Nursing home report
SPENCER, TN · Medicare-certified · 70 beds
Generations Center of Spencer has a 3-star overall rating, with 3 stars for health inspections, but lower 2-star ratings for staffing and quality measures. It reports 3.67 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has had no fines in the last 24 months, and recent inspection citations included abuse/reporting, garbage disposal, and accident-hazard concerns.
Health inspections
Staffing
3.6679 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6679.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited May 2026 — widespread issue, potential for harm.
F-Tag 609 — 42 CFR §483.12 — S/S: F
The home failed to properly dispose of garbage and other waste. Cited October 2024 — widespread issue, potential for harm.
F-Tag 814 — 42 CFR §483.60 — S/S: F
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — limited pattern, potential for harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2026 — isolated incident, potential for harm.
F-Tag 600 — 42 CFR §483.12 — S/S: D
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited May 2026 — isolated incident, potential for harm.
F-Tag 610 — 42 CFR §483.12 — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 5 health deficiencies.
Health inspection found 3 health deficiencies.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
