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.
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.
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.
| 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.
| 43m per day | |
|
LPN / LVN
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.
| 1h 10m per day | |
|
Nurse Aide
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.
| 2h 6m per day | |
|
Weekend Total Nursing
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.
| 3h 38m per day | |
|
Physical Therapist
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.
| 5m per day | |
|
Weekend RN
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.
| 31m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
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 State averageState average: $86K
43% fewer fines than State averageState 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 State averageState 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 State averageState average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.6
46% worse than State averageState average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
54% worse than State averageState average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
31.4%
45% worse than State averageState average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
42% worse than State averageState average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
11.0%
201% worse than State averageState average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
8.0%
47% worse than State averageState average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.8%
13% better than State averageState average: 2.1%
Percent of long-stay residents who lose too much weight
8.5%
35% worse than State averageState average: 6.3%
Percent of long-stay residents who have depressive symptoms
4.0%
64% better than State averageState average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
18.3%
11% worse than State averageState average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
8% worse than State averageState average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with State averageState average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.1%
8% worse than State averageState average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.0%
In line with State averageState 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.
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 #20 / 196Payroll — State benchmarkedThis home is ranked 20th out of 196 homes in Tennessee. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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 #163 / 196Payroll % — State benchmarkedThis home is ranked 163rd out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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).
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)
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The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| Avina Milwaukee | NH AL IL MC | Signal Mountain | - | 114 | - | 4 | Studio / 1 Bed / 2 Bed |
| The Premier Neighborhood at Tellico Village | NH AL MC | Loudon | - | 112 | F | 1 | Studio / 1 Bed / 2 Bed |
| The Bridge at Hickory Woods | NH AL RC | Antioch | - | 143 | A+ | 57 | Studio / 1 Bed / 2 Bed |
| NHC HealthCare Johnson City | NH HC NC | Johnson City | - | 10 | - | 2 | - |
| Abundant Christian Living Community Assisted Living Center | NH AL IL MC | Johnson City | - | 24 | - | 2 | - |
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%.
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.
(423) 886-0100 will put you in contact with the team at Avina Milwaukee.
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