Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

THE RESERVE AT SPRING HILL

SPRING HILL, TN · 68 certified beds · Last Life Safety survey June 9, 2021

CMS Certification Number 445531 · first certified June 2018

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

3
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within TN

3 citations — more than 13% of the 303 certified nursing homes in TN. Compared within TN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (September 2022 to February 2025), and past the point by which nine in ten TN facilities have been surveyed. This facility’s last Life Safety survey was June 2021. Facilities in TN are typically surveyed 15–44 months after the last one (median 33), measured over 279 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

1 of the 3 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 3 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in TN, and nationally. Surveyors differ markedly between states, so the TN figure is the meaningful one.

This facility3TN median8National median11
Citations on file over three years, compared
MeasureCitations
This facility3
Median facility in TN8
Median facility nationally11

Survey history

Citations at each Life Safety survey
12019-0422020-0302021-06
Citations at each Life Safety survey
Survey dateCitations
April 10, 20191
March 4, 20202
June 9, 20210

Most-cited tags

Most-cited tags at this facility
E-00411K-03631K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0041Implement emergency and standby power systems.12019-04-10
K-0363Install corridor and hallway doors that block smoke.12020-03-04
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12020-03-04

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 1
  • Egress Deficiencies 1
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies1
Egress Deficiencies1
Smoke Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 4, 2020 — 2 citations

Citations issued on March 4, 2020
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 16, 2020)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 16, 2020)

April 10, 2019 — 1 citation

Citations issued on April 10, 2019
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 15, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.