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Generations Center of Spencer
87 Generations Drive, Spencer, TN 38585 (opens Google Maps) · Van Buren County · (931) 946-7768· 70 certified beds · avg 67 residents/day · certified since Jan 23, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected May 15, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.44
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
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 F-0609
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 F-0600
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 F-0610
View all 9 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2026 | F · Potential for more than minimal harm, widespread | 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 · F-0609 |
| May 15, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| May 15, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| May 15, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Oct 23, 2024 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Oct 23, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 23, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Oct 23, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Oct 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
All citationsSerious citations (G–L)
2024
All citations: 5
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTennessee averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.44
Tennessee average: 3.62
U.S. average: 3.95
Registered Nurse hours
This facility: 0.43
Tennessee average: 0.57
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.66
Tennessee average: 3.15
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.67 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Generations Center of Spencer. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Tennessee midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 445388.
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