Ascension Living Alexian Village Tennessee
671 Alexian Way · Signal Mountain, TN · 37377 · 4238860100
114 certified beds Non profit - Corporation Chain: Ascension Living Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $19,135 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.99 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 2 · $233,543 |
Inspection citations (28 in the current record)
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Actual harm · G December 10, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 17, 2025 · Pharmacy Service
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Potential for harm · D December 10, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 29, 2025 · Resident Rights
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Potential for harm · D December 10, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected December 29, 2025 · Resident Rights
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Potential for harm · D December 10, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected December 29, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 29, 2025 · Nursing and Physician Services
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Potential for harm · D December 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 29, 2025 · Pharmacy Service
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Potential for harm · D December 10, 2025
Provide and implement an infection prevention and control program.
Corrected December 29, 2025 · Infection Control
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Potential for harm · D September 25, 2024
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.
Corrected October 12, 2024 · Resident Rights
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Potential for harm · D September 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 25, 2024
Provide and implement an infection prevention and control program.
Corrected October 12, 2024 · Infection Control
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Potential for harm · D August 7, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 1, 2024 · Pharmacy Service
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Potential for harm · D August 7, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 13, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 13, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 13, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 12, 2024 · Administration
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Immediate jeopardy · J October 11, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 21, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J October 11, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 21, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J October 11, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 21, 2023 · Quality of Life and Care
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Immediate jeopardy · J October 11, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 21, 2023 · Quality of Life and Care
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Immediate jeopardy · J October 11, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 21, 2023 · Administration
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Potential for harm · D October 11, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 21, 2023 · Resident Rights
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Potential for harm · E October 11, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 11, 2023 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 21, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 8, 2025 | Fine | $19,135 |
| October 11, 2023 | Fine | $214,408 |
| October 11, 2023 | Payment Denial | 63 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445123 · certified since June 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.