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 in Spring Hill
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 in Spring Hill
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.
The Reserve at Spring Hill is a HutsonWood Community in Spring Hill, TN. It offers a full continuum of quality care including Assisted Living, Skilled Nursing, Rehabilitation, Hospice Care, and Respite Care.
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 | 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 |
|
Total Nursing (Weekend)
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 |
|
RN (Weekend)
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 lower than 85% suggests more openings may be available.
Occupancy rate
74.8%
Rank #82 / 139Occupancy rate — state benchmarkedThis home is ranked 82nd out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
34 days
Occupancy rate
74.8%
Rank #82 / 139Occupancy rate — state benchmarkedThis home is ranked 82nd out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
34 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
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 #103 / 139Revenue — state benchmarkedThis home is ranked 103rd out of 139 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 %.
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 #86 / 139Payroll — state benchmarkedThis home is ranked 86th out of 139 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.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #86 / 139Payroll — state benchmarkedThis home is ranked 86th out of 139 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.6M
30-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
8 years in operation
An established community with some operational experience and growing routines.
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.
Tennessee average: 9 complaint visits
Latest inspection
Date
October 13, 2022
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Health Inspection History
Inspections
Total health citations
9
Rank #37 / 138Health citations — state benchmarkedThis home is ranked 37th out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.
Tennessee average 15.4
Citations per inspection
4.5
Rank #69 / 138Citations per inspection — state benchmarkedThis home is ranked 69th out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.
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 3 years)
Critical Health citations
0
100% better than Tennessee averageTennessee average: 1.1
Serious Health citations
0
0
100% better than Tennessee averageTennessee average: 0.6
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 04, 2020
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 04, 2020
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 10, 2019
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 10, 2019
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 10, 2019
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 10, 2019
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 10, 2019
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 10, 2019
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
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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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
187
Employees
76
Contractors
111
Staff to resident ratio
7.19:1
301% better than Tennessee averageTennessee average ratio: 1.79:1
Avg staff/day
39
Average shift
8.6 hours
0% compared with Tennessee averageTennessee average: 8.3 hours
Total staff hours (quarter)
30,515
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
59
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
89
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
18.3%
5,599 contractor hours this quarter
Certified Nursing Assistant: 54
Licensed Practical Nurse: 38
Respiratory Therapy Technician: 5
Physical Therapy Assistant: 4
Speech Language Pathologist: 4
Physical Therapy Aide: 3
Qualified Social Worker: 2
Nurse Aide in Training: 1
Staff by category
| Certified Nursing Assistant | 35 | 54 | 89 | 12,399 | 91 | 100% | 9.2 |
| Licensed Practical Nurse | 21 | 38 | 59 | 8,196 | 91 | 100% | 9.2 |
| Registered Nurse | 8 | 0 | 8 | 1,992 | 90 | 99% | 10.1 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,638 | 90 | 99% | 6.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 988 | 74 | 81% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 762 | 63 | 69% | 7.3 |
| Physical Therapy Aide | 0 | 3 | 3 | 635 | 68 | 75% | 6.6 |
| Dietitian | 1 | 0 | 1 | 525 | 68 | 75% | 7.7 |
| Nurse Aide in Training | 1 | 1 | 2 | 495 | 63 | 69% | 7.7 |
| Physical Therapy Assistant | 0 | 4 | 4 | 491 | 65 | 71% | 6.2 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Administrator | 2 | 0 | 2 | 448 | 56 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 445 | 60 | 66% | 7.4 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 425 | 77 | 85% | 5.4 |
| Qualified Social Worker | 0 | 2 | 2 | 398 | 62 | 68% | 5.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 198 | 26 | 29% | 7.6 |
89 Certified Nursing Assistant
% of Days
100%
59 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
99%
4 Speech Language Pathologist
% of Days
99%
3 Other Dietary Services Staff
% of Days
81%
2 RN Director of Nursing
% of Days
69%
3 Physical Therapy Aide
% of Days
75%
1 Dietitian
% of Days
75%
2 Nurse Aide in Training
% of Days
69%
4 Physical Therapy Assistant
% of Days
71%
1 Nurse Practitioner
% of Days
66%
2 Administrator
% of Days
62%
1 Mental Health Service Worker
% of Days
66%
5 Respiratory Therapy Technician
% of Days
85%
2 Qualified Social Worker
% of Days
68%
1 Occupational Therapy Aide
% of Days
29%
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.
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.
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
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Nursing Homes around Spring Hill The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Filter by care type
| The Reserve at Spring Hill |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Spring Hill | 30 | 74.8% | +2% | - | -51% | - | 0 | 9 | 4.5 | 0 | 49 | - | Hoosier Care, Inc. | $9.2M | $3.8M | 41.8% | 445531 | ||||
| Maury Regional Transitional Care Center | - |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Columbia (Westwood) | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
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
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