The home failed to properly dispose of garbage and other waste. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
Nursing home report
GENERATIONS CENTER OF SPENCER
SPENCER, TN · Medicare-certified · 70 beds
In good standing
Non-profit
3 of 5 overall
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. Reported nursing staffing is 3.51 hours per resident per day versus the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5119 hrs/resident/day
Quality measures
Last inspection: October 23, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5119.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.31
- Weekend nursing
- 2.76
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
52.2%50%Improving
Residents with a fall causing major injury
2.9%1.4%Improving
Residents with pressure ulcers (bedsores)
2.4%1.9%No change
Residents with a urinary tract infection
0%2.9%Worsening
Residents who lost too much weight
4.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
32.2%28.8%Improving
Residents whose ability to walk got worse
24.4%23.6%Improving
Long-stay residents on antianxiety or sleep medication
45.9%39.3%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.5%20.7%Worsening
Residents with depressive symptoms
9.5%8.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%88.4%Worsening
Short-stay residents given the pneumonia vaccine
—83.8%—
What the inspectors found
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.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2024 — isolated incident, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 69.2 residents on an average day (99% of 70 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
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.