Nursing home
Generations Center of Spencer
87 Generations Drive, Spencer, TN 38585 · Map
Non profit - Corporation · 70 certified beds
Generations Center of Spencer is a Medicare-certified nursing home in Spencer, Tennessee. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.41 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Oct 23, 2024 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Generations Center of Spencer compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.41 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.47 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.22 | 2.15 | 2.34 | above avg |
| Nursing staff turnover | 39.1% | 48.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 5.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Generations Center of Spencer
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Oct 23, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 23, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Oct 23, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Oct 23, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Oct 23, 2024 · Full report (PDF)
Show all 8 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 16, 2019 - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 16, 2019 - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Apr 16, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 87 Generations Drive
Spencer, TN 38585 - CMS certification #
- 445388
- Ownership
- Non profit - Corporation
- Certified beds
- 70
- Avg residents/day
- 68.5
- Provider type
- Medicare and Medicaid
- First certified
- 1997-01-23
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Generations Center of Spencer using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Saint Thomas Highlands Hospital, Sparta. 13.6 miles away, straight line.
- Nearest Medicare nursing home
- NHC Healthcare, Sparta, Sparta. 12.0 miles away, straight line.
- Nearest home health agency office
- Homefirst Home Healthcare, Mc Minnville. 17.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 12.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 38585 as rural (rural area).
- Dialysis within 15 miles
- Davita Sparta Dialysis, Sparta, 12.4 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 38585.
- Nearest geriatric medicine practice
- Pardeep Sharma, MD, Cookeville. 28.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Generations Center of Spencer a good nursing home?
CMS gives Generations Center of Spencer an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Generations Center of Spencer staffed?
Generations Center of Spencer reports 3.41 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Generations Center of Spencer had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Generations Center of Spencer have?
Generations Center of Spencer is certified for 70 beds.