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Nursing home report

ASCENSION LIVING ALEXIAN VILLAGE TENNESSEE

SIGNAL MOUNTAIN, TN · Medicare-certified · 114 beds

Needs attention
Non-profitChain member
1 of 5 overall

1/5 stars overall. This home has 1/5 for health inspections, 3/5 for staffing, and 4/5 for quality measures; reported nurse staffing is 3.99 hours per resident per day versus the 4.1 federal benchmark, and it had $19,135 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.988 hrs/resident/day

Quality measures

Last inspection: December 10, 2025Penalties, last 24 months: $19,135recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.988.

Staffing detail

Registered nurses
0.72
Licensed practical nurses
1.17
Nurse aides
2.10
Weekend nursing
3.63

Hours per resident per day.

Total staff turnover: 52%
Registered nurse turnover: 47%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

21.5%Worsening

Residents with a fall causing major injury

8.2%Improving

Residents with pressure ulcers (bedsores)

6.2%Improving

Residents with a urinary tract infection

1.1%Improving

Residents who lost too much weight

6.5%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

24.9%Improving

Residents whose ability to walk got worse

28.9%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

29.6%Worsening

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

24.7%Improving

Residents with depressive symptoms

4.1%Improving

Long-stay residents given the seasonal flu vaccine

98.7%Steady

Long-stay residents given the pneumonia vaccine

73.5%Worsening

Short-stay residents given the seasonal flu vaccine

81%Steady

Short-stay residents given the pneumonia vaccine

76.3%Steady

What the inspectors found

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: J

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $19,135 was recorded.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $233,543 in total fines · 1 payment denial.

  • Federal fine

    Dec 8, 2025

    $19,135
  • Medicare/Medicaid payment denial

    Oct 11, 2023

    63 days
  • Federal fine

    Oct 11, 2023

    $214,408

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of ASCENSION LIVING · 16 homes · 2.9 stars avg
Occupancy
87.3 residents on an average day (77% of 114 beds)
Resident voice
Resident council
Medicare history
Certified for 48 years

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.