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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
This home is ranked 17th out of 172 homes in Tennessee. 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 |
|---|---|---|
|
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 58m per day |
Occupancy lower than 85% suggests more openings may be available.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% better than Tennessee average
8% better than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
This role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11,023 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 26 | 75 | 16,900 | 92 | 100% | 9.8 |
| Licensed Practical Nurse | 16 | 21 | 37 | 9,385 | 92 | 100% | 9.3 |
| Registered Nurse | 12 | 2 | 14 | 4,122 | 92 | 100% | 9.7 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,562 | 69 | 75% | 6.6 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,216 | 66 | 72% | 7.8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 940 | 65 | 71% | 7.9 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 661 | 71 | 77% | 5.9 |
| Physical Therapy Assistant | 0 | 7 | 7 | 637 | 65 | 71% | 7.2 |
| Qualified Social Worker | 0 | 4 | 4 | 459 | 66 | 72% | 5.5 |
| Dental Services Staff | 1 | 0 | 1 | 454 | 61 | 66% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 408 | 51 | 55% | 8 |
| Administrator | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 227 | 32 | 35% | 7.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 149 | 20 | 22% | 7.4 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
148% higher than Tennessee average
Tennessee average: $86K
43% fewer fines than Tennessee average
Tennessee average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
96% more payment denials than Tennessee average
Tennessee 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, 2023
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.8
60% worse than Tennessee average
Tennessee average: 10.5
A 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
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
54% worse than Tennessee average
Tennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
31.4%
45% worse than Tennessee average
Tennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
42% worse than Tennessee average
Tennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
11.0%
201% worse than Tennessee average
Tennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
8.0%
47% worse than Tennessee average
Tennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.8%
13% better than Tennessee average
Tennessee average: 2.1%
Percent of long-stay residents who lose too much weight
8.5%
35% worse than Tennessee average
Tennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
4.0%
64% better than Tennessee average
Tennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
18.3%
11% worse than Tennessee average
Tennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
8% worse than Tennessee average
Tennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Tennessee average
Tennessee average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.1%
8% worse than Tennessee average
Tennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Tennessee average
Tennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.0%
In line with Tennessee average
Tennessee 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
83
Residents 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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #19 / 176Payroll — State benchmarkedThis home is ranked 19th out of 176 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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.
113.0 miles from city center
Estimated distance in miles from Signal Mountain's city center to Avina Milwaukee's address, calculated via Google Maps.
— 3.56 miles to nearest hospital (Erlanger North Hospital)
Add your location
Avina Milwaukee is located in Signal Mountain, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
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| AdamsPlace |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Murfreesboro (Haynes Haven) | 149 | 67.8% | -7% | 3.71 | +33% | +2% | $0 | 3 | 3.0 | - | 43 | A+ | 49 | John Winfree | $16.6M | $8.3M | 50% | 445392 | ||||
| Holston Health And Rehabilitation Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Knoxville | 94 | 85.1% | +17% | 3.36 | -1% | -7% | $0 | 5 | 2.5 | - | 81 | - | 2 | Daniel Mckenzie | $13.4M | $6.2M | 46.5% | 445344 | ||||
| NHC Place Cool Springs |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Franklin (Cool Springs) | 108 | 67.6% | -7% | 4.86 | +30% | +34% | $0 | 8 | 2.7 | 2 | 69 | - | 34 | Anthony Moore | $17.0M | $10.9M | 63.8% | 445475 | ||||
| NHC HealthCare in Franklin |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. |
Franklin | 44 | 20.5% | -72% | 3.46 | 0% | -5% | $0 | 9 | 3.0 | 1 | 76 | A+ | 47 | Chelsey Norris | $11.0M | $6.0M | 54.5% | 445127 | ||||
| Avina Milwaukee |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Signal Mountain | 184 | 75.5% | +3% | 4.48 | -6% | +24% | $214.4k | 27 | 4.5 | 5 | 84 | - | 4 | Aaron Miller | $31.1M | $10.8M | 34.7% | 445123 |
Avina Milwaukee is in the Signal Mountain neighborhood.
Avina Milwaukee has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
(423) 886-0100 will put you in contact with the team at Avina Milwaukee.
Yes — Avina Milwaukee is a CMS-certified provider of Medicare and Medicaid.
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