Ascension Living Alexian Village Tennessee has received an F grade based on CMS data, with a score of 23/100 — placing it among the lowest-rated nursing facilities in Tennessee. Families considering this Signal Mountain facility should carefully review its inspection history and quality metrics.
Staffing levels at Ascension Living Alexian Village Tennessee exceed national averages, with 4.20 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.69 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 28 deficiencies at Ascension Living Alexian Village Tennessee, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are free from significant medication errors..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.20 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.69 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.32 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.19 | 2.4 | Average |
| Weekend Total Nursing | 3.95 | 3.8 | Average |
| Weekend RN Hours | 0.44 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0760 Severity GEnsure that residents are free from significant medication errors.Dec 9, 2025 · Pharmacy Service Deficiencies
- Tag 0557 Severity DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Dec 9, 2025 · Resident Rights Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Dec 9, 2025 · Resident Rights Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Dec 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Dec 9, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.4% | 4.5% | Worse |
| Falls with major injury | 10.5% | 3.0% | Worse |
| On antipsychotic medication | 18.7% | 14.5% | Worse |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 24.1% | 14.0% | Worse |
| Excessive weight loss | 6.9% | 7.5% | Average |
| New/worsened incontinence | 28.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $214,408
How This Grade Was Calculated
This facility's grade of F is based on a score of 23 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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