Nursing homes › Tennessee › Ascension Living Alexian Village Tennessee
671 Alexian Way, Signal Mountain, TN 37377 · 4238860100 · 114 certified beds
Per CMS filings, this facility is affiliated with Ascension Living, a group operating 16 facilities in 8 states. Group record: average rating 2.9/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $1,060,744 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 4.05 (Tennessee median: 3.64). RN hours: 0.66. Weekend total: 3.75. Nursing staff turnover: 49%.
All-time on record: 28 deficiency citations, including 5 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-10 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2025-11-17 |
| 2025-12-10 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Health | corrected 2025-12-29 |
| 2025-12-10 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-12-29 |
| 2025-12-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-12-29 |
| 2025-12-10 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-12-29 |
| 2025-12-10 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Health | corrected 2025-12-29 |
| 2025-12-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-12-29 |
| 2025-12-10 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-12-29 |
| 2024-09-25 | 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. | D | Health | corrected 2024-10-12 |
| 2024-09-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-10-12 |
| 2024-09-25 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-10-12 |
| 2024-08-07 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-09-01 |
| 2024-08-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | complaint | corrected 2024-09-01 |
| 2024-08-07 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-09-01 |
| 2023-12-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2024-01-12 |
| 2023-12-13 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-01-12 |
| 2023-12-13 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | complaint | corrected 2024-01-12 |
| 2023-10-11 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | J | complaint | corrected 2023-11-21 |
| 2023-10-11 | Ensure services provided by the nursing facility meet professional standards of quality. | J | complaint | corrected 2023-11-21 |
| 2023-10-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2023-11-21 |
| 2023-10-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2023-11-21 |
| 2023-10-11 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | complaint | corrected 2023-11-21 |
| 2023-10-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | complaint | corrected 2023-11-21 |
| 2023-10-11 | Protect each resident from the wrongful use of the resident's belongings or money. | E | complaint | corrected 2023-11-21 |
| 2023-10-11 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2023-11-21 |
| 2023-10-11 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2023-11-21 |
| 2023-10-11 | 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. | D | complaint | corrected 2023-11-21 |
| Date | Type | Amount |
|---|---|---|
| 2025-12-08 | Fine | $19,135 |
| 2023-10-11 | Fine | $214,408 |
| 2023-10-11 | Payment Denial | 63 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/01/2014 |
| SHADBOLT, ERIN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| MUSGRAVE, LISA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| NIECKULA, GREGORY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2017 |
| SIMMONS, TEDDIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/28/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 445123. Corrections: data@carerecords.org.