Ascension Living Alexian Village TennesseeCMS ratings, inspections and fines
- Address
- 671 Alexian Way, Signal Mountain, TN 37377
- CCN
- 445123
- Ownership type
- Non-profit, corporation
- Certified beds
- 114
- Chain
- Ascension Living
- Residents per day
- 89
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Ascension Living Alexian Village Tennessee an overall rating of 1 of 5 stars. The last standard survey was on 10 Dec 2025. The latest survey cycle has 8 health citations. The median for nursing homes in Tennessee is 4. CMS lists 2 fines with a total of $226,846 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Hamilton County median | Tennessee median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 11 homes in the county, 303 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Tennessee median |
|---|---|---|---|
| Cycle 1 (latest) | 10 Dec 2025 | 8 | 4 |
| Cycle 2 | 25 Sep 2024 | 6 | 4 |
| Cycle 3 | No date | 14 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Dec 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 29 Dec 2025 |
| 10 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 29 Dec 2025 |
| 10 Dec 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Dec 2025 |
| 10 Dec 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 29 Dec 2025 |
| 10 Dec 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 29 Dec 2025 |
| 10 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 29 Dec 2025 |
| 10 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 17 Nov 2025 |
| 10 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Dec 2025 |
Survey cycle 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Sep 2024 | F0584 | 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. | D | Standard survey | 12 Oct 2024 |
| 25 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Oct 2024 |
| 25 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Oct 2024 |
| 7 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 1 Sep 2024 |
| 7 Aug 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 1 Sep 2024 |
| 7 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 1 Sep 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 12 Jan 2024 |
| 13 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Jan 2024 |
| 13 Dec 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 12 Jan 2024 |
| 11 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 21 Nov 2023 |
| 11 Oct 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 21 Nov 2023 |
| 11 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | J | Complaint investigation | 21 Nov 2023 |
| 11 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | Complaint investigation | 21 Nov 2023 |
| 11 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 21 Nov 2023 |
| 11 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 21 Nov 2023 |
| 11 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 21 Nov 2023 |
| 11 Oct 2023 | F0700 | 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. | D | Complaint investigation | 21 Nov 2023 |
| 11 Oct 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint investigation | 21 Nov 2023 |
| 11 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Complaint investigation | 21 Nov 2023 |
| 20 Nov 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Dec 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 8 Dec 2025 | Fine | $12,438 | |
| 11 Oct 2023 | Fine | $214,408 | |
| 11 Oct 2023 | Payment denial | 63 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Tennessee median | Tennessee average (CMS) |
|---|---|---|---|
| All nurse staff | 4.05 | 3.60 | 3.80 |
| Registered nurses (RN) | 0.66 | 0.50 | 0.60 |
| Licensed practical nurses (LPN) | 1.14 | 1.09 | |
| Nurse aides | 2.25 | 2.12 | |
| All nurse staff, weekends | 3.75 | 3.20 | 3.31 |
- Nurse staff turnover in a year
- 49.0%
- Nurse staff turnover, Tennessee median
- 50.0%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.9% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.4% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.9% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.2% | 15.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Setting
- Continuing care retirement community
- Legal business name
- Alexian Village of Tennessee
- Chain
- Ascension Living (12 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ascension Health Senior Care | 5% or greater direct ownership interest | 100% | 1 Jul 2014 |
| Ascension Health Senior Care | Adp of the snf | 1 Jul 2015 | |
| Health Dimensions Consulting Inc | Adp of the snf | 2 Aug 2019 | |
| House Healthcare Solutions LLC | Adp of the snf | 10 Jun 2025 | |
| Medical Solutions LLC | Adp of the snf | 16 Jun 2025 | |
| The Rose Group, Inc | Adp of the snf | 16 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Hamilton County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Life Care Center of Red Bank | Chattanooga | 2 of 5 | 9 | $8,512 | 17 Jul 2024 | |
| Siskin Subacute West | Chattanooga | 5 of 5 | 1 | $93,919 | 6 May 2026 | |
| Life Care Center of Hixson | Hixson | 1 of 5 | 4 | $22,205 | 2 May 2026 | |
| NHC Healthcare, Chattanooga | Chattanooga | 4 of 5 | 4 | $0 | 16 Oct 2024 | |
| Life Care Center of East Ridge | Chattanooga | 3 of 5 | 5 | $0 | 21 Aug 2025 | |
| Soddy-Daisy Health Care Center | Soddy-Daisy | 3 of 5 | 5 | $0 | 17 Nov 2025 | |
| The Health Center at Standifer Place | Chattanooga | 4 of 5 | 5 | $0 | 23 Jul 2025 | |
| Chattanooga Health and Rehab Center | Chattanooga | 1 of 5 | 6 | $6,509 | 6 Aug 2025 | |
| Life Care Center of Ooltewah | Ooltewah | 4 of 5 | 3 | $0 | 14 Dec 2022 | |
| Life Care Center of Collegedale | Collegedale | 4 of 5 | 4 | $0 | 29 Mar 2023 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Tennessee Health Facilities Commission: filing a complaintThe complaint page of the State Survey Agency for Tennessee, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Ascension Living Alexian Village Tennessee (CCN 445123). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/ascension-living-alexian-village-tennessee-signal-mountain-tn-445123/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Ascension Living Alexian Village Tennessee last inspected?
- The latest inspection with a citation in the CMS record was on 10 Dec 2025. It was a standard survey and a complaint investigation. It gave 8 citations. The standard survey before the last one was on 25 Sep 2024.
- Who operates Ascension Living Alexian Village Tennessee?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Ascension Living. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Ascension Living Alexian Village Tennessee a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Tennessee as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.