Nursing HomeInspections

Ascension Living Alexian Village Tennessee

Nursing home in Signal Mountain, TN

Medicare & Medicaid certified1★ overall (CMS)

Call (423) 886-0100Send a messageMap ↗

Public-record details

Address
671 Alexian Way, Signal Mountain, TN 37377
Phone
(423) 886-0100
Listed under
Nonprofit, Part of a retirement community
Medicare CCN
445123
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
114
Average residents per day
89
Ownership
Nonprofit, corporation
Legal business name
Alexian Village of Tennessee
Chain
Ascension Living (12 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1978
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 445123. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 10, 2025. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 20, 2019 to Dec 10, 2025): 17 from complaint inspections, 6 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 10, 2025Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 10, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 10, 2025Develop 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
Dec 10, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide 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		D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 10, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
Sep 25, 2024Honor 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		D
Potential for more than minimal harm, isolated
Sep 25, 2024Develop 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		D
Potential for more than minimal harm, isolated
Sep 25, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 7, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 28. Full inspection reports are on Medicare Care Compare.

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 2 fines totalling $226,846 and 1 denial of Medicare payment for new admissions in the last three years.

Dec 8, 2025Fine: $12,438
Oct 11, 2023Fine: $214,408
Oct 11, 2023Payment denial for 63 days from Nov 10, 2023

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
4.05 hours
Registered nurse (RN) time per resident per day
0.66 hours
Nurse aide time per resident per day
2.25 hours
Total nurse staffing on weekends
3.75 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
50%
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.