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Avina Milwaukee
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Signal Mountain, TN
CMS overall rating
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.
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Signal Mountain, TN
CMS overall rating
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.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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
Rank#19 / 178Nurse hours — State benchmarkedThis nursing home is ranked 19th out of 178 nursing homes we track in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 178 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Total nursing care
This nursing home is ranked 19th out of 178 nursing homes we track 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 31m
24% above state avg
This facilityState avg 3h 38m
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN)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.
44m
+30% State avg: 34m per day · National avg: 42m per day
LPN / LVNLicensed 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.
1h 16m
+23% State avg: 1h 2m per day · National avg: 52m per day
Nurse AideCertified 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.
2h 30m
+24% State avg: 2h 2m per day · National avg: 2h 24m per day
Weekend Total NursingCombined 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.
4h 11m
+32% State avg: 3h 10m per day · National avg: 3h 31m per day
Physical TherapistHours 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.
5m
Avg State avg: 5m per day · National avg: 4m per day
Weekend RNRegistered 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.
27m
+17% State avg: 23m per day · National avg: 29m per day
0 of 6 metrics below state avg
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.114Rank#80 / 186Bed count — State benchmarkedThis nursing home is ranked 80th out of 186 nursing homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.Rank#176 / 194Walk Score — State benchmarkedThis nursing home is ranked 176th out of 194 nursing homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
4/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.Rank#65 / 151Occupancy rate — State benchmarkedThis nursing home is ranked 65th out of 151 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 151. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
78.2%This home usually has availability
Higher than the Tennessee average: 71.3%
Residents per day (avg) The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
89
Avg. Length of Stay
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.
110days
CMS Health Inspection History
InspectionsSince 2019 · 7 years of data
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Total health inspections6
State average3.3
Last Health inspection on Dec 2025
Total health citations
28Rank#165 / 180Health citations — State benchmarkedThis nursing home is ranked 165th out of 180 nursing homes we track in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 180 TN facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
State average14.6
Citations per inspection
4.67Rank#104 / 180Citations per inspection — State benchmarkedThis nursing home is ranked 104th out of 180 nursing homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 180 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
State average4.35
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 28 citations resulted from standard inspections; 16 of 28 resulted from complaint investigations; and 1 of 28 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 7 years)
Critical health citations
5
456% worse than State average
State average: 0.9
Serious health citations
1
100% worse than State average
State average: 0.5
5 critical citationsState average: 0.9
1 serious citationState average: 0.5
22 moderate citationsState average: 13.2
0 minor citationsState average: 0.1
Citations history (last 7 years)
Infection Control moderate citationDec 10, 2025
Corrected
Nursing Services moderate citationDec 10, 2025
Corrected
Pharmacy moderate citationDec 10, 2025
Corrected
Pharmacy serious citationDec 10, 2025
Corrected
Citations history (last 7 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff169
Employees90
Contractors79
Staff to resident ratio2.04 : 1
18% more staff per resident than Tennessee average
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)
Total fines amount
$214K Rank#177 / 180Federal fines — State benchmarkedThis nursing home is ranked 177th out of 180 nursing homes we track in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 180 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
148% higher than Tennessee average
Tennessee average: $86K
Number of fines
1
43% fewer fines than Tennessee average
Tennessee average: 1.7
Payment DenialsSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
96% more payment denials than Tennessee average
Tennessee average: 0.5
Fines amount comparison
Fines amount comparison
This facility$214K
Tennessee average$86K
Penalty History
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.
Civil Money PenaltyFines imposed for noncompliance, which can be assessed per day or per instance of violation.Oct 11, 2023
$214K
Payment DenialSerious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.Oct 11, 2023
63 days
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events scoreA 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 average
Tennessee average: 10.5
Functional decline scoreA composite score based on activities of daily living decline, walking ability decline, and incontinence.28.6
46% worse than Tennessee average
Tennessee average: 19.5
Long-stay resident measures
Below averageCMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Percent of long-stay residents whose need for help with daily activities has increased24.8%
54% worse than Tennessee average
Tennessee average: 16.0%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened31.4%
45% worse than Tennessee average
Tennessee average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder29.5%
42% worse than Tennessee average
Tennessee average: 20.7%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury11.0%
201% worse than Tennessee average
Tennessee average: 3.7%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers8.0%
47% worse than Tennessee average
Tennessee average: 5.4%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection1.8%
13% better than Tennessee average
Tennessee average: 2.1%
Lost Too Much Weight Percent of long-stay residents who lose too much weight8.5%
35% worse than Tennessee average
Tennessee average: 6.3%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms4.0%
64% better than Tennessee average
Tennessee average: 11.0%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication18.3%
11% worse than Tennessee average
Tennessee average: 16.5%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine82.4%
8% worse than Tennessee average
Tennessee average: 89.9%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine98.7%
In line with Tennessee average
Tennessee average: 94.5%
Short-stay resident measures
Significantly above averageCMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine73.1%
8% worse than Tennessee average
Tennessee average: 79.7%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication0.0%
100% better than Tennessee average
Tennessee average: 1.7%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine81.0%
In line with Tennessee average
Tennessee average: 79.8%
Breakdown by payment type
Medicare
19% of new residents, usually for short-term rehab.
Typical stay1 - 2 months
Private pay
81% of new residents, often for short stays.
Typical stay7 - 8 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jan 2026)
Total residents83
Medicare
5
6% of residents
Medicaid
10
12% of residents
Private pay or other
68
81.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Financial Trends
Historical financial and operational data for Avina Milwaukee from 2011–2024, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 06/2024.
Net Patient Income-$3.3M↓ ~$1.2M vs 2023
Payroll Costs$7.6M↓ ~$131.1K vs 2023
Operating Margin-13.2%↓ 4.6pp vs 2023
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Occupancy %
82.9%
86.7%
86.4%
81.4%
86.7%
88.1%
82.0%
85.5%
75.2%
72.0%
75.5%
74.9%
75.5%
Beds
188
188
146
146
184
184
184
184
184
184
184
184
184
Net Income
$632,000
$987,000
$725,063
-$867,379
-$1,960,453
$414,864
-$332,561
-$474,090
-$2,636,296
$1,297,264
-$2,246,361
-$1,708,217
-$2,435,239
Gross Revenue
$24,485,715
$24,708,000
$11,640,607
$14,598,560
$27,934,278
$29,126,925
$27,681,078
$27,791,240
$25,960,996
$25,516,051
$27,054,327
$29,867,066
$30,204,753
Operating Expenses
$22,270,824
$20,675,000
$20,731,085
$23,393,648
$25,079,493
$24,261,637
$23,838,657
$24,650,462
$25,134,470
$25,273,880
$25,747,468
$27,243,702
$28,482,371
Net Patient Income
-$434,824
$189,000
-$13,073,598
-$14,201,882
-$1,661,446
-$787,000
-$1,324,323
-$1,241,404
-$3,133,944
-$3,339,395
-$2,548,779
-$2,167,563
-$3,321,821
Net Patient Revenue
$21,836,000
$20,864,000
$7,657,487
$9,191,766
$23,418,047
$23,474,637
$22,514,334
$23,409,058
$22,000,526
$21,934,485
$23,198,689
$25,076,139
$25,160,550
Payroll Costs
$10,653,799
$6,780,249
$6,018,342
$6,998,283
$8,152,024
$9,277,206
$9,943,081
$9,699,582
$9,120,694
$8,692,571
$8,494,408
$7,731,667
$7,600,530
Operating Margin %
-2.0%
0.9%
-170.7%
-154.5%
-7.1%
-3.4%
-5.9%
-5.3%
-14.2%
-15.2%
-11.0%
-8.6%
-13.2%
Medicare %
9.6%
8.5%
11.0%
13.4%
8.6%
8.2%
9.6%
6.5%
5.9%
6.4%
4.6%
7.3%
3.8%
Medicaid %
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
0.0%
Private %
90.4%
91.5%
89.0%
86.6%
91.4%
91.8%
90.4%
93.5%
94.1%
93.6%
95.4%
92.7%
96.2%
Net Patient Revenue/Day
$384
$351
$166
$212
$419
$397
$409
$408
$435
$453
$457
$499
$495
Cost/Day
$391
$348
$451
$539
$448
$410
$433
$429
$497
$522
$508
$542
$560
Avg Length of Stay
124.8 days
81.0 days
98.6 days
109.4 days
85.1 days
77.6 days
57.4 days
70.7 days
83.9 days
102.9 days
108.1 days
85.5 days
110.4 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Nonprofit
Operated by a nonprofit corporation.
Net patient revenueNet 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."
$25.2M
Net patient incomeNet 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."
-$3.3M
Nonprofit Operated by a nonprofit corporation.
Net patient revenueNet 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."
$25.2M Rank#4 / 173Net patient revenue — State benchmarkedThis nursing home is ranked 4th out of 173 nursing homes we track in Tennessee. Shows this facility's net patient revenue compared to the Tennessee average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet 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."
-$3.3M
Other incomeMoney 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.
$886.6K
Payroll costsStaff 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 / 173Payroll costs — State benchmarkedThis nursing home is ranked 38th out of 173 nursing homes we track 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.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$7.6M
30.2% of net patient revenue
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#173 / 173Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 173rd out of 173 nursing homes we track 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.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything 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).
$20.9M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$28.5M
Certification details
License Number:445123
Owner Name:Aaron Miller
Rural vs. Urban:Urban
County:Hamilton
Type of Control:Nonprofit — Operated by a nonprofit corporation.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
What does this home offer?
Pets Allowed
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Who this home usually serves
TYPE OF STAY
Primarily short stays
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.
Admissions
274 total
Coverage residents most often arrive under.
Medicare19%
Private pay81%
Discharges
275 total
Coverage residents most often leave under.
Medicare13%
Private pay87%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Places of interest near Avina Milwaukee
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)
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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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 54.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TN nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Avina Milwaukee has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the occupancy rate at Avina Milwaukee?
Avina Milwaukee's occupancy is 78.2%.
Are pets allowed at Avina Milwaukee?
Yes, Avina Milwaukee allows residents to bring their pets.
Does Avina Milwaukee operate as a for-profit or non-profit?
Avina Milwaukee is registered as a non-profit.
What is the overall rating for Avina Milwaukee?
Avina Milwaukee received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Avina Milwaukee have?
Avina Milwaukee has 114 beds.
Are there photos of Avina Milwaukee?
Yes — there are 6 photos of Avina Milwaukee in the photo gallery on this page.