ASCENSION LIVING ALEXIAN VILLAGE TENNESSEE

671 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377 · CCN 445123 · 114 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2025-12-10 — ACTUAL HARM (tag F0760, severity G)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2023-10-11 — IMMEDIATE JEOPARDY (tag F0657, severity J)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2023-10-11 — IMMEDIATE JEOPARDY (tag F0658, severity J)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

Ensure services provided by the nursing facility meet professional standards of quality.

2023-10-11 — IMMEDIATE JEOPARDY (tag F0684, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-10-11 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-10-11 — IMMEDIATE JEOPARDY (tag F0835, severity J)

Administration Deficiencies · correction not recorded in CMS data

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Staffing, from payroll records

Nursing hours / resident / day

3.83

state median 3.29

Weekend staffing gap

−3%

fewer nursing hours on weekends · state median −8%

RN hours / resident / day

0.45

registered nurses only

Contract (agency) staff

13%

share of all nursing hours

Nursing staff turnover

49%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $233,543 in fines.

Date	Type	Amount
2025-12-08	Fine	$19,135
2023-10-11	Fine	$214,408
2023-10-11	Payment Denial	payment denial

Ownership

Ownership type: Non profit - Corporation. Part of the ASCENSION LIVING chain.

Other facilities under the same ownership, with their CMS overall ratings:

ASCENSION LIVING CARROLL MANOR (WASHINGTON, DC) — CMS overall4 of 5
The Citadel at Saint Joseph Village (FREEPORT, IL) — CMS overall1 of 5
ASCENSION RESURRECTION LIFE (CHICAGO, IL) — CMS overall3 of 5
Arc at Kankakee (KANKAKEE, IL) — CMS overall3 of 5
ASCENSION NAZARETHVILLE PLACE (DES PLAINES, IL) — CMS overall5 of 5
ASCENSION LIVING SACRED HEART VILLAGE (AVILLA, IN) — CMS overall3 of 5
VIA CHRISTI VILLAGE MANHATTAN, INC (MANHATTAN, KS) — CMS overall3 of 5
VIA CHRISTI VILLAGE RIDGE (WICHITA, KS) — CMS overall4 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 22 · Immediate jeopardy: 5

Survey date	Tag	Category	Severity	Corrected
2025-12-10	F0557	Resident Rights Deficiencies	D	not recorded
2025-12-10	F0558	Resident Rights Deficiencies	D	not recorded
2025-12-10	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-10	F0692	Quality of Life and Care Deficiencies	D	not recorded
2025-12-10	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2025-12-10	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-12-10	F0760	Pharmacy Service Deficiencies	G	not recorded
2025-12-10	F0880	Infection Control Deficiencies	D	not recorded
2024-09-25	F0584	Resident Rights Deficiencies	D	not recorded
2024-09-25	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-25	F0880	Infection Control Deficiencies	D	not recorded
2024-08-07	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-08-07	F0756	Pharmacy Service Deficiencies	D	not recorded
2024-08-07	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-12-13	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-12-13	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-13	F0867	Administration Deficiencies	D	not recorded
2023-10-11	F0580	Resident Rights Deficiencies	D	not recorded
2023-10-11	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-10-11	F0657	Resident Assessment and Care Planning Deficiencies	J	not recorded
2023-10-11	F0658	Resident Assessment and Care Planning Deficiencies	J	not recorded
2023-10-11	F0684	Quality of Life and Care Deficiencies	J	not recorded
2023-10-11	F0689	Quality of Life and Care Deficiencies	J	not recorded
2023-10-11	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-10-11	F0700	Quality of Life and Care Deficiencies	D	not recorded
2023-10-11	F0835	Administration Deficiencies	J	not recorded
2023-10-11	F0842	Resident Assessment and Care Planning Deficiencies	F	not recorded
2019-11-20	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “ASCENSION LIVING ALEXIAN VILLAGE TENNESSEE, SIGNAL MOUNTAIN” at medicare.gov/care-compare.