Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
129
93 employees · 36 contractors · 46 on an average day 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.
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
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.
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 accepts Medicare and private pay.
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.
Quality ratings
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
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 21st out of 172 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 17m
This nursing home is ranked 21st out of 172 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 17mStandout metric: LPN / LVN is +25% above Tennessee average
0 of 6 metrics below Tennessee average
Daily care time per resident, by role
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. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 10-hour shifts
41m
↑ 20% · TN 34mThis facility: 41m per resident per day, 20% above the Tennessee average of 34m (among Tennessee facilities reporting a recent figure).
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. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 10-hour shiftsUS average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
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. 26 total: 22 of the facility's own employees and 4 agency contractors.
26 staff · 9.4-hour shifts
1h 17m
↑ 25% · TN 1h 2mThis facility: 1h 17m per resident per day, 25% above the Tennessee average of 1h 2m (among Tennessee facilities reporting a recent figure).
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. 26 total: 22 of the facility's own employees and 4 agency contractors.
26 staff · 9.4-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 52 total: 49 of the facility's own employees and 3 agency contractors.
52 staff · 9.8-hour shifts
2h 19m
↑ 13% · TN 2h 3mThis facility: 2h 19m per resident per day, 13% above the Tennessee average of 2h 3m (among Tennessee facilities reporting a recent figure).
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. 52 total: 49 of the facility's own employees and 3 agency contractors.
52 staff · 9.8-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
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.
6m
↑ 16% · TN 5mThis facility: 6m per resident per day, 16% above the Tennessee average of 5m (among Tennessee facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 0m
↑ 25% · TN 3h 11mThis facility: 4h 0m per resident per day, 25% above the Tennessee average of 3h 11m (among Tennessee facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
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.
Sat–Sun
28m
↑ 18% · TN 23mThis facility: 28m per resident per day, 18% above the Tennessee average of 23m (among Tennessee facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
129
93 employees · 36 contractors · 46 on an average day
129 total staff / 86 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.50 : 1
↓ 10% · TN 1.66This facility: 1.50 staff per resident, 10% below the Tennessee average of 1.66 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
129 staff ÷ 86 residents
See full Tennessee ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.9 h
↑ 7% · TN 8.3 hThis facility: 8.9 h, 7% above the Tennessee average of 8.3 h (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
37,227 staff hours this quarter
See full Tennessee ranking →83.4% of staff hours were worked by the facility's own employees
Tennessee average: 93.5% · Contractors this quarter: Speech Language Pathologist (7), Occupational Therapy Aide (5), Physical Therapy Assistant (5), Respiratory Therapy Technician (5), Licensed Practical Nurse (4), Certified Nursing Assistant (3), Qualified Social Worker (3), Physical Therapy Aide (2), Clinical Nurse Specialist (1), Therapeutic Recreation Specialist (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
114
Rank #77 / 181Bed count — State benchmarked This nursing home is ranked 77th out of 181 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.
A mid-sized community that may balance personal attention with shared amenities and social activities.
114
Rank #77 / 181Bed count — State benchmarked This nursing home is ranked 77th out of 181 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.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 #171 / 189Walk Score — State benchmarked This nursing home is ranked 171st out of 189 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #171 / 189Walk Score — State benchmarked This nursing home is ranked 171st out of 189 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.
4
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #72 / 130Occupancy rate — State benchmarked This nursing home is ranked 72nd out of 130 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 130. 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.
Occupancy lower than 85% suggests more openings may be available.
Rank #72 / 130Occupancy rate — State benchmarked This nursing home is ranked 72nd out of 130 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 130. 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.
74.7%
This home usually has availability
Based on residents per day and 114 beds.
Similar to the Tennessee average: 74.2%
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.
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.
85
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
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.
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.
99
days
About This Community
Resident Council
Transportation
Pets Allowed
Continuing Care Retirement Community (CCRC)
Building TypeMid-rise
Room Types
Studio
1 Bed
2 Bed
CMS Health Inspection History
Total health inspections
6
↑ 82% · TN 3.3This facility: 6, 82% above the TN average of 3.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
28
Rank #160 / 175Health citations — State benchmarked This nursing home is ranked 160th out of 175 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 175 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.↑ 94% · TN 14.4This facility: 28, 94% above the TN average of 14.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.67
Rank #104 / 175Citations per inspection — State benchmarked This nursing home is ranked 104th out of 175 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 175 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.↑ 8% · TN 4.33This facility: 4.67, 8% above the TN average of 4.33 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
28 of 28 citations corrected
Critical
J–L
5
↑ 525% · TN 0.8This facility: 5, 525% above the TN average of 0.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 150% · TN 0.4This facility: 1, 150% above the TN average of 0.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
22
↑ 68% · TN 13.1This facility: 22, 68% above the TN average of 13.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · TN 0.1This facility: 0, 100% below the TN average of 0.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Dec 10, 2025 · 8 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 7 of 28 citations · 8 categories in total
Citations history
Most recent first
Dec 10, 2025
8 citations
Pharmacy serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Sep 25, 2024
3 citations
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Aug 07, 2024
3 citations
Care Planning moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Dec 13, 2023
3 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Oct 11, 2023
10 citations
Care Planning critical citation
Corrected
Corrected
Care Planning critical citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Administration critical citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nov 20, 2019
1 citation
Infection Control moderate citation
Corrected
Corrected
Top deficiency categories
Share of 28 citations
Resident Assessment & Care Planning
7 deficiencies (25%)
Quality of Life & Care
5 deficiencies (18%)
Resident Rights
4 deficiencies (14%)
Infection Control
3 deficiencies (11%)
Abuse, Neglect & Exploitation
3 deficiencies (11%)
Pharmacy Services
3 deficiencies (11%)
Administration
2 deficiencies (7%)
Nursing & Physician Services
1 deficiency (4%)
How citations are counted
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).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
1 penalty in the past 3 years
Latest: Dec 8, 2025 · $12,438 civil money penalty
Dec 8, 2025 · $12,438 civil money penalty
Total fines
$12,438
↓ 80% · TN $61KThis facility: $12,438, 80% below the Tennessee average of $61,386. Average among the 102 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #129 / 175Federal fines — State benchmarked This nursing home is ranked 129th out of 175 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 175 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.
Number of fines
1
↓ 29% · TN 1.4This facility: 1, 29% below the Tennessee average of 1.4. Average among the 102 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
TN avg 0.25Tennessee average: 0.25. Average among the 102 Tennessee facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Dec 8, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,438
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,438Fine amount comparison
This facility
$12,438
Tennessee average
$61,386
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Tennessee and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Tennessee average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
12.7
Score · lower is better
↑ 48% · TN 8.6This facility: 12.7, 48% above the TN average of 8.6 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
25.0
Score · lower is better
↑ 56% · TN 16.0This facility: 25.0, 56% above the TN average of 16.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 3 better, 7 worse, 1 near TN average
3 short-stay measures: 1 better, 1 worse, 1 near TN average
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
29.1%
↑ 116% · TN 13.5This facility: 29.1, 116% above the TN average of 13.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
29.1%
↑ 116% · TN 13.5This facility: 29.1, 116% above the TN average of 13.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
20.2%
↑ 31% · TN 15.4This facility: 20.2, 31% above the TN average of 15.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
20.2%
↑ 31% · TN 15.4This facility: 20.2, 31% above the TN average of 15.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
↑ 36% · TN 19.0This facility: 25.8, 36% above the TN average of 19.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.8%
↑ 36% · TN 19.0This facility: 25.8, 36% above the TN average of 19.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.1%
↓ 36% · TN 1.7This facility: 1.1, 36% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.1%
↓ 36% · TN 1.7This facility: 1.1, 36% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
↑ 41% · TN 3.3This facility: 4.6, 41% above the TN average of 3.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
↑ 41% · TN 3.3This facility: 4.6, 41% above the TN average of 3.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.7%
↓ 2% · TN 4.8This facility: 4.7, 2% below the TN average of 4.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.7%
↓ 2% · TN 4.8This facility: 4.7, 2% below the TN average of 4.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
4.6%
↓ 24% · TN 6.0This facility: 4.6, 24% below the TN average of 6.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.6%
↓ 24% · TN 6.0This facility: 4.6, 24% below the TN average of 6.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
2.7%
↓ 82% · TN 14.9This facility: 2.7, 82% below the TN average of 14.9 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
2.7%
↓ 82% · TN 14.9This facility: 2.7, 82% below the TN average of 14.9 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
23.4%
↑ 38% · TN 17.0This facility: 23.4, 38% above the TN average of 17.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
23.4%
↑ 38% · TN 17.0This facility: 23.4, 38% above the TN average of 17.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
57.5%
↓ 36% · TN 89.5This facility: 57.5, 36% below the TN average of 89.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
57.5%
↓ 36% · TN 89.5This facility: 57.5, 36% below the TN average of 89.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.9%
↓ 12% · TN 93.8This facility: 82.9, 12% below the TN average of 93.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.9%
↓ 12% · TN 93.8This facility: 82.9, 12% below the TN average of 93.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↓ 26% · TN 1.7This facility: 1.3, 26% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↓ 26% · TN 1.7This facility: 1.3, 26% below the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.5%
↓ 4% · TN 79.4This facility: 76.5, 4% below the TN average of 79.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.5%
↓ 4% · TN 79.4This facility: 76.5, 4% below the TN average of 79.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
66.3%
↓ 16% · TN 79.2This facility: 66.3, 16% below the TN average of 79.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
66.3%
↓ 16% · TN 79.2This facility: 66.3, 16% below the TN average of 79.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Avina Milwaukee’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 169 Tennessee nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, and more than last year
−17.0% operating margin
−3.8 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($1.3M) trims the net loss to −$3.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Tennessee homes
33.7% payroll share of revenue
TN average 53.2%Rank #169 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 169th out of 169 nursing homes we track in Tennessee for payroll % of net patient revenue. 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.
Payroll rose $1.2M while revenue rose $0.9M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Tennessee homes.
Revenue & profit
Big revenue, persistent losses
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $26.0M | +$0.9M | Trend 20182025 | TN median $10.6M | Rank in TN Rank #5 / 169Net patient revenue — State benchmarked This nursing home is ranked 5th out of 169 nursing homes we track in Tennessee for net patient revenue. 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. Higher than 98% of homes | Top 2% in TN Higher net patient revenue than 98% of TN homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $30.5M | +$2.0M | Trend 20182025 | TN median $11.4M | Rank in TN Rank #6 / 169Operating expenses — State benchmarked This nursing home is ranked 6th out of 169 nursing homes we track in Tennessee for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Tennessee homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. 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. Higher than 97% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$4.4M | −$1.1M | Trend 20182025 | TN median −$0.2M | Rank in TN Rank #164 / 169Net patient income — State benchmarked This nursing home is ranked 164th out of 169 nursing homes we track in Tennessee for net patient income. Shows net patient revenue minus operating expenses, compared with other Tennessee homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. 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. Higher than 3% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −17.0% | −3.8 pts | Trend 20182025 | TN median −2.8% | Rank in TN Rank #138 / 169Operating margin — State benchmarked This nursing home is ranked 138th out of 169 nursing homes we track in Tennessee for operating margin. Shows net patient income as a share of net patient revenue, compared with other Tennessee homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. 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. Higher than 18% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $1.3M | — | Trend — | TN median $0.3M | Rank in TN Rank #29 / 166Other income — State benchmarked This nursing home is ranked 29th out of 166 nursing homes we track in Tennessee for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Tennessee homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. 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. Higher than 83% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$3.2M | −$0.7M | Trend — | TN median $0.3M | Rank in TN Rank #167 / 169Net income — State benchmarked This nursing home is ranked 167th out of 169 nursing homes we track in Tennessee for net income. Shows the bottom line after other income, compared with other Tennessee homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. 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. Higher than 1% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Tennessee homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $8.8M | +$1.2M | Trend 20182025 | TN median $5.2M | Rank in TN Rank #34 / 169Payroll costs — State benchmarked This nursing home is ranked 34th out of 169 nursing homes we track in Tennessee for payroll costs. 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. Higher than 80% of homes | Above TN median Higher payroll than 80% of TN homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 33.7% | +3.5 pts | Trend 20182025 | TN median 50.4% | Rank in TN Rank #169 / 169Payroll % of net patient revenue — State benchmarked This nursing home is ranked 169th out of 169 nursing homes we track in Tennessee for payroll % of net patient revenue. 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. Higher than 0% of homes | 19.5 pts under TN average The TN average is 53.2% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · TN benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Tennessee payroll average.
% of net patient revenue
Payroll share Operating margin TN payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $22.5M | $23.4M | $22.0M | $21.9M | $23.2M | $25.1M | $25.2M | $26.0M |
| Operating expenses | $23.8M | $24.7M | $25.1M | $25.3M | $25.7M | $27.2M | $28.5M | $30.5M |
| Net patient income | −$1.3M | −$1.2M | −$3.1M | −$3.3M | −$2.5M | −$2.2M | −$3.3M | −$4.4M |
| Operating margin | −5.9% | −5.3% | −14.2% | −15.2% | −11.0% | −8.6% | −13.2% | −17.0% |
| Net income | −$0.3M | −$0.5M | −$2.6M | $1.3M | −$2.2M | −$1.7M | −$2.4M | −$3.2M |
| Payroll costs | $9.9M | $9.7M | $9.1M | $8.7M | $8.5M | $7.7M | $7.6M | $8.8M |
| Payroll share of revenue | 44.2% | 41.4% | 41.5% | 39.6% | 36.6% | 30.8% | 30.2% | 33.7% |
| Beds | 184 | 184 | 184 | 184 | 184 | 184 | 184 | 184 |
| Gross revenue | $27.7M | $27.8M | $26.0M | $25.5M | $27.1M | $29.9M | $30.2M | $31.0M |
| Salaries | $7.7M | $7.7M | $6.9M | $6.4M | $6.7M | $6.0M | $6.0M | $7.0M |
| Wage-related costs | $2.2M | $2.0M | $2.3M | $2.3M | $1.8M | $1.7M | $1.6M | $1.8M |
| Contract labor | $0.8M | $0.8M | $0.7M | $0.8M | $0.8M | — | $3.2M | $2.5M |
| Other operating costs | $13.9M | $15.0M | $16.0M | $16.6M | $17.3M | $19.5M | $20.9M | $21.7M |
| Net patient revenue per day | $409 | $408 | $435 | $453 | $457 | $499 | $495 | $518 |
| Cost per day | $433 | $429 | $497 | $522 | $508 | $542 | $560 | $606 |
| Average length of stay | 57.4 days | 70.7 days | 83.9 days | 102.9 days | 108.1 days | 85.5 days | 110.4 days | 99.1 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
301 admissions · FY2025
Residents admitted during the year.
Medicare
90 · 30%
Medicaid
0 · 0%
Private pay & other
211 · 70%
Resident snapshot
86 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
13 · 15%
Medicaid
31 · 36%
Private pay & other
42 · 49%
Leaving
308 discharges · FY2025
Residents discharged during the year.
Medicare
53 · 17%
Medicaid
0 · 0%
Private pay & other
255 · 83%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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)
Calculate Travel Distance to Avina Milwaukee
Add your location
Compare Nursing Homes around the area
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.
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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.
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Care Types in This Table
AL (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.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 53.2% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NHC Place Cool Springs | NH AL HOS MC SNF | Franklin | 108
Facility
108
TN AVG
105
Rank
#82 / 181 |
67.6%
Facility
67.6%
TN AVG
74.2%
Rank
#91 / 130 | -9% | 4.99
Facility
4.99
TN AVG
3.67
Rank
#12 / 172 | +28% | +36% | $0
Facility
$0
TN AVG
$61.4k
Rank
#1 / 175 | 8
Facility
8
TN AVG
14.4
Rank
#35 / 175 | 2.7
Facility
2.7
TN AVG
4.3
Rank
#31 / 175 | 2 | 73 | - |
34
Facility
34
TN AVG
38
Rank
#108 / 189 | Nhc Healthcare/Cool Springs, LLC | $18.1MFiscal year ending 12/2024
Facility
$18.1MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#25 / 169 | $11.6MFiscal year ending 12/2024
Facility
$11.6MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#13 / 169 | 64.4%Fiscal year ending 12/2024
Facility
64.4%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#15 / 169 | 445475 | ||||
| Smith County Health and Rehabilitation | NH MC SNF | Carthage | 34
Facility
34
TN AVG
105
Rank
#169 / 181 | - | - | 3.47
Facility
3.47
TN AVG
3.67
Rank
#89 / 172 | -10% | -6% | $0
Facility
$0
TN AVG
$61.4k
Rank
#1 / 175 | 6
Facility
6
TN AVG
14.4
Rank
#14 / 175 | 2.0
Facility
2.0
TN AVG
4.3
Rank
#9 / 175 | 2 | 85 | - |
45
Facility
45
TN AVG
38
Rank
#75 / 189 | Carthage Opco LLC | $10.7MFiscal year ending 12/2024
Facility
$10.7MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#81 / 169 | $3.9MFiscal year ending 12/2024
Facility
$3.9MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#129 / 169 | 36.8%Fiscal year ending 12/2024
Facility
36.8%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#167 / 169 | 445172 | ||||
| Harbert Hills Academy Nursing Home | NH SNF | Savannah | 24
Facility
24
TN AVG
105
Rank
#178 / 181 | - | - | 4.99
Facility
4.99
TN AVG
3.67
Rank
#12 / 172 | -50% | +36% | $0
Facility
$0
TN AVG
$61.4k
Rank
#1 / 175 | 13
Facility
13
TN AVG
14.4
Rank
#81 / 175 | 4.3
Facility
4.3
TN AVG
4.3
Rank
#89 / 175 | - | 46 | - |
60
Facility
60
TN AVG
38
Rank
#34 / 189 | Rural Life Foundation Inc. Dba | - | - | - | 445527 | ||||
| Rainbow Rehab & Healthcare | NH SNF | Bartlett (West Tennessee) | 99
Facility
99
TN AVG
105
Rank
#99 / 181 | - | - | 3.54
Facility
3.54
TN AVG
3.67
Rank
#89 / 172 | -27% | -4% | $131.0k
Facility
$131.0k
TN AVG
$61.4k
Rank
#165 / 175 | 15
Facility
15
TN AVG
14.4
Rank
#93 / 175 | 5.0
Facility
5.0
TN AVG
4.3
Rank
#114 / 175 | 2 | 103 | - |
52
Facility
52
TN AVG
38
Rank
#54 / 189 | Bartlett Operator LLC | $12.8MFiscal year ending 12/2024
Facility
$12.8MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#54 / 169 | $5.2MFiscal year ending 12/2024
Facility
$5.2MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#88 / 169 | 40.6%Fiscal year ending 12/2024
Facility
40.6%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#153 / 169 | 445283 | ||||
| Avina Milwaukee | NH AL IL MC SNF | Signal Mountain | 114
Facility
114
TN AVG
105
Rank
#77 / 181 |
74.7%
Facility
74.7%
TN AVG
74.2%
Rank
#72 / 130 | +1% | 4.29
Facility
4.29
TN AVG
3.67
Rank
#21 / 172 | +17% | +17% | $12.4k
Facility
$12.4k
TN AVG
$61.4k
Rank
#129 / 175 | 28
Facility
28
TN AVG
14.4
Rank
#160 / 175 | 4.7
Facility
4.7
TN AVG
4.3
Rank
#104 / 175 | 6 | 85 | - |
4
Facility
4
TN AVG
38
Rank
#171 / 189 | Aaron Miller | $26.0MFiscal year ending 06/2025
Facility
$26.0MFiscal year ending 06/2025
TN AVG
$12.0M
Rank
#5 / 169 | $8.8MFiscal year ending 06/2025
Facility
$8.8MFiscal year ending 06/2025
TN AVG
$6.3M
Rank
#34 / 169 | 33.7%Fiscal year ending 06/2025
Facility
33.7%Fiscal year ending 06/2025
TN AVG
53.2%
Rank
#169 / 169 | 445123 |
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
Know before you visit
Frequently Asked Questions about Avina Milwaukee
Quick answers from public records and the community's own listing.01 Is Avina Milwaukee in a walkable area?
Avina Milwaukee has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
02 What is the occupancy rate at Avina Milwaukee?
Avina Milwaukee's occupancy is 74.7%.
03 Are pets allowed at Avina Milwaukee?
Yes, Avina Milwaukee allows residents to bring their pets.
04 Does Avina Milwaukee operate as a for-profit or non-profit?
Avina Milwaukee is registered as a non-profit.
05 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.
06 How many beds does Avina Milwaukee have?
Avina Milwaukee has 114 beds.
07 Are there photos of Avina Milwaukee?
Yes — there are 6 photos of Avina Milwaukee in the photo gallery on this page.
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