# Generations Center of Spencer

Generations Center of Spencer is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Spencer, TN, CMS Certification Number 445388, with 70 certified beds and about 67 residents per day. CMS rates it 3/5 overall (health inspections 3/5, staffing 3/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 87 Generations Drive, Spencer, TN 38585 (Van Buren County)
- Ownership type: Non profit - Corporation

- Operator (legal business name): [Generations Health Association, Inc](https://carefield.site/operator/op-generations-health-association-inc)
- CMS chain: not part of a CMS-reported chain

- Phone: 9319467768
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/445388

## Inspection record
6 inspections in the CMS window (latest 2026-05-15); 15 citations (9 health, 6 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-05-15 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance; complaint survey
- 2026-05-15 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-15 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-15 — [F-0759](https://carefield.site/deficiency/cms-f0759) Ensure medication error rates are not 5 percent or greater. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [K-0355](https://carefield.site/deficiency/cms-k0355) Properly select, install, inspect, or maintain portable fire extinguishes. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [K-0753](https://carefield.site/deficiency/cms-k0753) Have restrictions on the use of highly flammable decorations. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [K-0761](https://carefield.site/deficiency/cms-k0761) To conduct inspection, testing and maintenance of fire doors by qualified individuals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [F-0814](https://carefield.site/deficiency/cms-f0814) Dispose of garbage and refuse properly. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-23 — [F-0842](https://carefield.site/deficiency/cms-f0842) Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.13331 (state avg 3.81924, US 3.90085)
- RN: 0.562
- Nursing staff turnover: 35.5%

## Owners and managers of record (CMS disclosures)
- Patricia Gaither — Operational / managerial control, since 2003-07-18
- [Generations Health Association, Inc](https://carefield.site/owner/org-generations-health-association-inc) — Operational / managerial control, since 1997-02-26
- Kathryn Campbell — Operational / managerial control, since 2017-01-23
- Fredrick Dibrell — Operational / managerial control, since 2010-07-17
- Buffy Gaither — Operational / managerial control, since 2007-06-01
- Patricia Gaither — Operational / managerial control, since 2003-07-18
- Robert Sapp — Operational / managerial control, since 2010-07-17

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445388&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445388&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445388&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445388&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445388&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=445388&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-445388 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.