential for more than minimal harm
2019-04-10
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-05-15
D · Potential for more than minimal harm
2019-04-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-05-15
D · Potential for more than minimal harm
2019-04-10
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 2019-05-15
D · Potential for more than minimal harm
2019-04-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-15
Penalties and ownership
What sits behind the stars
Ownership
Hoosier Care, Inc.
5% Or Greater Direct Ownership Interest · Organization
Barach, Andrea
Corporate Officer · Individual
Bellar, Julie
W-2 Managing Employee · Individual
Corbitt, Jo Anne
Corporate Director · Individual
Dodge, Laura
Corporate Director · Individual
Foos, John
Corporate Director · Individual
Hhss Management, LLC
Operational/Managerial Control · Organization
Noffsinger, Walter
Corporate Officer · Individual
Ridenour, James
Corporate Director · Individual
Smith, Douglass
Corporate Director · Individual
Smith, Douglass
Corporate Officer · Individual
Wood, Stephen
Corporate Director · Individual
Wood, Stephen
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Nhc Healthcare, Franklin
Franklin, TN
4-star overall rating with 4-star inspections with $96,140 in total fines with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Life Care Center Of Columbia
Columbia, TN
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Franklin Wellness And Rehabilitation Center
Franklin, TN
1-star overall rating with 1-star inspections with $41,161 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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