Total health inspections
2
Tennessee average 3.5
Last Health inspection on Mar 2020
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
The Reserve at Spring Hill
Nursing Home · Spring Hill, TN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Reserve at Spring Hill
Nursing Home · Spring Hill, TN
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Reserve at Spring Hill accepts Medicare and private pay.
Overview of The Reserve at Spring Hill
The Reserve at Spring Hill is a private 30-bed nursing and rehab center run by administrator Julie Bellar and Hoosier Care, Inc. Opened in 2018 as part of the HutsonWood brand, the building is set up for short-term recovery and accepts only Medicare and private-pay residents. The client mix is 62% private-pay and 38% Medicare, with residents staying an average of 34 days. You’ll find it about 12 miles outside the city center in an area with a Walk Score of 4, meaning it requires a car. The facility has grown its occupancy to 74.8% and brought in $633 thousand in net income for 2024 on $9.2 million in revenue.
Government health logs show excellent staffing numbers, including a 5.73 staff-to-resident ratio that ranks first in Tennessee. Total daily nursing care adds up to about five hours per resident, led by strong LPN coverage at 2 hours and 1 minute and nurse aides at 2 hours and 46 minutes, which helps cover for a slight dip in daily RN hours. Clinical records show great outcomes: permanent residents have zero documented depression and very low rates of pressure ulcers or functional decline.
On the short-term rehab side, the facility records zero major injuries from falls and a 69.2% successful community discharge rate, easily beating the state average. The property also has a clean regulatory record with zero federal fines or penalties over the last three years.
Families checking out local short-term rehab spots can look over these public records to gauge how the building operates day-to-day. Since the state data highlights the highest staffing ratios in Tennessee, zero recent fines, and great physical recovery numbers, the paperwork points to a very stable, well-supported setup.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ▼ 30% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 2h 1m per day | ▲ 86% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 46m per day | ▲ 29% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 42m per day | ▲ 40% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ▲ 4% State avg: 24m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy rate
74.8%
Rank #163 / 302Occupancy rate — State benchmarkedThis home is ranked 163rd out of 302 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 302. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
34 days
30-bed community Rank #412 / 427Bed count — State benchmarkedThis home is ranked 412th out of 427 homes in Tennessee. Shows this facility's certified or reported bed count compared to other Tennessee SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
8 years in operation Rank #345 / 385Years in operation — State benchmarkedThis home is ranked 345th out of 385 homes in Tennessee. Shows how long this facility has been in operation compared to other Tennessee SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
An established community with some operational experience and growing routines.
Walk Score: 4 / 100 Rank #488 / 554Walk Score — State benchmarkedThis home is ranked 488th out of 554 homes in Tennessee. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeAssisted Care Living Facility
StatusLicensed
IssuanceApril 25, 2018
ExpirationApril 24, 2026
License Number00000456
CMS Certification Number445531
The Reserve at Spring Hill is administrated by Julie Bellar.
Owner NameEmerald Spring Hill, Inc
Rehabilitation Services
Respite Care
Life-Enriching Amenities
Life-Enhancing Services
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Inspection oversight
- Latest inspection: October 13, 2022
Health Inspection History
Inspections
Total health citations
9
Rank #51 / 176Health citations — State benchmarkedThis home is ranked 51st out of 176 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 176 TN SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Tennessee average 15.4
Citations per inspection
4.5
Rank #92 / 176Citations per inspection — State benchmarkedThis home is ranked 92nd out of 176 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 176 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than Tennessee averageTennessee average: 1.1
Serious health citations
0
100% better than Tennessee averageTennessee average: 0.6
Citations history (last 7 years)
Nutrition moderate citation
Mar 04, 2020
Corrected
Infection Control moderate citation
Apr 10, 2019
Corrected
Nutrition moderate citation
Apr 10, 2019
Corrected
Pharmacy moderate citation
Apr 10, 2019
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
149
Employees
74
Contractors
75
Staff to resident ratio
5.73:1
228% better than Tennessee average
Avg staff/day
33
Average shift
9 hours
8% better than Tennessee average
Total staff hours (quarter)
27,391
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
10 total: 7 full-time employees and 3 contractors.
10
10 total: 7 full-time employees and 3 contractors.
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
52 total: 20 full-time employees and 32 contractors.
52
52 total: 20 full-time employees and 32 contractors.
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
77 total: 37 full-time employees and 40 contractors.
77
77 total: 37 full-time employees and 40 contractors.
77
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4.8%
1,323 contractor hours this quarter
Certified Nursing Assistant: 40
Licensed Practical Nurse: 32
Registered Nurse: 3
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 40 | 77 | 13,425 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 20 | 32 | 52 | 8,486 | 92 | 100% | 9.4 |
| Registered Nurse | 7 | 3 | 10 | 1,325 | 84 | 91% | 10.4 |
| RN Director of Nursing | 2 | 0 | 2 | 875 | 65 | 71% | 7.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 840 | 71 | 77% | 7.7 |
| Dietitian | 1 | 0 | 1 | 547 | 67 | 73% | 8.2 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 450 | 56 | 61% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 437 | 58 | 63% | 7.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 55 | 7 | 8% | 7.8 |
77 Certified Nursing Assistant
% of Days
100%
52 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
91%
2 RN Director of Nursing
% of Days
71%
2 Other Dietary Services Staff
% of Days
77%
1 Dietitian
% of Days
73%
1 Administrator
% of Days
66%
1 Nurse Practitioner
% of Days
63%
1 Dental Services Staff
% of Days
61%
1 Mental Health Service Worker
% of Days
63%
1 Occupational Therapy Aide
% of Days
8%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.8
73% better than Tennessee averageTennessee average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.9
44% better than Tennessee averageTennessee average: 19.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.4%
Percent of long-stay residents whose need for help with daily activities has increased
5.4%
67% better than Tennessee averageTennessee average: 16.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
21% better than Tennessee averageTennessee average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
60% better than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
50% better than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.9%
Percent of long-stay residents with a urinary tract infection
2.9%
42% worse than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.7%
Percent of long-stay residents who lose too much weight
1.7%
73% better than Tennessee averageTennessee average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Tennessee averageTennessee average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.3%
Percent of long-stay residents who received an antipsychotic medication
20.3%
23% worse than Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
76.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
76.8%
15% worse than Tennessee averageTennessee average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.0%
15% worse than Tennessee averageTennessee average: 94.5%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.9%
8% better than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
22% better than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
18% better than Tennessee averageTennessee average: 79.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.1%
9% worse than Tennessee averageTennessee average: 22.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
18% better than Tennessee averageTennessee average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Tennessee averageTennessee average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
45.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.9%
14% worse than Tennessee averageTennessee average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
69.2%
Rate of successful return to home or community from a skilled nursing facility.
69.2%
37% better than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
38% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
62% of new residents, often for short stays.
Typical stay
2 - 3 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
26
Medicare
11
42.3% of residents
Private pay or other
15
57.7% of residents
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for The Reserve at Spring Hill based on CMS SNF Cost Reports.
Occupancy Rate
74.8%
↑ 6.9pp vs 2023
Net Income
$633.0K
↑ ~$1.1M vs 2023
Total Payroll
$5.9M
↑ ~$584.2K vs 2023
Profit Margin
7.0%
↑ 13.1pp vs 2023
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$9.2M
Profit
$633.0K
Privately-owned community
Operated by a business corporation.
Home revenue
$9.2M Rank #135 / 176Revenue — State benchmarkedThis home is ranked 135th out of 176 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$633.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #83 / 176Payroll — State benchmarkedThis home is ranked 83rd out of 176 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #83 / 176Payroll — State benchmarkedThis home is ranked 83rd out of 176 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.6M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Reserve at Spring Hill
12.6 miles from city center
Estimated distance in miles from Spring Hill's city center to The Reserve at Spring Hill's address, calculated via Google Maps.
Calculate Travel Distance to The Reserve at Spring Hill
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Financial Assistance for
Nursing Home in Tennessee
The Reserve at Spring Hill is located in Spring Hill, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Frequently Asked Questions about The Reserve at Spring Hill
Who is the owner of The Reserve at Spring Hill?
The legal owner and operator of The Reserve at Spring Hill is Emerald Spring Hill, Inc.
Is The Reserve at Spring Hill in a walkable area?
The Reserve at Spring Hill has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the license number of The Reserve at Spring Hill?
According to TN state health department records, The Reserve at Spring Hill's license number is 00000456.
When does The Reserve at Spring Hill's license expire?
According to TN state health department records, The Reserve at Spring Hill's license expires on April 24, 2026.
Who is the administrator of The Reserve at Spring Hill?
Julie Bellar is the administrator of The Reserve at Spring Hill.
How many beds does The Reserve at Spring Hill have?
The Reserve at Spring Hill has 30 beds.
Are there photos of The Reserve at Spring Hill?
Yes — there are 3 photos of The Reserve at Spring Hill in the photo gallery on this page.
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