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The Reserve at Spring Hill
Nursing Home, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · Spring Hill, TN
CMS overall rating Info 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.
Interior activity space with therapy equipment and stairs Cozy private resident room with a bed and decor Interior common area with seating and decor

The Reserve at Spring Hill

Nursing Home, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · Spring Hill, TN
CMS overall rating Info 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.
2000 Reserve Boulevard, Spring Hill, TN 37174 View map
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The Reserve at Spring Hill accepts Medicare and private pay.
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The Reserve at Spring Hill accepts Medicare and private pay.

Overview of The Reserve at Spring Hill

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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 49 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.

Facility Direct Line (931) 486-4200
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 76.5% Above TN avg. ▲ 76.5% Above TN avg.TN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 79.5% Above TN avg. ▲ 79.5% Above TN avg.TN average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 24.2% Above TN avg. ▲ 24.2% Above TN avg.TN average: 2.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 45.3% Above TN avg. ▲ 45.3% Above TN avg.TN average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Tennessee averages

Rank #15 / 178Nurse hours — State benchmarkedThis nursing home is ranked 15th out of 178 nursing homes we track in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 178 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This nursing home is ranked 15th out of 178 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 49m

33% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
20m
−47% State avg: 37m per day · National avg: 41m per day
LPN / LVN Info 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.
1h 53m
+74% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Info 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 37m
+21% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 18m
+29% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
0m
−100% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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.
16m
−35% State avg: 24m per day · National avg: 28m per day

3 of 6 metrics below state avg

Standout metric: LPN / LVN is +74% above Tennessee average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 30 Rank #179 / 186Bed count — State benchmarkedThis nursing home is ranked 179th out of 186 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info An established community with some operational experience and growing routines. This is the number of years in operation under current management. Rank #159 / 162Years in operation — State benchmarkedThis nursing home is ranked 159th out of 162 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
8 years
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #176 / 194Walk Score — State benchmarkedThis nursing home is ranked 176th out of 194 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
4 / 100
Avg. Length of Stay Info 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.
34 days

About this community

License Details

Facility TypeAssisted Care Living Facility
IssuanceApril 25, 2018
ExpirationApril 24, 2027
License Number00000456
CMS Certification Number445531

Ownership & Operating Entity

The Reserve at Spring Hill is administered by Julie Bellar.

Owner NameEmerald Spring Hill, Inc

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Life-Enriching Amenities
Life-Enhancing Services

Contact The Reserve at Spring Hill

CMS Health Inspection History

Inspections Since 2019 · 7 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 2

Tennessee average 3.3

Last Health inspection on Mar 2020

Total health citations
9 Rank #50 / 180Health citations — State benchmarkedThis nursing home is ranked 50th out of 180 nursing homes we track in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 180 TN facilities. Lower citation counts earn a better rank.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Tennessee average 14.6

Citations per inspection
4.5 Rank #98 / 180Citations per inspection — State benchmarkedThis nursing home is ranked 98th out of 180 nursing homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 180 facilities with citation data. Lower is better.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Tennessee average 4.35

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 average

Tennessee average: 0.9

Serious health citations
0
100% better than Tennessee average

Tennessee average: 0.5

0 critical citations Tennessee average: 0.9
0 serious citations Tennessee average: 0.5
9 moderate citations Tennessee average: 13.2
0 minor citations Tennessee average: 0.1
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

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.

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
232% more staff per resident than Tennessee average
Tennessee average ratio: 1.72 : 1 Tennessee average ratio: 1.72 : 1See full Tennessee ranking
Avg staff/day 33
Average shift 9 hours
8% better than Tennessee average
Tennessee average: 8.3 hours Tennessee average shift: 8.3 hoursSee full Tennessee ranking
Total staff hours (quarter) 27,391

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info 10 total: 7 full-time employees and 3 contractors. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 52 total: 20 full-time employees and 32 contractors. 52
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 77 total: 37 full-time employees and 40 contractors. 77
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info 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 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant37407713,42592100%9.3
Licensed Practical Nurse2032528,48692100%9.4
Registered Nurse73101,3258491%10.4
RN Director of Nursing2028756571%7.7
Other Dietary Services Staff2028407177%7.7
Dietitian1015476773%8.2
Administrator1014886166%8
Nurse Practitioner1014645863%8
Dental Services Staff1014505661%8
Mental Health Service Worker1014375863%7.5
Occupational Therapy Aide1015578%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%
View All Staffing Data in Spring Hill

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 Info 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 average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 10.9
44% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Significantly above average Tennessee avg: 3.7 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 5.4%
67% better than Tennessee average

Tennessee average: 16.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.4%
21% better than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.5%
60% better than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.7%
50% better than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.9%
42% worse than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.7%
73% better than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.3%
23% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 76.8%
15% worse than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 80.0%
15% worse than Tennessee average

Tennessee average: 94.5%

Short-stay resident measures
Above average Tennessee avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.9%
8% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
22% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.0%
18% better than Tennessee average

Tennessee average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.1%
9% worse than Tennessee average

Tennessee average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 9.2%
18% better than Tennessee average

Tennessee average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Tennessee average

Tennessee average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 45.9%
14% worse than Tennessee average

Tennessee average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 69.2%
37% better than Tennessee average

Tennessee 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Operated by a church.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$487.0K
Nonprofit Operated by a church.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.5M Rank #93 / 173Net patient revenue — State benchmarkedThis nursing home is ranked 93rd out of 173 nursing homes we track in Tennessee. 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.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$487.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$146.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #108 / 173Payroll costs — State benchmarkedThis nursing home is ranked 108th out of 173 nursing homes we track in Tennessee. 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.
$4.4M 46.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #119 / 173Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 119th out of 173 nursing homes we track in Tennessee. 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.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.0M
How we calculate these figures

This home is administered by Julie Bellar.

This home is owned by Emerald Spring Hill, Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 445531

Show certification details

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (62% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
493 total

Coverage residents most often arrive under.

Medicare 38%
Private pay 62%
Discharges
545 total

Coverage residents most often leave under.

Medicare 35%
Private pay 65%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near The Reserve at Spring Hill

Address 3.3 miles from city center Info 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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Address

Compare Nursing Homes around Spring Hill

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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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: 54.1% 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Reserve at Spring Hill ★ ★ ★ ★ ★
NH
AL
HOS
RC
SNF
Spring Hill
30
Facility 30
TN AVG 105
Rank #179 / 186
--
4.82
Facility 4.82
TN AVG 3.63
Rank #15 / 178
 ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -24%+33%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 180
9
Facility 9
TN AVG 15.4
Rank #50 / 180
4.5
Facility 4.5
TN AVG 4.4
Rank #98 / 180
-56-
4
Facility 4
TN AVG 38
Rank #176 / 194
Emerald Spring Hill, Inc
$9.5MFiscal year ending 06/2024
Facility $9.5MFiscal year ending 06/2024
TN AVG $11.1M
Rank #93 / 173
$4.4MFiscal year ending 06/2024
Facility $4.4MFiscal year ending 06/2024
TN AVG $5.9M
Rank #108 / 173
46.2%Fiscal year ending 06/2024
Facility 46.2%Fiscal year ending 06/2024
TN AVG 54.1%
Rank #119 / 173
445531
Magnolia Healthcare and Rehabilitation ★ ★ ☆ ☆ ☆
NH
SNF
Columbia (Westwood)
181
Facility 181
TN AVG 105
Rank #12 / 186
45.2%
Facility 45.2%
TN AVG 71.3%
Rank #135 / 151
-37%
2.95
Facility 2.95
TN AVG 3.63
Rank #150 / 178
 ★ ★ ★ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -61%-19%
$0
Facility $0
TN AVG $90.9k
Rank #1 / 180
18
Facility 18
TN AVG 15.4
Rank #123 / 180
6.0
Facility 6.0
TN AVG 4.4
Rank #147 / 180
-82-
41
Facility 41
TN AVG 38
Rank #93 / 194
Columbia Tn Holdings LLC
$10.9MFiscal year ending 12/2023
Facility $10.9MFiscal year ending 12/2023
TN AVG $11.1M
Rank #67 / 173
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
TN AVG $5.9M
Rank #99 / 173
42.8%Fiscal year ending 12/2023
Facility 42.8%Fiscal year ending 12/2023
TN AVG 54.1%
Rank #143 / 173
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

Nursing Home Explorer

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.

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CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled
General Tennessee resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TN

Managed care model; high rural demand.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Tennessee Options for Community Living

TN Options

Age 60+
General Tennessee resident, at risk of nursing home.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TN

Limited funding; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled
General TN resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TN

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
TN

Includes grandparent caregivers; high rural demand.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TN resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
TN

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+
General TN resident; no income limit but prioritizes low-income.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TN

Serves ~50,000 annually; 200+ congregate sites plus Meals on Wheels.

Benefits
Congregate meals ($5-$7/meal value) at senior centers Home-delivered meals ($5-$7/meal)

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+
General TN resident, homeowner/renter (or widow/er 50+, disabled 18+).
Income Limits (2025) ~$45,000/year household, excludes half of Social Security
Asset Limits Not assessed; income-focused.
TN

Rebates up to $1,000; serves ~100,000 annually.

Benefits
Tax rebates (~$250-$1,000 based on income; e.g., $1,000 if income < $8,000)

Frequently Asked Questions about The Reserve at Spring Hill

Who is the owner of The Reserve at Spring Hill?

The Reserve at Spring Hill is legally operated by Emerald Spring Hill, Inc, and administered by Julie Bellar.

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, 2027.

What is the occupancy rate at The Reserve at Spring Hill?

The Reserve at Spring Hill's occupancy is 74.8%.

How long has The Reserve at Spring Hill been in business?

The Reserve at Spring Hill has been operating for approximately 8 years, based on available licensing and registration records.

Are pets allowed at The Reserve at Spring Hill?

No, The Reserve at Spring Hill has a no-pet policy.

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