• CMS rates this facility 1/5 stars (below average)
• Has 114 certified beds with an average of 82.1 residents per day (72% occupancy)
• Last health inspection found 4 deficiencies (inspected Sep 25, 2024)
• Has been fined a total of $214,408 across 1 fine(s)
• Total nursing staff: 4.20 hours per resident per day
• Staff turnover rate: 56.6% (high)
• Part of the Ascension Living chain (20 facilities)
Ascension Living Alexian Village Tennessee is a 1-star Medicare and Medicaid certified nursing home in Signal Mountain, Tennessee with 114 certified beds. It has been operating since 1978. The facility scored below average compared to Tennessee facilities.
Ensure that residents are free from significant medication errors.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Protect each resident from the wrongful use of the resident's belongings or money.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 1, 2018 |
| MUSGRAVE, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2023 |
| BINEK, ROBIN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| BREEDLOVE, RYAN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| GRONEFELD, KELLIE | CORPORATE DIRECTOR | Individual | N/A | Aug 1, 2023 |
| SHADBOLT, ERIN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| SMOOT, KENNETH | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| MILLER, AARON | W-2 MANAGING EMPLOYEE | Individual | N/A | Mar 18, 2024 |
This chain operates 20 facilities. View all →