Home›Tennessee›Van Buren County›GENERATIONS CENTER OF SPENCER
C
Below Standard

GENERATIONS CENTER OF SPENCER

87 GENERATIONS DRIVE · SPENCER, TN 38585

9319467768 · Non profit - Corporation

70 beds68.5 residents77 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

GENERATIONS CENTER OF SPENCER receives an overall staffing grade of C (Below Standard). With 3.4127 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.472 HPRD, below the recommended 0.75. It is 0.48 HPRD below the national average.

Weekend staffing drops significantly — dropping 30.79% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4127 HPRD — needs 0.07 more hours per resident per day.
⚠️RN staffing (0.472 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 30.79% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4127hrs/resident/day▼ 0.48
CMS benchmark: 3.48
RN HPRD
0.472hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
30.79%
3.738 weekday → 2.5869 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2147hrs/resident/day
Direct care aides
LPN HPRD
0.7183hrs/resident/day
Licensed practical nurses
Consistency
0.5991std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Van Buren County Average+0.00 HPRD
3.41
03.41 HPRD
vs. Tennessee State Average-0.46 HPRD
3.87
03.41 HPRD
vs. National Average-0.48 HPRD
3.90
03.41 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
GENERATIONS CENTER OF SPENCER ★
SPENCER · This facility
—
C
3.41270.472★★★☆☆
NHC HEALTHCARE, SPARTA
SPARTA
12 mi
B
3.61140.7335★★★☆☆
LIFE CARE CENTER OF SPARTA
SPARTA
13.9 mi
D
3.55920.3729★★★★☆
WILLOW BRANCH HEALTH AND REHABILITATION
MCMINNVILLE
16.7 mi
D
3.32190.3831★★★☆☆
NHC HEALTHCARE, MCMINNVILLE
MCMINNVILLE
18.5 mi
C
3.7750.5283★★★★★
NHC HEALTHCARE, SMITHVILLE
SMITHVILLE
24.2 mi
C
3.83020.51★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
8
Total Deficiencies
$0
Fines Assessed
Oct 23, 2024Health
5 deficiencies cited
▼
Apr 16, 2019Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.