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The Reserve at Spring Hill

2000 Reserve Boulevard, Spring Hill, TN 37174 · Maury County · (931) 486-4200

68 certified beds, about 56 residents a day · Non profit - Church related · Medicare since 2018

Last standard inspection more than 2 years ago Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445531 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 9, 2021, inspectors cited 0 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

None of its 9 health citations since April 2019 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 5.09 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.

47.1% 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.

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
7D
0E
2F
Potential for minimal harm
0A
0B
0C
June 9, 2021Standard inspection · 0 citations
March 4, 2020Standard inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2020
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was served under sanitary conditions as evidenced by inappropriate tray line serving temperatures. The facility had a census of 26 residents and 26 residents received a meal tray from the kitchen.
April 10, 2019Standard inspection · 8 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by outdated food items, unlabeled and undated food items. The facility had a census of 21 with 20 of those residents receiving food items from the nourishment refrigerator.
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to provide reasonable accommodations to promote comfortable sleep for 1 of 16 (Resident #23) sampled residents reviewed.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to notify the Ombudsman of a transfer for 1 of 4 (Resident #28) sampled residents reviewed for transfer/discharge requirements.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on medical record review and interview, the facility failed to revise a care plan related to significant weight loss for 1 of 18 (Resident #128) sampled residents reviewed.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to follow their policy for fall management by not completing a fall investigation for 1 of 3 (Resident #127) sampled residents reviewed for falls.
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to follow the physician's orders for oxygen use for 1 of 1 (Resident #78) sampled residents reviewed for respiratory problems.
  7. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were securely locked and inaccessible to residents, unauthorized staff, and visitors in 1 of 4 (East Medication Cart) medication storage areas.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 15, 2019
    Inspectors wroteBased on medical record review, observation, and interview, the facility failed to store tube feeding equipment in a sanitary manner for 1 of 1(Resident #22) sampled residents reviewed receiving tube feedings.

Fire safety inspections

3 fire safety citations on file: 2 on March 4, 2020, 1 on April 10, 2019.

Every fire safety citation3 citations
  1. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 4, 2020 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 4, 2020 · Corrected (the home has a date of correction)
  3. D
    Implement emergency and standby power systems.
    E 41 · April 10, 2019 · Corrected (the home has a date of correction)

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.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)5.093.803.86
Registered nurses0.350.600.69
All nursing staff on weekends4.553.313.42
Nurse aides2.75
Licensed practical nurses1.99
Nursing staff turnover (share who left in a year)47.1%48.9%45.8%
Registered nurse turnover55.6%43.2%42.9%
Administrators who left1

CMS expects 4.05 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 5.31 on weekdays and 4.55 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.43 in April to June 2025 to 5.09 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.090.355.314.55 14.7%0 of 9056
Oct to Dec 20255.150.375.304.76 5.4%0 of 9252
Jul to Sep 20255.210.435.404.70 13.2%1 of 9252
Apr to Jun 20255.430.555.674.79 8.3%0 of 9149
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%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.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.514.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.91.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
8.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.11.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.017.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.05.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.316.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
30.822.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.011.212.0

Owners and operators

Legal business name: EMERALD SPRING HILL, INC..

NameRoleTypeShareSince
Hoosier Care, Inc.5% or greater direct ownership interestOrganization100%07/17/2015
Bellar, JulieW-2 managing employeeIndividual10/02/2019
Corbitt, Jo AnneCorporate directorIndividual07/17/2015
Dodge, LauraCorporate directorIndividual03/14/2019
Foos, JohnCorporate directorIndividual07/17/2015
Ridenour, JamesCorporate directorIndividual11/14/2016
Smith, DouglassCorporate directorIndividual07/17/2015
Wood, StephenCorporate directorIndividual07/17/2015
Barach, AndreaCorporate officerIndividual09/15/2017
Noffsinger, WalterCorporate officerIndividual10/01/2017
Smith, DouglassCorporate officerIndividual10/25/2016
Wood, StephenCorporate officerIndividual10/25/2016
Hhss Management, LLCOperational/managerial controlOrganization05/01/2019

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.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 4, 2020: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 10, 2019: "Reasonably accommodate the needs and preferences of each resident."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 10, 2019: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 10, 2019: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Reserve at Spring Hill's Medicare star rating?
CMS rates The Reserve at Spring Hill 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Reserve at Spring Hill get at its last inspection?
0 health deficiencies at the standard inspection on June 9, 2021. The Tennessee average is 4.4.
Has The Reserve at Spring Hill been fined?
CMS lists no fines in the last three years.
Does The Reserve at Spring Hill accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns The Reserve at Spring Hill?
CMS lists 13 owners and managers. Legal business name: EMERALD SPRING HILL, INC..

Sources

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