The Reserve at Spring Hill

Nursing home in Spring Hill, TN

Medicare-certified5★ overall (CMS)

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Public-record details

Address: 2000 Reserve Boulevard, Spring Hill, TN 37174
Phone: (931) 486-4200
Listed under: Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN: 445531
Overall star rating: 5 of 5 ★★★★★
Health inspection rating: 5 of 5
Staffing rating: 3 of 5
Quality measures rating: 5 of 5
Certified beds: 68
Average residents per day: 56
Ownership: Nonprofit, church related
Legal business name: Emerald Spring Hill, INC.
Certified for: Medicare
First approved by Medicare/Medicaid: Jun 7, 2018
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Sprinklers in all required areas: Yes

CMS certification number 445531. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 9, 2021. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 10, 2019 to Mar 4, 2020): 0 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Mar 4, 2020	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	F Potential for more than minimal harm, widespread
Apr 10, 2019	Reasonably accommodate the needs and preferences of each resident. Resident Rights	D Potential for more than minimal harm, isolated
Apr 10, 2019	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights	D Potential for more than minimal harm, isolated
Apr 10, 2019	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Apr 10, 2019	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 10, 2019	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 10, 2019	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in… Pharmacy Service	D Potential for more than minimal harm, isolated
Apr 10, 2019	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Apr 10, 2019	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	F Potential for more than minimal harm, widespread

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 5.09 hours
Registered nurse (RN) time per resident per day: 0.35 hours
Nurse aide time per resident per day: 2.75 hours
Total nurse staffing on weekends: 4.55 hours
Nursing staff turnover (yearly): 47%
RN turnover (yearly): 56%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.