Generations Center of Spencer
87 Generations Drive, Spencer, TN 38585 · Van Buren County · (931) 946-7768
70 certified beds, about 67 residents a day · Non profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445388 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 15, 2026, inspectors cited 2 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 9 health citations since December 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.67 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
38.9% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
012/21
510/24
405/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
1E
2F
Potential for minimal harm
0A
0B
0C
May 15, 2026Standard inspection, Complaint inspection · 4 citations
- F Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review, medical record review, facility document review, and interview, the facility failed to timely report allegations of abuse to the state survey agency within the required timeframe for 6 of 6 incidents of abuse that were reviewed, which affected Residents #31, #40, #57, #18, #29, and #36. However, due to the Administrator's misunderstanding of the reporting requirements for abuse, the failure had the potential to affect all residents residing in the facility.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteThe following deficiency represents an incident of past non-compliance that was subsequently corrected prior to this survey. Based on facility policy review, medical record review, facility document review, and interview, the facility failed to protect the resident's right to be free from verbal abuse by another resident for 1 (Resident #49) of 9 residents reviewed for abuse. Specifically, on 04/03/2026 and on 04/05/2026, staff overheard Resident #18 verbally threaten Resident #49.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to immediately implement protective measures following an allegation of resident-to-resident verbal abuse involving 2 residents (Resident #67 and Resident #36) of 9 residents sampled for abuse. Specifically, on 12/13/2025, Resident #67 screamed at their roommate (Resident #36) and the facility failed to implement protective measures until management became aware of the incident on 12/19/2025.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on facility policy review, medical record review, observation, Humalog KwikPen insulin manufacturer instruction review, and interview, the facility failed to ensure an error rate of 5 percent (%) or less during a medication administration observation. There were 2 errors out of 31 opportunities, which resulted in a medication error rate of 6.45% affecting 2 (Resident #44 and Resident #7) of 5 residents observed for medication administration.
October 23, 2024Standard inspection · 5 citations
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on facility policy review, observation and interview, the facility failed to contain garbage and refuse in a water sealed dumpster for 2 of 2 garbage dumpsters and failed to maintain the garbage storage area in a safe and sanitary condition.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on facility policy review, medical record review, facility investigation review and interview, the facility failed to complete a thorough investigation of falls for 2 residents (Resident #67 and #323) of 3 residents reviewed for falls.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to implement a person centered care plan related to fall interventions for 1 resident (Resident #323) of 3 residents reviewed for falls. The findings incude: Review of the facility's undated policy titled, Comprehensive Care Plan Procedures, revealed .The comprehensive care plan will describe .services that are to be furnished to attain or maintain .highest practicable .wellbeing .Resident specific interventions that reflect the resident's needs .staff responsible for carrying out interventions specified in the care plan will be notified of their roles and responsibilities initially and when changes are made . [...]
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on facility policy review, medical record review, observation and interview, the facility failed to revise the comprehensive care plan for 2 residents (Resident #25 and Resident #323) of 24 residents reviewed for care plans.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to maintain an accurate and complete medical record for 2 residents (Resident #19 and Resident #23) of 24 residents reviewed for medical records.
December 15, 2021Standard inspection · 0 citations
Fire safety inspections
6 fire safety citations on file: 6 on October 23, 2024.
Every fire safety citation6 citations
- E Have restrictions on the use of highly flammable decorations.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- 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.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.67 | 3.80 | 3.86 |
| Registered nurses | 0.46 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.31 | 3.42 |
| Nurse aides | 2.36 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 38.9% | 48.9% | 45.8% |
| Registered nurse turnover | 25.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.09 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.00 on weekdays and 2.84 on weekends, 29% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.67 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.67 | 0.46 | 4.00 | 2.84 | 0.0% | 0 of 90 | 67 |
| Oct to Dec 2025 | 3.51 | 0.44 | 3.81 | 2.76 | 0.0% | 0 of 92 | 69 |
| Jul to Sep 2025 | 3.41 | 0.47 | 3.74 | 2.59 | 0.0% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.46 | 0.48 | 3.79 | 2.62 | 0.0% | 0 of 91 | 68 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.2 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.7 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 48.4 | 16.9 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.8 |
Owners and operators
Legal business name: GENERATIONS HEALTH ASSOCIATION, INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Gaither, Patricia | Managing control - governing body | Individual | 07/18/2003 | |
| Campbell, James | Corporate director | Individual | 07/18/2003 | |
| Campbell, Kathryn | Corporate director | Individual | 01/23/2017 | |
| Gaither, David | Corporate director | Individual | 07/18/2003 | |
| Gaither, Patricia | Corporate director | Individual | 07/18/2003 | |
| Campbell, Kathryn | Corporate officer | Individual | 01/23/2017 | |
| Gaither, Patricia | Corporate officer | Individual | 07/18/2003 | |
| Generations Health Association, Inc | Operational/managerial control | Organization | 02/26/1997 | |
| Campbell, Kathryn | Operational/managerial control | Individual | 01/23/2017 | |
| Dibrell, Fredrick | Operational/managerial control | Individual | 07/17/2010 | |
| Gaither, Buffy | Operational/managerial control | Individual | 06/01/2007 | |
| Gaither, Patricia | Operational/managerial control | Individual | 07/18/2003 | |
| Sapp, Robert | Operational/managerial control | Individual | 07/17/2010 | |
| Campbell, Kathryn | Adp of the SNF | Individual | 01/23/2017 | |
| Dibrell, Fredrick | Adp of the SNF | Individual | 07/14/2010 | |
| Gaither, Buffy | Adp of the SNF | Individual | 06/01/2007 | |
| Gaither, Patricia | Adp of the SNF | Individual | 07/18/2003 | |
| Sapp, Robert | Adp of the SNF | Individual | 07/14/2010 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on May 15, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 23, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 15, 2026: "Ensure medication error rates are not 5 percent or greater."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on October 23, 2024: "Dispose of garbage and refuse properly."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- NHC Healthcare, Sparta Sparta, 12 mi · 3 of 5 stars · 7 citations
- Life Care Center of Sparta Sparta, 13.9 mi · 5 of 5 stars · 5 citations
- Willow Branch Health and Rehabilitation McMinnville, 16.7 mi · 2 of 5 stars · 11 citations
- Bledsoe County Nursing Home Pikeville, 17.8 mi · 4 of 5 stars · 6 citations
- NHC Healthcare, McMinnville McMinnville, 18.1 mi · 5 of 5 stars · 4 citations
- Wharton Nursing Home Pleasant Hill, 21.4 mi · 1 of 5 stars · 18 citations
- NHC Healthcare, Smithville Smithville, 24.8 mi · 3 of 5 stars · 9 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Generations Center of Spencer's Medicare star rating?
- CMS rates Generations Center of Spencer 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Generations Center of Spencer get at its last inspection?
- 2 health deficiencies at the standard inspection on May 15, 2026. The Tennessee average is 4.4.
- Has Generations Center of Spencer been fined?
- CMS lists no fines in the last three years.
- Does Generations Center of Spencer accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Generations Center of Spencer?
- CMS lists 18 owners and managers. Legal business name: GENERATIONS HEALTH ASSOCIATION, INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.