Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Generations Center Of Spencer during CMS and state inspections, most recent first.
The facility failed to properly contain garbage and refuse in water-sealed dumpsters, leading to unsanitary conditions. Two dumpsters used for waste disposal were surrounded by scattered garbage, including used exam gloves and broken plastic cups. Both dumpsters were not leak-proof, with Dumpster 1 having a crack and Dumpster 2 missing a plug. The Dietary Manager confirmed these issues, acknowledging the unsanitary state of the garbage area.
Two residents experienced multiple falls due to incomplete investigations and inadequate supervision. The facility failed to document critical details such as witness statements and staff involvement, leading to deficiencies in accident prevention. Interviews confirmed that the fall investigations were incomplete, contributing to the facility's failure to ensure a safe environment.
A facility failed to implement a documented fall intervention for a resident with moderate cognitive impairment. Despite the care plan specifying a visual reminder to lock wheelchair brakes, observations revealed the absence of such reminders in the resident's room and bathroom. Interviews confirmed the intervention was not executed as planned.
The facility failed to update care plans for two residents, leading to discrepancies in documented care interventions. One resident's care plan did not reflect an increased frequency of a nutritional supplement, while another resident's care plan inaccurately listed a fall intervention that was no longer in use. These oversights were confirmed by facility coordinators during interviews and observations.
The facility failed to maintain accurate medical records for two residents, leading to deficiencies in documentation. One resident's MAR lacked an order for a nutritional supplement, despite staff confirming its administration. Another resident experienced significant weight loss, but there was no documentation of physician notification. The DON confirmed the records were incomplete, highlighting a failure to adhere to facility policy.
Improper Garbage Disposal and Unsanitary Conditions
Penalty
Summary
The facility failed to properly contain garbage and refuse in water-sealed dumpsters and maintain the garbage storage area in a safe and sanitary condition. The facility's undated Waste Disposal Procedure policy requires that all garbage, trash, and other non-infectious waste be stored and disposed of in a manner that prevents disease transmission, nuisance creation, and breeding places for insects and rodents. During an observation and interview with the Dietary Manager, it was noted that the facility had two dumpsters for waste disposal, both of which were surrounded by scattered garbage, including used exam gloves, broken plastic cups, and pieces of cardboard and paper. Additionally, both dumpsters had visible sunlight entering from the bottom, indicating they were not leak-proof. Dumpster 1 had a horizontal crack with rust on the bottom, and Dumpster 2 had a waste drain without a plug. The Dietary Manager confirmed these issues, acknowledging that the dumpsters were not leak-proof and the garbage area was not maintained in a safe and sanitary condition.
Incomplete Fall Investigations Lead to Deficiencies in Resident Safety
Penalty
Summary
The facility failed to conduct thorough investigations of falls for two residents, leading to deficiencies in accident prevention and supervision. Resident #67, who had multiple falls and required extensive assistance due to poor safety awareness and unsteady gait, experienced two falls that were not properly investigated. The fall packets for these incidents lacked witness statements, did not identify staff involved, and failed to document critical details such as who found the resident or the last time the resident was observed or toileted. Resident #323, with a history of falls and diagnoses including congestive heart failure and vascular dementia, also experienced multiple unwitnessed falls. The fall packets for these incidents were incomplete, missing witness statements, and lacking information on who discovered the resident or alerted the nurse. One significant incident involved the resident falling in a secured courtyard area, resulting in multiple injuries and a subsequent hospital visit. The investigation did not include details on how long the resident had been outside or who observed the fall. Interviews with facility staff, including the Director of Nursing and the Falls Coordinator, confirmed that the fall investigations for both residents were incomplete. The facility's policy on fall investigations was not fully adhered to, as critical components such as root cause analysis and comprehensive documentation were missing. This lack of thorough investigation and documentation contributed to the facility's failure to ensure a safe environment free from accident hazards.
Failure to Implement Fall Intervention for Resident
Penalty
Summary
The facility failed to implement a person-centered care plan for a resident with a history of falls, specifically related to fall interventions. The resident, who was admitted and readmitted with diagnoses including Dementia, Depression, and Lack of Coordination, had a care plan intervention to place a visual reminder in their room to lock wheelchair brakes. Despite this intervention being documented in the care plan, observations on two separate occasions revealed that no visual reminders were present in the resident's room or bathroom. Interviews with the Falls Coordinator and Care Plan Coordinator confirmed that a sign was intended to be placed as a fall intervention following an incident. However, during a follow-up observation and interview, it was confirmed that the visual reminder was not present, indicating a failure to implement the care plan as documented. The resident's moderate cognitive impairment, as indicated by a BIMS score of 9, underscores the importance of such interventions to ensure their safety.
Failure to Update Care Plans for Residents
Penalty
Summary
The facility failed to revise the comprehensive care plans for two residents, leading to deficiencies in care documentation. Resident #25, who has severe cognitive impairment due to Alzheimer's Disease, had a physician's order to increase the administration of a nutritional supplement, Med Pass, from twice a day to three times a day. However, the care plan was not updated to reflect this change, as confirmed by the MDS Coordinator during an interview. This oversight indicates a lapse in ensuring that the care plan accurately reflects the resident's current medical orders and needs. Similarly, Resident #323, who has moderate cognitive impairment and a history of falls, had discrepancies in their care plan regarding fall interventions. The care plan listed a geri chair as an active fall intervention, although it was no longer in use or present in the resident's room. Instead, grab bars were installed on both sides of the resident's bed, but the care plan was not updated to reflect this change. The Falls Coordinator and Care Plan Coordinator confirmed these discrepancies during interviews and observations, highlighting a failure to maintain accurate and current care plans for residents with specific needs.
Deficiencies in Medical Record Documentation
Penalty
Summary
The facility failed to maintain accurate and complete medical records for two residents, leading to deficiencies in documentation. For one resident, the medical record did not include an order for a nutritional supplement, Med Pass, which was supposed to be administered twice daily. Despite the resident's weight gain being documented in nursing and dietary notes, the Medication Administration Record (MAR) lacked the necessary order, indicating a gap in record-keeping. Interviews with staff confirmed the resident received the supplement, but the Director of Nursing acknowledged the incomplete and inaccurate medical record. Another resident experienced significant weight loss, but there was no documentation of physician notification regarding this change. The resident had been hospitalized and returned with a notable decrease in weight. Although the Restorative Nurse stated that the Medical Director was informed of the weight loss, this notification was not documented in the medical record. The Medical Director expected to be notified of weight changes monthly, and the Director of Nursing confirmed the expectation to document such notifications, highlighting the deficiency in maintaining complete records. These deficiencies in documentation reflect a failure to adhere to the facility's policy, which requires all services and changes in a resident's condition to be documented accurately. The lack of proper documentation could hinder effective communication among the interdisciplinary team and impact the quality of care provided to the residents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the citations issued around you in the last 12 months — including the immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Spencer
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare, Sparta | 12 mi | — | 0 | 0 |
| Life Care Center Of Sparta | 13.9 mi | — | 0 | 0 |
| Willow Branch Health And Rehabilitation | 16.7 mi | — | 0 | 0 |
| Bledsoe County Nursing Home | 17.8 mi | — | 0 | 0 |
| Nhc Healthcare, Mcminnville | 18.1 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Generations Center Of Spencer.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.