Generations Center of Spencer
87 Generations Drive, Spencer, TN 38585 · Van Buren County · 70 certified beds · avg 67 residents/day · certified since Jan 23, 1997
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2026 | F · Potential for harm, facility-wide | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 15, 2026 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 15, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| May 15, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Oct 23, 2024 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Oct 23, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | F |
| 2026 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.44 | 3.62 | 3.95 | bottom 46% in Tennessee; bottom 33% in the U.S. |
| Registered Nurse hours | 0.43 | 0.57 | 0.69 | bottom 32% in Tennessee; bottom 26% in the U.S. |
| Weekend total nurse staffing | 2.66 | 3.15 | 3.50 | bottom 23% in Tennessee; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.39 | 0.48 | bottom 40% in Tennessee; bottom 31% in the U.S. |
| Total nursing staff turnover (%) | 38.9 | 48.9 | 45.8 | top 21% in Tennessee; top 34% in the U.S. |
| RN turnover (%) | 25.0 | 43.2 | 42.9 | top 18% in Tennessee; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.67, RN 0.46, weekend 2.84. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Campbell, James | Individual | Corporate Director | NOT APPLICABLE | 07/18/2003 |
| Campbell, Kathryn | Individual | Corporate Director | NOT APPLICABLE | 01/23/2017 |
| Campbell, Kathryn | Individual | Corporate Officer | NOT APPLICABLE | 01/23/2017 |
| Campbell, Kathryn | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/23/2017 |
| Campbell, Kathryn | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2017 |
| Dibrell, Fredrick | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/17/2010 |
| Dibrell, Fredrick | Individual | ADP of the SNF | NOT APPLICABLE | 07/14/2010 |
| Gaither, Buffy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2007 |
| Gaither, Buffy | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2007 |
| Gaither, David | Individual | Corporate Director | NOT APPLICABLE | 07/18/2003 |
| Gaither, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/18/2003 |
| Gaither, Patricia | Individual | Corporate Director | NOT APPLICABLE | 07/18/2003 |
| Gaither, Patricia | Individual | Corporate Officer | NOT APPLICABLE | 07/18/2003 |
| Gaither, Patricia | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/18/2003 |
| Gaither, Patricia | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2003 |
| Generations Health Association, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/26/1997 |
| Sapp, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/17/2010 |
| Sapp, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 07/14/2010 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can I see where garbage is stored and how often it's removed?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| NHC Healthcare, Sparta | 12.0 mi | Sparta, TN | ★★★☆☆ | 3/5 | |
| Life Care Center of Sparta | 13.9 mi | Sparta, TN | ★★★★★ | 5/5 | |
| Willow Branch Health and Rehabilitation | 16.7 mi | McMinnville, TN | ★★☆☆☆ | 3/5 | |
| Bledsoe County Nursing Home | 17.8 mi | Pikeville, TN | ★★★★☆ | 4/5 | |
| NHC Healthcare, McMinnville | 18.1 mi | McMinnville, TN | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 445388.