Total health inspections
6
State average 3.5
Last Health inspection on Sep 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Avina Milwaukee
Senior Communities in Tennessee
CMS overall rating
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
Senior Communities in Tennessee
CMS overall rating
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 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 hours breakdown
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 nursing care / resident
This home is ranked 15th out of 134 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.
This home is ranked 15th out of 134 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.
4h 29m per day
Rank #15 / 134Nurse hours — state benchmarkedThis home is ranked 15th out of 134 homes in Tennessee.Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 134 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Tennessee avg
+24%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
75.5%
Rank #79 / 139Occupancy rate — state benchmarkedThis home is ranked 79th out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
110 days
Occupancy rate
75.5%
Rank #79 / 139Occupancy rate — state benchmarkedThis home is ranked 79th out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
110 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
19% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
81% of new residents, often for short stays.
Typical stay
7 - 8 months
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$31.1M
Operating deficit
-$2.4M
Voluntary non-profit community
Operated by a church.
Home revenue
$31.1M Rank #3 / 139Revenue — state benchmarkedThis home is ranked 3rd out of 139 homes in Tennessee.Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating deficit
-$2.4M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #51 / 139Payroll — state benchmarkedThis home is ranked 51st out of 139 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.
$6.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #51 / 139Payroll — state benchmarkedThis home is ranked 51st out of 139 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$27.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$33.5M
Walk Score: 4 / 100 Rank #55 / 56Walk Score — state benchmarkedThis home is ranked 55th out of 56 homes in Tennessee.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee SNFs. Higher scores benefit residents, families, and staff.
Car-dependent. Most errands require a car, with limited nearby walkable options.
What does this home offer?
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Types of Care at Avina Milwaukee
Independent Living
Assisted Living
Memory Care
Nursing Home
Health Inspection History
Inspections
Total health citations
27
Rank #124 / 138Health citations — state benchmarkedThis home is ranked 124th out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.
State average 15.4
Citations per inspection
4.5
Rank #69 / 138Citations per inspection — state benchmarkedThis home is ranked 69th out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.
State average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 27 citations resulted from standard inspections; and 16 of 27 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
5
355% worse than State averageState average: 1.1
Serious Health citations
0
0
100% better than State averageState average: 0.6
5 critical citations
0 serious citations
22 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 25, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 25, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 25, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 25, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 25, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 25, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 07, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 07, 2024
Corrected
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.
Financial Assistance for
Senior Communities in Tennessee
Avina Milwaukee is located in Signal Mountain, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Places of interest near Avina Milwaukee
113 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
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
190
Employees
83
Contractors
107
Staff to resident ratio
2.29:1
28% better than Tennessee averageTennessee average ratio: 1.79:1
Avg staff/day
47
Average shift
9.1 hours
10% better than Tennessee averageTennessee average: 8.3 hours
Total staff hours (quarter)
39,040
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
43
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
87
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
27.6%
10,771 contractor hours this quarter
Certified Nursing Assistant: 40
Licensed Practical Nurse: 28
Occupational Therapy Aide: 16
Registered Nurse: 10
Speech Language Pathologist: 4
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Clinical Nurse Specialist: 1
Staff by category
| Certified Nursing Assistant | 47 | 40 | 87 | 16,975 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 15 | 28 | 43 | 10,935 | 91 | 100% | 9.8 |
| Registered Nurse | 8 | 10 | 18 | 2,583 | 90 | 99% | 8.6 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,711 | 66 | 73% | 7.2 |
| Clinical Nurse Specialist | 3 | 1 | 4 | 1,408 | 63 | 69% | 8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 929 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 840 | 71 | 78% | 6.6 |
| Administrator | 2 | 0 | 2 | 696 | 56 | 62% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 594 | 65 | 71% | 7.1 |
| Qualified Social Worker | 0 | 2 | 2 | 496 | 68 | 75% | 5.1 |
| Occupational Therapy Aide | 0 | 16 | 16 | 468 | 61 | 67% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 442 | 61 | 67% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 74 | 11 | 12% | 6.7 |
87 Certified Nursing Assistant
% of Days
100%
43 Licensed Practical Nurse
% of Days
100%
18 Registered Nurse
% of Days
99%
4 Speech Language Pathologist
% of Days
73%
4 Clinical Nurse Specialist
% of Days
69%
4 Other Dietary Services Staff
% of Days
71%
3 Respiratory Therapy Technician
% of Days
78%
2 Administrator
% of Days
62%
3 Physical Therapy Assistant
% of Days
71%
2 Qualified Social Worker
% of Days
75%
16 Occupational Therapy Aide
% of Days
67%
1 Mental Health Service Worker
% of Days
62%
1 Dental Services Staff
% of Days
67%
1 Nurse Practitioner
% of Days
60%
1 RN Director of Nursing
% of Days
12%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83
Medicare
5
6% of residents
Medicaid
10
12% of residents
Private pay or other
68
81.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.8
60% worse than Tennessee averageTennessee average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.6
46% worse than Tennessee averageTennessee average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
Percent of long-stay residents whose need for help with daily activities has increased
24.8%
54% worse than Tennessee averageTennessee average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
31.4%
Percent of long-stay residents whose ability to move independently worsened
31.4%
45% worse than Tennessee averageTennessee average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
42% worse than Tennessee averageTennessee average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
11.0%
Percent of long-stay residents experiencing one or more falls with major injury
11.0%
201% worse than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.0%
Percent of long-stay high risk residents with pressure ulcers
8.0%
47% worse than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.8%
Percent of long-stay residents with a urinary tract infection
1.8%
13% better than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.5%
Percent of long-stay residents who lose too much weight
8.5%
35% worse than Tennessee averageTennessee average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.0%
Percent of long-stay residents who have depressive symptoms
4.0%
64% better than Tennessee averageTennessee average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.3%
Percent of long-stay residents who received an antipsychotic medication
18.3%
11% worse than Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
8% worse than Tennessee averageTennessee average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Tennessee averageTennessee average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.1%
8% worse than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.0%
In line with Tennessee averageTennessee average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
Total fines amount
$214K
148% higher than Tennessee averageTennessee average: $86K
Number of fines
1
43% fewer fines than Tennessee averageTennessee average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
96% more payment denials than Tennessee averageTennessee average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$214K
Tennessee average
$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 11, 2023
$214K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 11, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 11, 2023
63 days
Last updated: Jan 2026
Compare Senior Communities around Tennessee The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Filter by care type
| Avina Milwaukee |
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.
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). | Signal Mountain | 184 | No | 4 | Studio / 1 Bed / 2 Bed | - | 75.5% | - | - | - | - |
| Clarendale at Indian Lake |
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. | Hendersonville (Indian Lake Boulevard) | 78 | No | 38 | Studio / 1 Bed / 2 Bed | 6 | 93.6% | A+ | Mitchell Metzger | Hendersonville Tn Senior Living Leaseco, | 508 days |
| Park Place Retirement Community |
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. | Hendersonville (Highland Acres) | 49 | No | 60 | Studio / 1 Bed / 2 Bed | 28 | - | - | Renysia Fugghett | Park Place Senior Living, Llc | 676 days |
| Fairfield Glade |
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. | Crossville | 14 | No | 20 | Studio / 1 Bed / 2 Bed | - | - | - | - | - | - |
| New Hope Senior Living of Hendersonville |
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. | Hendersonville | - | No | 0 | Studio / 1 Bed / 2 Bed | 7 | - | A+ | - | - | - |
Financial Trends
Historical financial and operational data for Avina Milwaukee based on CMS SNF Cost Reports.
Occupancy Rate
75.5%
↑ 0.6pp vs 2023
Net Income
-$2.4M
↓ ~$727.0K vs 2023
Total Payroll
$10.8M
↑ ~$3.0M vs 2023
Profit Margin
-8.1%
↓ 2.3pp vs 2023
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