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Nursing HomeMedicaid

Generations Center of Spencer

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

87 Generations Drive, Spencer, TN 3858570 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 39 Google reviews

5
4
3
2
1
Generations Center of Spencer Nursing Home in Spencer, TN — Street View
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What this means for your family

This facility is highly regarded for its compassionate staff and welcoming atmosphere, making it a strong candidate for resident comfort. However, because there have been historical reports of neglect regarding hygiene and skin care, families should proactively communicate with nursing staff about daily hygiene routines and skin inspections.

Google Reviews

Google Reviews

39 reviews on Google
Families considering Generations Center of Spencer can expect a highly compassionate and professional staff that is frequently praised for being attentive to residents' needs. While the facility is generally regarded as clean and welcoming, some past concerns regarding hygiene and specific instances of neglect have been noted.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean8.0ActivitiesN/AMedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Professional and helpful communication with families
  • Welcoming and homey environment

Concerns

  • Issues with hygiene and skin care/incontinence management (mentioned by 2 reviewers)
  • Occasional presence of pests (flies)

Rating Trends

Tap a year to see what changed

2341.0'17(1)5.02.3'21(3)1.04.9'23(9)5.05.0'25(12)5.0'26(6)

Distribution · 44 analyzed

5
39
4
1
3
0
2
0
1
4

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1It's wonderful to see how clean and well-maintained the facility looks; what steps do you take to ensure the rooms and common areas stay this tidy every day?
  • 2We've heard great things about how professional and helpful the communication is with families, so how do you typically keep us updated on our loved one's well-being?
  • 3Could you tell us more about your protocols for skin care and managing hygiene needs to ensure residents stay comfortable and healthy?
  • 4With the current staffing levels, how do you ensure that every resident receives the attentive, compassionate care that your nursing team is known for?
  • 5What does a typical day look like for residents here in terms of social activities and getting out of their rooms?
  • 6In the event of a medical emergency during the night, what is the specific process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

They are all so nice and attentive to my mom's needs I have not met anyone whom hasn't given her the best care. Excellent staff with kind caring hearts.

Long-term resident's family · 2025★★★★★

The love and care that the staff at Generations gave my sister was a source of great comfort to me.

Deceased resident's family · 2024★★★★★

My mother has resided here for several years and I've had the pleasure of working with so many wonderful staff that are driven with purpose and care genuinely for the residents.

Long-term resident's family · 2024★★★★★
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
58%
Registered nurses for medical care
Total Nursing
3.51hrs
86%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
2/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility48.4%
Worse than Avg
Here
48.4%
US
15.5%
TN
16.9%
Van buren
15.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility44.7%
Worse than Avg
Here
44.7%
US
19.5%
TN
31.9%
Van buren
20.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
14.4%
TN
14.6%
Van buren
10.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.4%
Worse than Avg
Here
27.4%
US
15.3%
TN
18.5%
Van buren
13.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
93.4%
TN
89.5%
Van buren
92.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.6%
Better than Avg
Here
13.6%
US
19.4%
TN
20.1%
Van buren
19.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.8%
Better than Avg
Here
83.8%
US
81.8%
TN
79.4%
Van buren
78.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (5.9)

Generations Center of Spencer shows a pattern of fire safety and building maintenance issues that persist across surveys, with problems in sprinkler system maintenance appearing in both 2019 and 2024 inspections. The facility also had deficiencies in care planning and accident prevention, though all issues were reportedly corrected by the facility. While no families filed complaints triggering inspections, the recurring fire safety concerns suggest ongoing challenges with facility maintenance and oversight.

Oct 23, 2024Routine
11
0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0753Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Apr 16, 2019Routine
5
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Generations Center of Spencer

Organization Type

nonprofit

Ownership & Management

Key personnel

Gaither, PatriciaManaging Control - Governing BodyCampbell, JamesOfficer / DirectorCampbell, KathrynOfficer / DirectorGaither, DavidOfficer / DirectorGaither, PatriciaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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