Nursing home report
Registered name: ASCENSION LIVING ALEXIAN VILLAGE TENNESSEE
SIGNAL MOUNTAIN, TN · Medicare-certified · 114 beds
Alexian Village Tennessee in Signal Mountain has a 1-star overall rating and a 1-star health inspection rating, with recent federal penalties including $19,135 in fines. Staffing and quality measures are rated 4 stars, and reported nurse staffing is 4.05 hours per resident per day, just below the 4.1 federal benchmark.
Health inspections
Staffing
4.0478 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0478.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: J
The nursing home failed to provide services that met professional standards of quality. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to run its operations effectively and efficiently using its available resources. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 835 — 42 CFR §483.70 — S/S: J
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 8 health deficiencies.
A federal fine of $19,135 was recorded.
Health inspection found 3 health deficiencies.
Health inspection found 3 health deficiencies.
On record with Medicare: 2 fines · $233,543 in total fines · 1 payment denial.
Federal fine
Dec 8, 2025
Medicare/Medicaid payment denial
Oct 11, 2023
Federal fine
Oct 11, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
