3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Reserve at Spring Hill offers assisted living, skilled nursing, hospice care, and respite care in Spring Hill, TN. Assisted living provides help with daily tasks, while skilled nursing provides licensed nursing care for residents who need a higher level of medical support. Hospice care addresses end-of-life needs, and respite care offers a short-term stay for someone whose usual caregiver needs temporary relief.
The community has 30 beds, making it a smaller setting where staff and residents can get to know each other. Its range of care services may suit a resident whose needs could grow over time, as well as a family seeking short-term respite care or hospice support. Rehabilitation services are available for residents working toward recovery or maintaining function.
Medicare and private pay are accepted, giving families two confirmed ways to cover care. Total nurse staffing is 4 hours and 57 minutes per resident per day, representing the daily nursing time allocated to each resident. Julie Bellar serves as administrator, and Emerald Spring Hill operates the community.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 15th out of 174 nursing homes we track in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 57mStandout metric: LPN / LVN is +75% above Tennessee average
3 of 6 metrics below Tennessee average
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. 10 total: 7 of the facility's own employees and 3 agency contractors.
10 staff · 10.4-hour shifts
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. 52 total: 20 of the facility's own employees and 32 agency contractors.
52 staff · 9.4-hour shifts
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. 77 total: 37 of the facility's own employees and 40 agency contractors.
77 staff · 9.3-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
149
74 employees · 75 contractors · 33 on an average day
149 total staff / 26 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
5.73 : 1
↑ 241% · TN 1.68This facility: 5.73 staff per resident, 241% above the Tennessee average of 1.68 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
149 staff ÷ 26 residents
See full Tennessee ranking →
Average hours one staff member works on a day they are on shift, across every role.
9 h
↑ 8% · TN 8.3 hThis facility: 9 h, 8% above the Tennessee average of 8.3 h (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
27,391 staff hours this quarter
See full Tennessee ranking →95.2% of staff hours were worked by the facility's own employees
Tennessee average: 93.5% · Contractors this quarter: Certified Nursing Assistant (40), Licensed Practical Nurse (32), Registered Nurse (3)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
30
Rank #173 / 180Bed count — State benchmarked This nursing home is ranked 173rd out of 180 nursing homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
An established community with some operational experience and growing routines. This is the number of years in operation under current management.
Rank #153 / 156Years in operation — State benchmarked This nursing home is ranked 153rd out of 156 nursing homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #171 / 189Walk Score — State benchmarked This nursing home is ranked 171st out of 189 nursing homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
The Reserve at Spring Hill is administered by Julie Bellar.
100% corrected
9 of 9 citations corrected Latest inspection: Mar 04, 2020 · 1 citation (Nutrition, moderate), corrected
Most cited category: Resident Rights, 2 of 9 citations · 6 categories in total
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
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.
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 · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the Tennessee average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 37% · TN 3.7This facility: 5.0, 37% above the TN average of 3.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 47% · TN 3.4This facility: 5.0, 47% above the TN average of 3.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
3.5
Score · lower is better
↓ 62% · TN 9.1This facility: 3.5, 62% below the TN average of 9.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
4.5
Score · lower is better
↓ 74% · TN 17.1This facility: 4.5, 74% below the TN average of 17.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 7 better, 3 worse, 1 near TN average
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
People who live at the home · 11 measures
Percent of long-stay residents whose need for help with daily activities has increased
2.5%
↓ 82% · TN 14.0This facility: 2.5, 82% below the TN average of 14.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
0.0%
↓ 100% · TN 17.2This facility: 0.0, 100% below the TN average of 17.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.9%
↓ 46% · TN 20.0This facility: 10.9, 46% below the TN average of 20.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.9%
↑ 5% · TN 1.8This facility: 1.9, 5% above the TN average of 1.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
8.3%
↑ 143% · TN 3.4This facility: 8.3, 143% above the TN average of 3.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.0%
↓ 39% · TN 5.0This facility: 3.0, 39% below the TN average of 5.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
3.6%
↓ 41% · TN 6.1This facility: 3.6, 41% below the TN average of 6.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · TN 13.8This facility: 0.0, 100% below the TN average of 13.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
14.3%
↓ 15% · TN 16.8This facility: 14.3, 15% below the TN average of 16.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
↑ 3% · TN 89.4This facility: 91.7, 3% above the TN average of 89.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.0%
↓ 15% · TN 94.5This facility: 80.0, 15% below the TN average of 94.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
45.9%
↓ 14% · US 53.7This facility: 45.9, 14% below the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
69.2%
↑ 37% · US 50.6This facility: 69.2, 37% above the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
↓ 32% · TN 1.7This facility: 1.1, 32% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.7%
↑ 13% · TN 79.3This facility: 89.7, 13% above the TN average of 79.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
↑ 18% · TN 79.8This facility: 94.0, 18% above the TN average of 79.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.1%
↑ 9% · TN 22.2This facility: 24.1, 9% above the TN average of 22.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
↓ 18% · TN 11.2This facility: 9.2, 18% below the TN average of 11.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
32% of new residents, usually for short-term rehab.
68% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
26Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
The Reserve at Spring Hill’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 169 Tennessee nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Breaking even on care
3.9% operating margin
−1.3 pts vs prior year
Positive margin in 3 of the last 6 reported years. Net income $0.4M after other income.
Does it invest in staff?
Spends less on payroll than most Tennessee homes
47.7% payroll share of revenue
TN average 53.2%Rank #107 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 107th out of 169 nursing homes we track in Tennessee for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.4M while revenue rose $0.5M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Tennessee homes.
Profitable on care
| Metric | FY 2025 | vs prior year | Trend 2020 → 2025Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $10.0M | +$0.5M | Trend 20202025 | TN median $10.6M | Rank in TN Rank #95 / 169Net patient revenue — State benchmarked This nursing home is ranked 95th out of 169 nursing homes we track in Tennessee for net patient revenue. Shows this facility's net patient revenue compared to the Tennessee average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 44% of homes | Below TN median Higher net patient revenue than 44% of TN homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $9.6M | +$0.6M | Trend 20202025 | TN median — | Rank in TN Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.4M | −$0.1M | Trend 20202025 | TN median — | Rank in TN Not ranked | Profit, shrinking Resident care made money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 3.9% | −1.3 pts | Trend 20202025 | TN median — | Rank in TN Not ranked | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | TN median — | Rank in TN Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.4M | −$0.2M | Trend — | TN median — | Rank in TN Not ranked | Profit The bottom line is above zero after other income. |
Spends less of revenue on staff than most Tennessee homes
| Metric | FY 2025 | vs prior year | Trend 2020 → 2025Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.8M | +$0.4M | Trend 20202025 | TN median $5.2M | Rank in TN Rank #102 / 169Payroll costs — State benchmarked This nursing home is ranked 102nd out of 169 nursing homes we track in Tennessee for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Tennessee average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 40% of homes | Below TN median Higher payroll than 40% of TN homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 47.7% | +1.5 pts | Trend 20202025 | TN median 50.4% | Rank in TN Rank #107 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 107th out of 169 nursing homes we track in Tennessee for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 37% of homes | 5.5 pts under TN average The TN average is 53.2% of revenue. Within 3 points of it reads as near the average. |
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Tennessee payroll average.
% of net patient revenue
Payroll share Operating margin TN payroll average
| Metric | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $4.9M | $5.4M | $6.4M | $8.0M | $9.5M | $10.0M |
| Operating expenses | $7.3M | $6.5M | $6.3M | $8.5M | $9.0M | $9.6M |
| Net patient income | −$2.4M | −$1.1M | $0.1M | −$0.5M | $0.5M | $0.4M |
| Operating margin | −48.4% | −19.5% | 1.8% | −6.6% | 5.2% | 3.9% |
| Net income | −$2.0M | −$0.8M | $0.2M | −$0.5M | $0.6M | $0.4M |
| Payroll costs | $3.4M | $3.2M | $3.4M | $3.6M | $4.4M | $4.8M |
| Payroll share of revenue | 69.9% | 59.5% | 53.5% | 45.2% | 46.2% | 47.7% |
| Beds | 68 | 68 | 98 | 98 | 98 | 98 |
| Gross revenue | $5.6M | $5.3M | $6.6M | $7.7M | $9.1M | $10.2M |
| Salaries | $3.0M | $2.9M | $3.0M | $3.2M | $3.8M | $4.2M |
| Wage-related costs | $0.4M | $0.4M | $0.4M | $0.4M | $0.5M | $0.6M |
| Contract labor | $0.0M | $0.5M | $0.7M | $1.7M | $1.6M | $1.6M |
| Other operating costs | $3.9M | $3.2M | $2.9M | $4.9M | $4.6M | $4.8M |
| Net patient revenue per day | $522 | $560 | $315 | $330 | $353 | $351 |
| Cost per day | $775 | $669 | $310 | $351 | $335 | $338 |
| Average length of stay | 41.9 days | 35.2 days | 34.2 days | 34.0 days | 34.4 days | 35.0 days |
Showing 2025–2023 · scroll sideways for 3 earlier years
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (68% of admissions), and a typical private pay stay runs around 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.3 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.
Add your location
Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 53.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Reserve at Spring Hill | NH AL HOS RC SNF | Spring Hill | 30
Facility
30
TN AVG
105
Rank
#173 / 180 | - | - | 4.94
Facility
4.94
TN AVG
3.70
Rank
#15 / 174 | -24% | +33% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 9
Facility
9
TN AVG
14.5
Rank
#46 / 175 | 4.5
Facility
4.5
TN AVG
4.3
Rank
#98 / 175 | - | 53 | - |
4
Facility
4
TN AVG
38
Rank
#171 / 189 | Emerald Spring Hill, Inc | $10.0MFiscal year ending 06/2025
Facility
$10.0MFiscal year ending 06/2025
TN AVG
$12.0M
Rank
#95 / 169 | $4.8MFiscal year ending 06/2025
Facility
$4.8MFiscal year ending 06/2025
TN AVG
$6.3M
Rank
#102 / 169 | 47.7%Fiscal year ending 06/2025
Facility
47.7%Fiscal year ending 06/2025
TN AVG
53.2%
Rank
#107 / 169 | 445531 | ||||
| Magnolia Healthcare and Rehabilitation | NH SNF | Columbia (Westwood) | 181
Facility
181
TN AVG
105
Rank
#12 / 180 |
44.9%
Facility
44.9%
TN AVG
73.9%
Rank
#125 / 134 | -39% | 2.90
Facility
2.90
TN AVG
3.70
Rank
#147 / 174 | -61% | -22% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 18
Facility
18
TN AVG
14.5
Rank
#117 / 175 | 6.0
Facility
6.0
TN AVG
4.3
Rank
#142 / 175 | - | 81 | - |
41
Facility
41
TN AVG
38
Rank
#90 / 189 | Columbia Tn Holdings LLC | $12.3MFiscal year ending 12/2024
Facility
$12.3MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#58 / 169 | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#99 / 169 | 38.8%Fiscal year ending 12/2024
Facility
38.8%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#162 / 169 | 445465 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TN nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities
The Reserve at Spring Hill is located in Spring Hill, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The Reserve at Spring Hill is legally operated by Emerald Spring Hill, Inc, and administered by Julie Bellar.
The Reserve at Spring Hill has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TN state health department records, The Reserve at Spring Hill's license number is 00000456.
According to TN state health department records, The Reserve at Spring Hill's license expires on April 24, 2027.
The Reserve at Spring Hill's occupancy is 79.3%.
The Reserve at Spring Hill has been operating for approximately 8 years, based on available licensing and registration records.
No, The Reserve at Spring Hill has a no-pet policy.
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