1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Avina Milwaukee is a retirement community in Signal Mountain, TN, offering independent living, assisted living, memory care, skilled nursing, and rehabilitation. With a 185-bed capacity, the community maintains a lively, welcoming environment for older adults’ comfort and safety. Along with its multiple levels of care, flexible dining options, housekeeping, laundry, and utilities, except phone, are also provided. To provide personalized care plans, the community strives to understand residents’ unique needs and habits.
Exercises, fun events, and games provide residents with more opportunities to socialize and live actively. For residents’ leisure and wellness, a salon and barbershop, garden areas, and spacious communal areas are provided. The community is also easily accessible, as it is located near Rainbow Lake Wilderness Park, Julia Falls, and other local amenities. As one of the trusted options for senior living in Tennessee, the community ensures older adults can age in place with its comprehensive care options.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Tennessee averages
Total nursing care
This home is ranked 19th out of 176 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 29m
24% above state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
0 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% more staff per resident than Tennessee average
8% better than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 12 full-time employees and 2 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
37 total: 16 full-time employees and 21 contractors.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
75 total: 49 full-time employees and 26 contractors.
75
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11,023 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 26 | 75 | 16,900 | 92 | 100% | 9.8 |
| Licensed Practical Nurse | 16 | 21 | 37 | 9,385 | 92 | 100% | 9.3 |
| Registered Nurse | 12 | 2 | 14 | 4,122 | 92 | 100% | 9.7 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,562 | 69 | 75% | 6.6 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,216 | 66 | 72% | 7.8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 940 | 65 | 71% | 7.9 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 661 | 71 | 77% | 5.9 |
| Physical Therapy Assistant | 0 | 7 | 7 | 637 | 65 | 71% | 7.2 |
| Qualified Social Worker | 0 | 4 | 4 | 459 | 66 | 72% | 5.5 |
| Dental Services Staff | 1 | 0 | 1 | 454 | 61 | 66% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 408 | 51 | 55% | 8 |
| Administrator | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 227 | 32 | 35% | 7.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 149 | 20 | 22% | 7.4 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
148% higher than Tennessee averageTennessee average: $86K
43% fewer fines than Tennessee averageTennessee average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
96% more payment denials than Tennessee averageTennessee average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 11, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 11, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.8
60% worse than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.6
46% worse than Tennessee averageTennessee average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
54% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
31.4%
45% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
42% worse than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
11.0%
201% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
8.0%
47% worse than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.8%
13% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
8.5%
35% worse than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
4.0%
64% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
18.3%
11% worse than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
8% worse than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Tennessee averageTennessee average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.1%
8% worse than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.0%
In line with Tennessee averageTennessee average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
81% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Avina Milwaukee from 2011–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #38 / 174Payroll costs — State benchmarkedThis home is ranked 38th out of 174 homes in Tennessee. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Tennessee average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #174 / 174Payroll % of net patient revenue — State benchmarkedThis home is ranked 174th out of 174 homes in Tennessee. Shows payroll as a percentage of net patient revenue versus the Tennessee average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (81% of admissions), and a typical private pay stay runs around 7 - 8 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.2 miles from city center
Estimated distance in miles from Signal Mountain's city center to Avina Milwaukee's address, calculated via Google Maps.
— 3.56 miles to nearest hospital (Erlanger North Hospital)
Add your location
Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| NHC Place Cool Springs | NH AL HOS MC SNF | Franklin (Cool Springs) | 108
Facility
108
TN AVG
88
Rank
#123 / 425 |
67.6%
Facility
67.6%
TN AVG
71.5
Rank
#170 / 272 | -5% | 4.86
Facility
4.86
TN AVG
3.63
Rank
#12 / 176 | +30% | +34% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 181 | 8
Facility
8
TN AVG
15.4
Rank
#41 / 180 | 2.7
Facility
2.7
TN AVG
4.4
Rank
#36 / 180 | 2 | 73 | - |
34
Facility
34
TN AVG
36
Rank
#279 / 520 | Anthony Moore | $15.2MFiscal year ending 12/2023
Facility
$15.2MFiscal year ending 12/2023
TN AVG
$11.1M
Rank
#33 / 174 | $9.4MFiscal year ending 12/2023
Facility
$9.4MFiscal year ending 12/2023
TN AVG
$5.9M
Rank
#21 / 174 | 61.9%Fiscal year ending 12/2023
Facility
61.9%Fiscal year ending 12/2023
TN AVG
54.1%
Rank
#33 / 174 | 445475 | ||||
| NHC HealthCare Johnson City | NH HC HOS SNF | Johnson City | 10
Facility
10
TN AVG
88
Rank
#425 / 425 |
100.0%
Facility
100.0%
TN AVG
71.5
Rank
#1 / 272 | +40% | 3.27
Facility
3.27
TN AVG
3.63
Rank
#106 / 176 | -8% | -10% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 181 | 3
Facility
3
TN AVG
15.4
Rank
#10 / 180 | 1.5
Facility
1.5
TN AVG
4.4
Rank
#5 / 180 | - | 10 | - |
2
Facility
2
TN AVG
36
Rank
#507 / 520 | Howard Nason Jr. | $19.1MFiscal year ending 12/2023
Facility
$19.1MFiscal year ending 12/2023
TN AVG
$11.1M
Rank
#13 / 174 | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
TN AVG
$5.9M
Rank
#15 / 174 | 55.7%Fiscal year ending 12/2023
Facility
55.7%Fiscal year ending 12/2023
TN AVG
54.1%
Rank
#60 / 174 | 445024 | ||||
| Harbert Hills Academy Nursing Home | NH SNF | Savannah | 24
Facility
24
TN AVG
88
Rank
#415 / 425 |
66.7%
Facility
66.7%
TN AVG
71.5
Rank
#172 / 272 | -7% | 5.39
Facility
5.39
TN AVG
3.63
Rank
#7 / 176 | -55% | +49% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 181 | 17
Facility
17
TN AVG
15.4
Rank
#110 / 180 | 5.7
Facility
5.7
TN AVG
4.4
Rank
#141 / 180 | - | 16 | - |
60
Facility
60
TN AVG
36
Rank
#67 / 520 | Alton Cantarutti | - | - | - | 445527 | ||||
| Abundant Christian Living Community Assisted Living Center | NH AL IL MC SNF | Johnson City | 24
Facility
24
TN AVG
88
Rank
#415 / 425 |
75.0%
Facility
75.0%
TN AVG
71.5
Rank
#139 / 272 | +5% | 2.35
Facility
2.35
TN AVG
3.63
Rank
#176 / 176 | -23% | -35% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 181 | 6
Facility
6
TN AVG
15.4
Rank
#25 / 180 | 2.0
Facility
2.0
TN AVG
4.4
Rank
#12 / 180 | - | 18 | - |
2
Facility
2
TN AVG
36
Rank
#507 / 520 | Tyler Colbaugh | $10.8MFiscal year ending 12/2023
Facility
$10.8MFiscal year ending 12/2023
TN AVG
$11.1M
Rank
#71 / 174 | $5.2MFiscal year ending 12/2023
Facility
$5.2MFiscal year ending 12/2023
TN AVG
$5.9M
Rank
#90 / 174 | 48.3%Fiscal year ending 12/2023
Facility
48.3%Fiscal year ending 12/2023
TN AVG
54.1%
Rank
#101 / 174 | 445483 | ||||
| Avina Milwaukee | NH AL IL MC SNF | Signal Mountain | 114
Facility
114
TN AVG
88
Rank
#112 / 425 |
76.6%
Facility
76.6%
TN AVG
71.5
Rank
#134 / 272 | +7% | 4.48
Facility
4.48
TN AVG
3.63
Rank
#19 / 176 | -6% | +24% | $233.5k
Facility
$233.5k
TN AVG
$90.9k
Rank
#178 / 181 | 27
Facility
27
TN AVG
15.4
Rank
#158 / 180 | 4.5
Facility
4.5
TN AVG
4.4
Rank
#98 / 180 | 5 | 87 | - |
4
Facility
4
TN AVG
36
Rank
#487 / 520 | Aaron Miller | $25.2MFiscal year ending 06/2024
Facility
$25.2MFiscal year ending 06/2024
TN AVG
$11.1M
Rank
#4 / 174 | $7.6MFiscal year ending 06/2024
Facility
$7.6MFiscal year ending 06/2024
TN AVG
$5.9M
Rank
#38 / 174 | 30.2%Fiscal year ending 06/2024
Facility
30.2%Fiscal year ending 06/2024
TN AVG
54.1%
Rank
#174 / 174 | 445123 |
Avina Milwaukee is in the Signal Mountain neighborhood.
Avina Milwaukee has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
Avina Milwaukee's occupancy is 75.5%.
Yes, Avina Milwaukee allows residents to bring their pets.
Avina Milwaukee is registered as a non-profit.
Yes — there are 6 photos of Avina Milwaukee in the photo gallery on this page.
Avina Milwaukee is located at 437 Alexian Way, Signal Mountain, TN 37377.
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