Generations Center of Spencer
Nursing home in Spencer, Tennessee, CMS certification number 445388
87 Generations Drive, Spencer, TN 38585 · Van Buren County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 70
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 15, 2026
- Deficiencies at that inspection
- 4
- Fines in 3 years
- No fines
Does Generations Center of Spencer take Medicare and Medicaid?
Yes to both. Generations Center of Spencer is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Generations Center of Spencer reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.13
- Registered nurse hours
- 0.56
- Licensed practical nurse hours
- 0.67
- Nurse aide hours
- 1.90
- Weekend total hours
- 2.33
- Nursing staff turnover
- 35.5%
- Registered nurse turnover
- 0%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on May 15, 2026 and cited 4 deficiencies, plus 3 from complaint visits.
The visit before, on October 23, 2024, found 5.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Generations Center of Spencer in the past 3 years.
Beds and residents
On an average day 67.3 residents live here, about 96% of its 70 certified beds.
- Certified beds
- 70
- Average residents per day
- 67.3
- Certified since
- January 23, 1997
- Resident or family council
- Resident
Who owns Generations Center of Spencer
- Legal business name
- Generations Health Association, Inc
- Ownership type
- Non profit - Corporation
Other nursing homes near Generations Center of Spencer
- NHC Healthcare, Sparta34 Gracey St, Sparta 38583
- Life Care Center of Sparta508 Mose Drive, Sparta 38583
- Willow Branch Health and Rehabilitation415 Pace Street, McMinnville 37110
- Bledsoe County Nursing Home107 Wheelertown Avenue, Pikeville 37367
- NHC Healthcare, McMinnville928 Old Smithville Rd PO Box 528, McMinnville 37110
Who inspects nursing homes in Tennessee
Tennessee's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Tennessee, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Generations Center of Spencer, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Generations Center of Spencer
What is the CMS star rating of Generations Center of Spencer?
3 out of 5 stars overall.
Does Generations Center of Spencer accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Generations Center of Spencer?
4 cited at the last standard visit.
Who owns Generations Center of Spencer?
Generations Health Association, Inc, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.