Ascension Living Alexian Village Tennessee
Nursing Home · Signal Mountain, TN
CMS certification number445123
Contact & location
671 Alexian WaySignal Mountain, TN 37377
Hamilton County
- Phone
- (423) 886-0100
- ZIP code
- 37377 – all care providers
Facility details
- Certified beds
- 114
- Residents per day
- 89.1 (78% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Alexian Village of Tennessee
- Chain
- Ascension Living (12 facilities, avg 2.8★)
- Medicare certified since
- June 1, 1978
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.05 (state 3.80 · U.S. 3.86)
- Registered nurses (RN)
- 0.66 (state 0.60 · U.S. 0.69)
- Licensed practical nurses
- 1.14 (state 1.09 · U.S. 0.86)
- Nurse aides
- 2.25 (state 2.12 · U.S. 2.32)
- Weekend total
- 3.75 (state 3.31 · U.S. 3.42)
- Nursing staff turnover
- 49.0 (state 48.9 · U.S. 45.8)%
- RN turnover
- 50.0 (state 43.2 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- December 10, 2025
- Health deficiencies (last cycle)
- 8.0 (state 4.7 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 28 health · 6 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-10 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-11-17 |
| 2025-12-10 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2025-12-10 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2025-12-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2025-12-10 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2025-12-10 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2025-12-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2025-12-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-29 |
| 2024-09-25 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-12 |
| 2024-09-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-12 |
| 2024-09-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-12 |
| 2024-08-07 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-01 |
| 2024-08-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-01 |
| 2024-08-07 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-01 |
| 2023-12-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-12 |
| 2023-12-13 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-12 |
| 2023-12-13 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-12 |
| 2023-10-11 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-11-21 |
| 2023-10-11 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-11-21 |
| 2023-10-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-11-21 |
| 2023-10-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-11-21 |
| 2023-10-11 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-11-21 |
| 2023-10-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-21 |
| 2023-10-11 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-21 |
| 2023-10-11 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-21 |
| 2023-10-11 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-21 |
| 2023-10-11 | 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. F0700 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-21 |
| 2019-11-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2019-12-20 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $226,846 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-08 | Fine | $12,438 |
| 2023-10-11 | Payment Denial | 63 days payment denial |
| 2023-10-11 | Fine | $214,408 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ascension Health Senior Care (organization) | 5%+ Direct Ownership Interest · 100% | |
| Ascension Health Senior Care (organization) | Administrator · NOT APPLICABLE | |
| Health Dimensions Consulting INC (organization) | Administrator · NOT APPLICABLE | |
| House Healthcare Solutions LLC (organization) | Administrator · NOT APPLICABLE | |
| Medical Solutions LLC (organization) | Administrator · NOT APPLICABLE | |
| Musgrave, Lisa (individual) | Administrator · NOT APPLICABLE | |
| Nieckula, Gregory (individual) | Administrator · NOT APPLICABLE | |
| Shadbolt, Erin (individual) | Administrator · NOT APPLICABLE | |
| Simmons, Teddie (individual) | Administrator · NOT APPLICABLE | |
| The Rose Group, INC (organization) | Administrator · NOT APPLICABLE | |
| Shadbolt, Erin (individual) | Corporate Director · NOT APPLICABLE | |
| Musgrave, Lisa (individual) | Corporate Officer · NOT APPLICABLE | |
| Nieckula, Gregory (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Simmons, Teddie (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Ascension Living Alexian Village Tennessee?
Ascension Living Alexian Village Tennessee has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Tennessee.
How many beds does Ascension Living Alexian Village Tennessee have?
It has 114 certified beds and cares for about 89 residents per day.
Has Ascension Living Alexian Village Tennessee been fined?
Yes. CMS lists 3 penalties totaling $226,846 in the last three years.
Who owns Ascension Living Alexian Village Tennessee?
It is part of Ascension Living and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Ascension Living Alexian Village Tennessee?
(423) 886-0100. The facility is located at 671 Alexian Way, Signal Mountain, TN 37377.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.