Nursing homeActive
Ascension Living Alexian Village Tennessee
671 Alexian Way, Signal Mountain, TN 373774238860100114 certified beds · 89 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2019
Deficiencies
28
● 0● 22● 6
Penalties · 3 yrs
$226,846
2 fines · 1 action
Last survey
2025-12-10
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Tennessee Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-10 | Standard | 071 | CMS-2567 (Care Compare) | — |
| 2024-09-25 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-08-07 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2023-12-13 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2023-10-11 | Complaint | 055 | CMS-2567 (Care Compare) | — |
| 2019-11-20 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Tennessee Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-11-17Record 445123-20251210-F760
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 445123-20251210-F557
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 445123-20251210-F558
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 445123-20251210-F657
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 445123-20251210-F692
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 445123-20251210-F725
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 445123-20251210-F755
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 445123-20251210-F880
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-12Record 445123-20240925-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-12Record 445123-20240925-F656
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-12Record 445123-20240925-F880
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 445123-20240807-F641
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 445123-20240807-F756
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 445123-20240807-F842
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-12Record 445123-20231213-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-12Record 445123-20231213-F610
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-12Record 445123-20231213-F867
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-11-21Record 445123-20231011-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-11-21Record 445123-20231011-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-11-21Record 445123-20231011-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-11-21Record 445123-20231011-F689
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity JHarm
Records
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-11-21Record 445123-20231011-F835
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 445123-20231011-F580
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 445123-20231011-F602
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 445123-20231011-F695
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 445123-20231011-F700
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 445123-20231011-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-20Record 445123-20191120-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-12-08 | Civil money penalty | $12,438 | CMS · Penalties |
| 2023-10-11 | Civil money penalty | $214,408 | CMS · Penalties |
| 2023-10-11 | Denial of payment for new admissions Payment denial for 63 days, from 2023-11-10 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.66
Facility
Tennessee
National
Tennessee 0.60 · National 0.69
Total nurse hours per resident day4.05
Facility
Tennessee
National
Tennessee 3.80 · National 3.86
Weekend total nurse hours3.75
Facility
Tennessee
National
Tennessee 3.31 · National 3.42
Total nursing staff turnover49%
Facility
Tennessee
National
Tennessee 49% · National 46%
Registered nurse turnover50%
Facility
Tennessee
National
Tennessee 43% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Tennessee | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.7% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 23.2% | 16.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 1.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 25.9% | 14.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.3% | 6.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.7% | 31.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ascension Health Senior Care Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Nieckula, Gregory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Simmons, Teddie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ascension Health Senior Care Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Health Dimensions Consulting Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| House Healthcare Solutions LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Medical Solutions LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Musgrave, Lisa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Musgrave, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nieckula, Gregory Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shadbolt, Erin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Shadbolt, Erin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Simmons, Teddie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Rose Group, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Ascension Living — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Tennessee.
No county cost figures on file for Hamilton.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Life Care Center Of Red Bank Chattanooga | 2.7 mi | 2024-07-17 | 0103 |
| Siskin Subacute West Chattanooga | 6.6 mi | 2026-05-06 | 0115 |
| Nhc Healthcare, Chattanooga Chattanooga | 8.3 mi | 2024-10-16 | 040 |
| Life Care Center Of Hixson Hixson | 8.0 mi | 2026-05-02 | 031 |
| Nhc Healthcare Rossville Rossville | 11.5 mi | 2025-09-04 | 055 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |