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Senior Communities in Tennessee

CMS overall rating Info 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.

Avina Milwaukee

Senior Communities in Tennessee

CMS overall rating Info 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.

Avina Milwaukee

Overview of Avina Milwaukee

Ascension Living Alexian Village is an outstanding retirement community in Chattanooga, TN, that offers comprehensive care options, including independent living, assisted living, memory care, skilled nursing, and rehabilitation. Featuring a variety of studio to two-bedroom apartments in a warm and welcoming environment, the community ensures older adults can feel at home during their stay. All utilities except phone, laundry rooms, and a flexible dining program are also provided to enrich residents’ living experiences. The community also strives to help maintain residents’ independence with ease through its thoughtfully curated amenities.

Social events and various activities allow residents to stay active and explore new hobbies. Garden areas, a salon and barbershop, and community rooms are among the many amenities dedicated to residents’ leisure and wellness. Surrounded by peaceful attractions, like Rainbow Lake Wilderness Park and Julia Falls Overlook, the community guarantees accessibility and convenience. This retirement community has high-quality services that aim to help older adults thrive in their later years, making it a good choice for senior living in Tennessee.

(423) 886-0100

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5
Tennessee average: 2.8/5
Health Inspection Info 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.
1/5
Tennessee average: 2.8/5
Staffing Info 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.
3/5
Tennessee average: 2.4/5
Quality Measures Info 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.
2/5
Tennessee average: 3.4/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 29m per day

This home provides 24% more nursing time per resident than the Tennessee average.

Tennessee average: 3h 38m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 184

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Tennessee average
Occupancy rate 75.5%
Residents per day (avg) 84
Occupancy rate
75.5%
Residents per day (avg)
84

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

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
Operating deficit
-$2.4M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.0M
19.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$27.5M
Total costs $33.5M

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: Mid-rise

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Avina Milwaukee

Independent Living Assisted Living Memory Care Nursing Home

Contact Avina Milwaukee

Health Inspection History

Inspections
Total health inspections 6

State average 3.5


Last Health inspection on Sep 2024

Total health citations 27

State average 15.4

Citations per inspection
4.5

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 More info 5
355% worse than State average

State average: 1.1


Serious Health citations More info 0
100% better than State average

State average: 0.6

5 critical citations More info State average: 1.1

0 serious citations More info State average: 0.6

22 moderate citations More info State average: 13.7

0 minor citations More info State average: 0.1
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 25, 2024
Corrected

Care Planning moderate citation Info 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 Info 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 Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 07, 2024
Corrected

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
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
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+
-
-
-

Places of interest near Avina Milwaukee

Address 113 miles from city center — 3.56 miles to nearest hospital (Erlanger North Hospital)

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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 average

Tennessee average ratio: 1.79:1

Avg staff/day 47
Average shift 9.1 hours
10% better than Tennessee average

Tennessee 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 Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 43
Average shift length Info 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.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 87
Average shift length Info 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.

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 Assistant47408716,97591100%9.8
Licensed Practical Nurse15284310,93591100%9.8
Registered Nurse810182,5839099%8.6
Speech Language Pathologist0441,7116673%7.2
Clinical Nurse Specialist3141,4086369%8
Other Dietary Services Staff4049296571%8
Respiratory Therapy Technician0338407178%6.6
Administrator2026965662%8
Physical Therapy Assistant0335946571%7.1
Qualified Social Worker0224966875%5.1
Occupational Therapy Aide016164686167%7.7
Mental Health Service Worker1014485662%8
Dental Services Staff1014426167%7.2
Nurse Practitioner1014405560%8
RN Director of Nursing101741112%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 census
83 residents
Residents by payment source
Medicare
5 residents (6%)
Medicaid
10 residents (12%)
Private pay or other
68 residents (81.9%)
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.

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 Info 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

Functional decline score Info 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

Long-stay resident measures
Need for Help with Daily Activities Increased Info 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%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 31.4%
45% worse than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info 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%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 11.0%
201% worse than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.0%
47% worse than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.8%
13% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.5%
35% worse than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.0%
64% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.3%
11% worse than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.4%
8% worse than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
In line with Tennessee average

Tennessee average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.1%
8% worse than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 81.0%
In line with Tennessee average

Tennessee average: 79.8%

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 average

Tennessee average: $86K

Number of fines 1
43% fewer fines than Tennessee average

Tennessee average: 1.7

Payment Denials Info 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

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.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 11, 2023
$214K
Payment Denial Info 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

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Tennessee Seniors

Get financial aid guidance

CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled, Tennessee resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Managed care model; high rural demand.

Tennessee Options for Community Living

TN Options

Age 60+, Tennessee resident, at risk of nursing home.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; rural/urban balance.

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled, TN resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Tennessee LIHEAP

Age 60+ prioritized, TN resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, propane; emergency aid available.

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Includes grandparent caregivers; high rural demand.

Senior Community Service Employment Program (SCSEP)

Tennessee SCSEP

Age 55+, unemployed, low-income, TN resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP/Goodwill partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TN resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran population; supports rural/urban care needs.

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+, TN resident; no income limit but prioritizes low-income.

None; donations encouraged.

Not assessed.

Serves ~50,000 annually; 200+ congregate sites plus Meals on Wheels.

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+, TN resident, homeowner/renter (or widow/er 50+, disabled 18+).

~$45,000/year (household, excludes half of Social Security).

Not assessed; income-focused.

Rebates up to $1,000; serves ~100,000 annually.

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