Nursing Home

Ascension Living Alexian Village Tennessee

671 Alexian Way, Signal Mountain, TN 37377

Part of Ascension Livingsee all 16 affiliated facilities

114 certified beds 89 residents per day on average Continuing Care Retirement Community

CMS Five-Star Quality Rating

1 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
4.0 hours

TN average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.7 hours

TN average: 0.6 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.8 hours

TN average: 3.3 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
49.0%

TN average: 48.9% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

2 fines totaling $226,846 and 1 Medicare payment denial in the recent inspection window (most recent: December 8, 2025).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
Non profit - Corporation
Chain
Ascension Living
Who owns this facility — 14 entries in CMS's ownership records expand ↓
  • Ascension Health Senior Care Organization
    Direct owner (≥5%) 100% ownership since 07/01/2014
  • Shadbolt, Erin Individual
    Corporate director since 01/01/2024
  • Musgrave, Lisa Individual
    Corporate officer since 01/01/2024
  • Nieckula, Gregory Individual
    Operational/managerial control since 11/01/2017
  • Simmons, Teddie Individual
    Operational/managerial control since 03/28/2025
  • Ascension Health Senior Care Organization
    Additional disclosable party since 07/01/2015
  • Health Dimensions Consulting Inc Organization
    Additional disclosable party since 08/02/2019
  • House Healthcare Solutions LLC Organization
    Additional disclosable party since 06/10/2025
  • Medical Solutions LLC Organization
    Additional disclosable party since 06/16/2025
  • The Rose Group, Inc Organization
    Additional disclosable party since 06/16/2025

…and 4 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 8 health (TN avg 4.7) · 2 fire (TN avg 3.7) · ⚠ 6 serious Details

28 deficiencies cited across recent inspection cycles, including ⚠ 6 serious (actual harm or immediate jeopardy). Most recent survey: December 10, 2025.

Most recent inspection cycle: 8 health deficiencies · TN average: 4.7 · National: 9.3

6 fire-safety deficiencies cited — most often smoke (4) and miscellaneous (1).

Most recent fire-safety inspection (2025-12-10): 2 deficiencies · TN average: 3.7 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Ascension Living Alexian Village Tennessee compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Ascension Living Alexian Village Tennessee's overall star rating is 1★; the median among the 8 peers reporting it is 3.5★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 1★ 3.5★ 5★
Health inspections reported by 8 of 8 nearby peers 1★ 3★ 5★
Staffing reported by 8 of 8 nearby peers 4★ 3★ 5★
Quality measures reported by 8 of 8 nearby peers 4★ 4★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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