Federal inspection record · CMS data as of October 1, 2026
Ascension Living Alexian Village Tennessee
671 Alexian Way, Signal Mountain, TN · (423) 886-0100
- Certified beds
- 114
- Residents per day
- 85
- Ownership
- Non-Profit
- Chain
- Ascension Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1978
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Ascension Living Alexian Village Tennessee carries 130 inspection points. That is fewer than 6% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
28 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
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G
Ensure that residents are free from significant medication errors.
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J
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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J
Ensure services provided by the nursing facility meet professional standards of quality.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Everything else, by area of care
Resident Assessment and Care Planning5F
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights4D
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care3D
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2025-12-10
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-09-25
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2019-11-20
17 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 57 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 57 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 47% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$12,438 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-08 | Fine | $12,438 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.3 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine32 pts worse | 57.5% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.9 pts worse | 82.9% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse | 4.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.2 pts better | 2.7% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts better | 4.6% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts better | 31.2% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts worse | 23.4% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.8 pts worse | 20.2% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15.6 pts worse | 29.1% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 1.1% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts worse | 25.8% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 4.7% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts worse | 76.5% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6 pts better | 5.3% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.3% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.9 pts worse | 66.3% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.8 pts better | 15.8% | 22.6% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ascension Health Senior Care | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Ascension Health Senior Care | Adp Of The SNF · Organization | 0% | 11 facilities |
| Health Dimensions Consulting Inc | Adp Of The SNF · Organization | 0% | 20 facilities |
| House Healthcare Solutions LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Medical Solutions LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Musgrave, Lisa | Corporate Officer · Individual | 0% | 11 facilities |
| Musgrave, Lisa | Adp Of The SNF · Individual | 0% | 11 facilities |
| Nieckula, Gregory | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nieckula, Gregory | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shadbolt, Erin | Corporate Director · Individual | 0% | 11 facilities |
| Shadbolt, Erin | Adp Of The SNF · Individual | 0% | 11 facilities |
| Simmons, Teddie | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Simmons, Teddie | Adp Of The SNF · Individual | 0% | 2 facilities |
| The Rose Group, Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- D
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
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Life Care Center Of Red Bank
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 36 min
- Fines
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-
Siskin Subacute West
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★★★★★- Worst citation, 3 yrs
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-
Life Care Center Of Hixson
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