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Nursing homeFAID #11774

Ascension Living Alexian Village Tennessee

671 ALEXIAN WAY, SIGNAL MOUNTAIN, TN, 37377
(423) 886-0100
114 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of ASCENSION LIVING ALEXIAN VILLAGE TENNESSEE
Photo via Google · Ascension Living Alexian Village Tennessee
What we can show you for free.
Bed capacity
114
CMS facility ID
445123
Care type
Nursing home
County
Hamilton
Facility name
Ascension Living Alexian Village Tennessee
Street address
671 ALEXIAN WAY
City / state / ZIP
Signal Mountain, TN 37377
Phone
(423) 886-0100

Ascension Living Alexian Village Tennessee is a Medicare/Medicaid-certified skilled nursing facility in Signal Mountain, Tennessee. It is licensed for 114 beds — close to the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 2 senior care facilities in Signal Mountain and 303 skilled nursing facilities across Tennessee. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Ascension Living Alexian Village Tennessee 34 times across 10 inspections in the last three years, and CMS has imposed $226,846 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Ascension Living
Ownership type
Non profit - Corporation

Registered owners & officers

Ascension Health Senior Care
Direct owner · Additional disclosable party — 100% stake — since 2014
Health Dimensions Consulting Inc
Additional disclosable party — since 2019
House Healthcare Solutions Llc
Additional disclosable party — since 2025
Medical Solutions Llc
Additional disclosable party — since 2025
Musgrave, Lisa
Officer · Additional disclosable party — since 2024
Nieckula, Gregory
Operational control · Additional disclosable party — since 2017
Shadbolt, Erin
Director · Additional disclosable party — since 2024
Simmons, Teddie
Operational control · Additional disclosable party — since 2025
The Rose Group, Inc
Additional disclosable party — since 2025

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1978-06-01
CMS overall rating
1 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
$226,846 total
Last standard inspection
2025-12-10
Nurse staffing
4.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$594 per day (≈ $18,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
0% Medicaid · 4% Medicare · 96% private/other
Occupancy
76% (fiscal year 2024)
Vs. state median
62% above the TN median of $367/day — full state cost breakdown

Services & coverage

Licensed beds
114
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Monday: 8:00 AM – 5:00 PM · Tuesday: 8:00 AM – 5:00 PM · Wednesday: 8:00 AM – 5:00 PM · Thursday: 8:00 AM – 5:00 PM · Friday: 8:00 AM – 5:00 PM · Saturday: Closed · Sunday: Closed
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-12-10Health inspectionComplaint-triggered8 citations
F-0557
D · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-12-29
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-12-29
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-12-29
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-12-29
F-0725
D · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-12-29
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-29
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-11-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-29
2024-09-25Health inspection3 citations
F-0584
D · No harm found
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 2024-10-12
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-12
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-12
7 earlier / fire-safety inspections (23 citations)
2024-08-07Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2024-09-01
F-0756
D · No harm foundFrom a 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 2024-09-01
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-01
2023-12-13Health inspectionComplaint-triggered3 citations
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-12
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-01-12
F-0867
D · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-01-12
2023-10-11Health inspectionComplaint-triggered10 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-21
F-0602
E · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-11-21
F-0657
J · Immediate jeopardyFrom a 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 2023-11-21
F-0658
J · Immediate jeopardyFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-21
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-21
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-21
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-21
F-0700
D · No harm foundFrom a complaint
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.
Corrected 2023-11-21
F-0835
J · Immediate jeopardyFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-11-21
F-0842
F · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-21
2019-11-20Health inspection1 citation
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-12-20
2025-12-10Fire-safety inspection2 citations
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-12-09
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-12-29
2024-09-25Fire-safety inspection3 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-11
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-10-11
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-10-10
2019-11-20Fire-safety inspection1 citation
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-12-20

Federal penalties

2025-12-08Fine$12,438
2023-10-11Fine$214,408
2023-10-11Medicare payment denial — 63 days
Total fines$226,846
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 445123.
What people say on Google.
4.670 ratings on Google
★★Jeffery Baker · 2025-10-27 · via Google

“You "buy" a condo or apartment for around $500,000. That purchases you the privilege of paying $5,000/month in "maintenance" (their version of a HOA fee). The food is bad, and they have no interest in making it better. Food that you are contractually obligated to buy $500 of every month. If you don't eat their food, you pay $500 anyway. The only thing this facility really offers you, is a smalle…”

★★★★★PRESTON THOMAS · 2026-06-14 · via Google

“Thanks alot. Well worth it. 2 extra beds and a free suit. Awesome deal”

★★★★★Beth Charlton · 2025-08-14 · via Google

“Moving to Alexian Village was one of the best decisions I have ever made. The residents are friendly, the food is incredible, the exercise program is perfect for me and I love all the daily and evening opportunities we are offered. So glad I didn’t wait til I was older to move here. Younger was better because I am able to participate in everything Alexian has to offer.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 34 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered