Generations Center of Spencer: Staffing, Turnover, and Inspection Record
Generations Center of Spencer is a 70-bed nonprofit nursing home in Spencer, Tennessee. In the CMS August 2026 release it reported 2.36 nurse aide hours per resident per day, 11% above the Tennessee average of 2.12, and 38.9% nursing staff turnover (Tennessee average 48.9%).
Generations Center of Spencer
87 Generations DriveSpencer, TN 38585
Van Buren County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Generations Center of Spencer, nurse aides logged 2.36 hours per resident per day, 11% above the Tennessee average. With about 67 residents a day, that works out to roughly 157 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 23% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.36 | 2.12 | 2.32 |
| Licensed practical nurses | 0.86 | 1.09 | 0.86 |
| Registered nurses | 0.46 | 0.60 | 0.69 |
| All nursing staff | 3.67 | 3.80 | 3.86 |
| All nursing staff, weekends | 2.84 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.9% of nursing staff at Generations Center of Spencer left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 25.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 15, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Tennessee average 4.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Generations Center of Spencer holds 3 of 5 overall; the Tennessee average is 3.0.
About Generations Center of Spencer
- Ownership: Non profit - Corporation
- Legal name: Generations Health Association, Inc
- Medicare and Medicaid certified since: Jan 23, 1997
- Councils: resident council
- Area: rural
Nursing homes near Generations Center of Spencer
The closest homes by distance, with the same CMS figures. Select a column to sort.
| NHC Healthcare, Sparta Sparta | 12.0 | 96 | 2.05 | 3.69 | 36.7% | 3 | None |
| Life Care Center of Sparta Sparta | 13.9 | 100 | 2.14 | 3.77 | 38.6% | 5 | None |
| Willow Branch Health and Rehabilitation McMinnville | 16.7 | 140 | 1.79 | 3.30 | 48.6% | 2 | None |
| Bledsoe County Nursing Home Pikeville | 17.8 | 50 | 1.77 | 3.26 | 46.2% | 4 | None |
| NHC Healthcare, McMinnville McMinnville | 18.1 | 115 | 2.03 | 3.67 | 33.9% | 5 | None |
| Wharton Nursing Home Pleasant Hill | 21.4 | 62 | 1.79 | 4.20 | — | 1 | $69,885 |
| NHC Healthcare, Smithville Smithville | 24.8 | 114 | 2.44 | 3.82 | 42.2% | 3 | $228,511 |
| NHC Healthcare, Sequatchie Dunlap | 26.6 | 110 | 2.61 | 4.14 | 46.6% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.