Ascension Living Alexian Village Tennessee
671 Alexian Way, Signal Mountain, TN 37377
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Follow this homeAscension Living Alexian Village Tennessee is a nursing home in Signal Mountain, Tennessee. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionDecember 10, 2025 (11 months ago)
- Health citations since November 20, 201928 (Tennessee average 14)
- Fines in the past three years1, $12,438 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Fine
CMS changed the fine from December 8, 2025 from $19,135 to $12,438.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health citation
CMS changed citation F0700 from severity F to D. It is from the health inspection on October 11, 2023. Severity D: potential for more than minimal harm, isolated.
Health inspection on December 10, 2025
8 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
21 of 303 Tennessee homes (7%) got a citation at the actual harm level in 2025.
Show the 8 citations
Citation F0760. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on November 17, 2025.
Citation F0557. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
CMS lists it as corrected on December 29, 2025.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on December 29, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on December 29, 2025.
CMS has cited this home for F0657 2 times since 2023.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on December 29, 2025.
Citation F0725. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on December 29, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on December 29, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 29, 2025.
CMS has cited this home for F0880 3 times since 2019.
Fire safety inspection on December 10, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 9, 2025.
CMS has cited this home for K0363 2 times since 2024.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on December 29, 2025.
December 8, 2025
FineCMS fine of $12,438 on December 8, 2025.
CMS update of November 20, 2025
Health citation
CMS changed citation F0700 from severity D to F. It is from the health inspection on October 11, 2023. Severity F: potential for more than minimal harm, widespread.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of October 30, 2024
Staffing
Total nurse staffing reported to CMS went from 4.4 to 4.0 hours per resident per day.
Fine
CMS changed the fine from October 11, 2023 from $210,639 to $214,408.
Health inspection on September 25, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 12, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on October 12, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 12, 2024.
Fire safety inspection on September 25, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on October 11, 2024.
CMS has cited this home for K0345 2 times since 2019.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on October 11, 2024.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on October 10, 2024.
CMS update of August 29, 2024
Fine
CMS changed the fine from October 11, 2023 from $324,060 to $210,639.
Health inspection on August 7, 2024
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on September 1, 2024.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on September 1, 2024.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on September 1, 2024.
CMS has cited this home for F0842 2 times since 2023.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of June 26, 2024
Health citation
CMS changed citation F0658 from severity L to J. It is from the health inspection on October 11, 2023. Severity J: immediate jeopardy, isolated.
Health citation
CMS changed citation F0684 from severity L to J. It is from the health inspection on October 11, 2023. Severity J: immediate jeopardy, isolated.
Health citation
CMS changed citation F0700 from severity F to D. It is from the health inspection on October 11, 2023. Severity D: potential for more than minimal harm, isolated.
Health citation
CMS changed citation F0835 from severity L to J. It is from the health inspection on October 11, 2023. Severity J: immediate jeopardy, isolated.
CMS update of April 25, 2024
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS update of March 28, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Health inspection on December 13, 2023
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0609. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on January 12, 2024.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on January 12, 2024.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on January 12, 2024.
Health inspection on October 11, 2023
10 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
14 of 303 Tennessee homes (5%) got a citation at the immediate jeopardy level in 2023.
Show the 10 citations
Citation F0657. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on November 21, 2023.
Citation F0658. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on November 21, 2023.
Citation F0684. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on November 21, 2023.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 21, 2023.
Citation F0835. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on November 21, 2023.
Citation F0842. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on November 21, 2023.
Citation F0602. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on November 21, 2023.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on November 21, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on November 21, 2023.
Citation F0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 21, 2023.
Health inspection on November 20, 2019
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 20, 2019.
Fire safety inspection on November 20, 2019
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on December 20, 2019.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (423) 886-0100
- Last standard health inspection
- December 10, 2025 (11 months ago)
- Certified beds
- 114
- Residents per day, on average
- 85.2
- Ownership type
- Non profit - Corporation
- Legal business name
- Alexian Village of Tennessee
- Chain
- Ascension Living
- Takes part in
- Medicare and Medicaid
More health citations than the Tennessee average (28 vs 14).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ASCENSION HEALTH SENIOR CARE5% or greater direct ownership interest · 100% · since 07/01/2014
- NIECKULA, GREGORYOperational/managerial control · not applicable · since 11/01/2017
- SIMMONS, TEDDIEOperational/managerial control · not applicable · since 03/28/2025
Questions
When was Ascension Living Alexian Village Tennessee last inspected?
CMS lists December 10, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Ascension Living Alexian Village Tennessee have?
CMS lists 28 health citations since November 20, 2019. CMS also calls these deficiencies.
Has Ascension Living Alexian Village Tennessee been fined?
CMS lists 1 fine in the past three years, $12,438 in total.
What is the CMS star rating of Ascension Living Alexian Village Tennessee?
Its CMS overall star rating is 1 of 5.
Is Ascension Living Alexian Village Tennessee a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.