nursing home in Signal Mountain, TN
Ascension Living Alexian Village Tennessee
671 Alexian Way, Signal Mountain, TN 37377 · (423) 886-0100
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Ascension Living Alexian Village Tennessee at a glance
Ascension Living Alexian Village Tennessee is a 114-bed non-profit nursing home in Signal Mountain, Tennessee (Hamilton County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Tennessee average of 3.
Residents receive about 4 hours of nursing care per day (0.7 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (December 10, 2025) found 8 health citations. The Tennessee average is 4.4.
Federal regulators fined it 2 times in the past three years, totaling $226,846.
Nursing staff turnover is 49% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 114
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Ascension Living
- Medicare-certified since
- June 1, 1978
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Hamilton County
- CMS Certification Number
- 445123
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.05 hrs | 3.80 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.66 hrs | 0.60 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.25 hrs | 2.12 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.75 hrs | 3.31 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 49% | 48.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 43.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 130 | 47.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $226,846 | $22,907 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 114 | 114 | 107 | |
| Average residents per day | 89 | 84 | 86 | |
| Occupancy | 78.2% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.4% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.7% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 23.2% | 16.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 25.9% | 14% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 26.9% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.3% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.3% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 31.7% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 28.4% | 20% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.7% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 69% | 89.4% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81% | 79.8% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 78.3% | 79.3% | 82% | Average |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 10, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 9, 2025 |
| December 10, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected December 29, 2025 |
| December 10, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected November 17, 2025 |
| December 10, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected December 29, 2025 |
| December 10, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected December 29, 2025 |
| December 10, 2025 Standard | 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 29, 2025 |
| December 10, 2025 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected December 29, 2025 |
| December 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 29, 2025 |
| December 10, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 29, 2025 |
| December 10, 2025 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected December 29, 2025 |
| September 25, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 11, 2024 |
| September 25, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected October 10, 2024 |
| September 25, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 25, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected October 12, 2024 |
| September 25, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 12, 2024 |
| September 25, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected October 12, 2024 |
| August 7, 2024 Complaint | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected September 1, 2024 |
| August 7, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 1, 2024 |
| August 7, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 1, 2024 |
| December 13, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected January 12, 2024 |
| December 13, 2023 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected January 12, 2024 |
| December 13, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 12, 2024 |
| October 11, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 21, 2023 |
| October 11, 2023 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | J Immediate jeopardy, isolated | Corrected November 21, 2023 |
| October 11, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected November 21, 2023 |
| October 11, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | J Immediate jeopardy, isolated | Corrected November 21, 2023 |
| October 11, 2023 Complaint | 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 Deficiencies · Tag F0657 | J Immediate jeopardy, isolated | Corrected November 21, 2023 |
| October 11, 2023 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | F Potential harm, widespread | Corrected November 21, 2023 |
| October 11, 2023 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | E Potential harm, pattern | Corrected November 21, 2023 |
| October 11, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 21, 2023 |
| October 11, 2023 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected November 21, 2023 |
| October 11, 2023 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 21, 2023 |
| November 20, 2019 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected December 20, 2019 |
| November 20, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 20, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $226,846 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 8, 2025 | Fine | $12,438 |
| October 11, 2023 | Payment Denial | 63 days from November 10, 2023 |
| October 11, 2023 | Fine | $214,408 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE Organization | 5% or greater direct ownership interest | 100% | 07/01/2014 |
| ASCENSION HEALTH SENIOR CARE Organization | adp of the snf | NOT APPLICABLE | 07/01/2015 |
| HEALTH DIMENSIONS CONSULTING INC Organization | adp of the snf | NOT APPLICABLE | 08/02/2019 |
| HOUSE HEALTHCARE SOLUTIONS LLC Organization | adp of the snf | NOT APPLICABLE | 06/10/2025 |
| MEDICAL SOLUTIONS LLC Organization | adp of the snf | NOT APPLICABLE | 06/16/2025 |
| MUSGRAVE, LISA Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| NIECKULA, GREGORY Individual | adp of the snf | NOT APPLICABLE | 11/01/2017 |
| SHADBOLT, ERIN Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SIMMONS, TEDDIE Individual | adp of the snf | NOT APPLICABLE | 03/28/2025 |
| THE ROSE GROUP, INC Organization | adp of the snf | NOT APPLICABLE | 06/16/2025 |
| SHADBOLT, ERIN Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| MUSGRAVE, LISA Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| NIECKULA, GREGORY Individual | operational/managerial control | NOT APPLICABLE | 11/01/2017 |
| SIMMONS, TEDDIE Individual | operational/managerial control | NOT APPLICABLE | 03/28/2025 |
Other nursing homes near Ascension Living Alexian Village Tennessee
Life Care Center of Red Bank
1020 Runyan Dr, Chattanooga, TN 37405 · 2.7 mi
For-profit · 148 beds · Part of Life Care Centers of America
★★★★★2Below averageSiskin Subacute West
1 Sisken Plaza, Chattanooga, TN 37403 · 6.6 mi
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- CMS high performer
★★★★★5Much above averageLife Care Center of Hixson
5798 Hixson Home Place, Hixson, TN 37343 · 8 mi
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★★★★★1Much below averageNhc Healthcare, Chattanooga
2700 Parkwood Ave, Chattanooga, TN 37404 · 8.3 mi
For-profit · 200 beds · Part of National Healthcare Corporation
★★★★★4Above averageNhc Healthcare Rossville
1425 McFarland Ave, Rossville, GA 30741 · 11.5 mi
For-profit · 112 beds · Part of National Healthcare Corporation
★★★★★2Below averageLife Care Center of East Ridge
1502 McDonald Road, Chattanooga, TN 37412 · 12.8 mi
For-profit · 108 beds · Part of Life Care Centers of America
★★★★★3Average
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Frequently asked questions
What is Ascension Living Alexian Village Tennessee's rating?
Ascension Living Alexian Village Tennessee has 1 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Ascension Living Alexian Village Tennessee receive?
Its most recent standard health inspection found 8 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Ascension Living Alexian Village Tennessee accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Ascension Living Alexian Village Tennessee?
It is non profit - corporation and part of Ascension Living. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ascension Living Alexian Village Tennessee and how do I contact it?
Ascension Living Alexian Village Tennessee is at 671 Alexian Way, Signal Mountain, TN 37377. Phone: (423) 886-0100.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.