ASCENSION LIVING ALEXIAN VILLAGE TENNESSEE
671 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377 · CCN 445123
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 114
- Avg residents/day
- 82.1
- Phone
- 4238860100
Inspection history vs Tennessee & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Tennessee avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-10 | 8 | 5.8 | 9.5 | +2.2 worse |
| 2 | 2024-09-25 | 6 | 4.6 | 9.8 | +1.4 worse |
| 3 | 2019-11-20 | 14 | 4.6 | 9.3 | +9.4 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.20 | 56.6% |
| RN staffing (reported) | 0.69 | 64.7% |
| Total nurse staffing (adjusted) | 4.40 | — |
Fines & penalties
- Total fines
- $214,408
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- ASCENSION LIVING
- Facilities in chain
- 19
- Chain avg overall
- 2.60 / 5
Inspection citations (28)5 immediate jeopardy1 actual harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-12-10 · Health · corrected 2025-12-29
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-12-10 · Health · corrected 2025-12-29
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-12-10 · Health · corrected 2025-12-29
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-12-10 · Health · corrected 2025-12-29
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-12-10 · Health · corrected 2025-12-29
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-10 · Health · corrected 2025-12-29
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2025-12-10 · Health · corrected 2025-11-17
Actual harm
- DF0880Provide and implement an infection prevention and control program.2025-12-10 · Health · corrected 2025-12-29
Potential for more than minimal harm
- DF0584Honor 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.2024-09-25 · Health · corrected 2024-10-12
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-25 · Health · corrected 2024-10-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-25 · Health · corrected 2024-10-12
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-08-07 · Health · corrected 2024-09-01
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-08-07 · Health · corrected 2024-09-01
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-07 · Health · corrected 2024-09-01
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-13 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-12-13 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-12-13 · Health · corrected 2024-01-12
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-11 · Health · corrected 2023-11-21
Potential for more than minimal harm
- EF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-10-11 · Health · corrected 2023-11-21
Potential for more than minimal harm
- JF0657Develop 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 · Health · corrected 2023-11-21
Immediate jeopardy
- JF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-11 · Health · corrected 2023-11-21
Immediate jeopardy
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-11 · Health · corrected 2023-11-21
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-11 · Health · corrected 2023-11-21
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-11 · Health · corrected 2023-11-21
Potential for more than minimal harm
- DF0700Try 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.2023-10-11 · Health · corrected 2023-11-21
Potential for more than minimal harm
- JF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-10-11 · Health · corrected 2023-11-21
Immediate jeopardy
- FF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-11 · Health · corrected 2023-11-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2019-11-20 · Health · corrected 2019-12-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-01 |
| MUSGRAVE, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-01 |
| BINEK, ROBIN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| BREEDLOVE, RYAN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| GRONEFELD, KELLIE | Individual | CORPORATE DIRECTOR | — | 2023-08-01 |
| SHADBOLT, ERIN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| SMOOT, KENNETH | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| MILLER, AARON | Individual | W-2 MANAGING EMPLOYEE | — | 2024-03-18 |
Other facilities in SIGNAL MOUNTAIN
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.