Generations Center of Spencer is a small non-profit facility in Spencer, Tennessee. With an overall rating of B+, this looks like a strong nursing home. We were so impressed with this facility that we ranked it in the top third of all facilities in the country. This facility's impressive report card was highlighted by its inspection score, which we will address in the next paragraph.
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Generations Center of Spencer
- Nursing Home
Updated Apr 1, 2023 by Nick Reese
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- Has Family Council
- Non profit - Corporation
- Offers Inpatient Rehab
- Speech Therapy
- Wound Care
- Occupational Therapy
- Mental Health
- Physical Therapy
- Nutritional Counseling
- Recreational Therapy
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Registered Staff Hours
To go along with its strong overall grade, we awarded this nursing home a grade of A+ for our inspections rating. Perhaps the most significant factor we consider in computing our inspection grades is deficiencies. Deficiencies are found on a facility's recent inspection reports. Facilities with better grades in this category typically avoided the most severe deficiencies involving patient abuse or death. Although this nursing home had a few deficiencies on its government inspection report, none of them were serious based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
One of the other reasons we graded this nursing home so favorably is that it received a dominant long-term care grade. In fact, long-term care turned out to be its second highest category score. In that area, we awarded this facility a score of A-. Long-term care grades in this range generally require both around the clock care from nurses and aids, as well as quality routine medical care. One of the statistics we considered on top of nursing hours was vaccinations. This nursing home provided the pneumonia vaccination to 93.86973 percent of its patients. Clearly, this nursing home is doing something right in this area as it also excelled at keeping its residents out of the hospital. It had only 0.01 hospitalizations per one thousand long-term resident days, which is a remarkably low figure.
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This facility received a very good nursing grade this year as well. It received one of our better scores in that category with a grade of B+. Nursing scores are based largely on nurse staffing levels. This nursing home averages 0.3 hours of nursing care per resident per day. Finally, we also looked at several nursing quality-based metrics and this nursing home excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any facility the country in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can frequently be avoided by providing better nursing care, such as having a protocol of turning a patient more frequently.
Short-term Care Quality
The next category we assessed was short-term care. In this area, we gave this nursing home an acceptable grade of B-. This was this nursing home's weakest category. In forming these short-term care ratings, we quantify the facility's skilled nursing services, such as those performed by registered nurses, speech therapists, physical therapists and other types of therapists. The purpose is to formulate a scale for comparing the rehabilitation services of different nursing homes. Fortunately, it appear that this facility employs registered nurses. Not every facility employs these types of nurses. However, based on the information they provided, they do not appear to employ physical therapists. Finally, we considered the percentage of residents who ultimately were able to return home from this nursing home. We found that 0 percent of this facility's patients were able to return home. This figure was well below average.
Rating Over Time
Compared to national and state averages across all facilities.
Generations Center of Spencer Quality Metrics
Minimizes Pressure Ulcers
In Generations Center of Spencer, 8.88% of Patients had Pressure Ulcers
This indicates the percent of patients who have had a pressure ulcer. Pressure ulcers are considered by many experts to be an indicator of the quality of nursing care . Pressure ulcers, also referred to as bed sores, are routinely caused by residents not being moved frequently enough.
Minimizes Serious Falls
In Generations Center of Spencer, 3.29% of Patients had Serious Falls
This is the percent of patients who sustained a major fall. Falls resulting in serious injuries are considered to be an indicator of the quality of nursing care . Major falls which result in injury are often caused by lower quality nursing care.
Minimizes Urinary Tract Infections
In Generations Center of Spencer, 3.08% of Patients had UTIs
This statistic gauges the percentage of long-term stay residents that experienced urinary tract infections. UTI's could be an indicator of worse hygiene protocols. Nevertheless, this datapoint can be skewed for certain facilities due to inconsistent reporting standards for infections.
Appropriately Uses Anti-Psychotic Medication
In Generations Center of Spencer, 15.67% of Patients use Anti-Psychotic Medication
This metric is an indication of the percent of long-term residents taking antipsychotic medications. While antipsychotic medications serve an important medical purpose, it is important to ensure these drugs are being used appropriately. In some cases, excessive reliance on these medications may mean a facility is using these drugs to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Generations Center of Spencer, 29.74% of Patients use Anti-Anxiety Medication
This figure is a measure of the percentage of long-term care patients which are prescribed antianxiety drugs. These drugs are commonly used to treat patients suffering from depression and anxiety.
Managing Depression Among Residents
In Generations Center of Spencer, 9.14% of Patients
This indicates the percentage of residents exhibiting symptoms of depression. Higher levels of depression may be an indicator lower quality care.
Appropriate Vaccine Usage
In Generations Center of Spencer, 88.31% of Patients
This metric is a measure of the percentage of long-term patients who were given the pneumonia and flu vaccines. Respiratory viruses can be fatal for seniors, making these vaccines critical to patient health.
Residents Maintain Autonomy
In Generations Center of Spencer, 17.11% Percentage of Patients
This is the percentage of residents who needed additional assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may indicate the erosion of a patient's health.
Ability to Keep Residents Mobile
In Generations Center of Spencer, 20.35% Percentage of Residents
This indicates the percentage of patients that maintained mobility over time. Optimizing mobility is often a great sign for residents' health.
In Generations Center of Spencer, 1.4 Hospitalizations per 1,000 resident days
This indicates the number of hospitalizations per 1,000 days of care. There is generally a correlation between having fewer hospitalizations and the quality of care.
Short-term Care: Rehospitalizations
In Generations Center of Spencer, 20.35 Percentage of Residents Rehospitalized
This metric is a measure of the number of rehospitalizations per thousand days of short-term patient care.
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