Pricing ranges from
    $3,430 – 4,575/month

    Alexander Guest House

    83 Kentucky Ave, Oak Ridge, TN 37830
    • Assisted Living
    • Memory Care

    Caring staff and excellent facility

    I moved my mom here and am very pleased. The staff are caring, responsive and compassionate, nurses are excellent, and the move was smooth with hospice and 24-hour support that gave us real peace of mind. The beautifully restored, clean, hotel-like facility has well-equipped rooms, very good meals and a lively activities program - residents seem happy and engaged, so I would recommend it.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Administer insulin injections
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Diabetes care
    • Medication management
    • Mental wellness program
    • Physical therapy

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Located close to restaurants
    • Located close to shopping centers
    • Transportation arrangement
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Pet friendly
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.58·(71)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.1
    • Staff

      4.5
    • Meals

      4.1
    • Amenities

      4.2
    • Value

      3.9

    Pros

    • Historic, well‑renovated landmark building
    • Hotel‑like, homey atmosphere
    • Clean, well‑maintained interior and common areas
    • Friendly, caring and attentive staff
    • Robust, creative activities program
    • Pleasant dining rooms and private family dining option
    • Abundant natural light and large windows with courtyard views
    • Outdoor courtyard and accessible outdoor space
    • All‑inclusive pricing and predictable monthly billing
    • Furnished room options with basic furniture included
    • Housekeeping and tidy room maintenance
    • Convenient downtown location near Jackson Square
    • Transportation and pharmacy coordination services
    • Respite and dine‑in trial opportunities
    • Supportive family communication and hospice coordination

    Cons

    • Inconsistent staffing levels and high staff turnover
    • Gaps in night‑shift nursing coverage
    • Limited clinical capacity for advanced dementia care
    • Small rooms in the memory‑care unit
    • Inconsistent medication administration timing
    • Delays in response to resident call systems
    • Safety and fall‑prevention practice gaps
    • Variable food quality and meal temperature consistency
    • Intermittent maintenance and HVAC reliability issues
    • Variability in cleanliness and housekeeping consistency
    • Management communication and responsiveness concerns
    • Cost‑control measures affecting service consistency

    Summary of reviews

    Alexander Guest House is frequently described as an attractive, historic conversion with a hotel‑like, homey atmosphere. Many families praise the renovated architectural character, abundant natural light, well‑laid‑out common spaces, and the presence of private and communal dining areas. The property’s location, outdoor courtyard and accessible social spaces contribute to a residential feel that reviewers consistently identify as a key strength.

    Staff and day‑to‑day caregiving receive mixed but often positive comments. Numerous accounts highlight friendly, compassionate employees, an active and creative activities program, and attentive housekeeping. The facility’s all‑inclusive pricing and predictable billing attract families seeking cost clarity, and offered services such as transportation, pharmacy coordination, salon services, and respite/dine‑in options add practical convenience.

    At the same time, several reviewers raised operational concerns that are important for prospective families to weigh. Staffing levels and turnover are recurring themes; reviewers cite gaps in coverage, especially overnight, and inconsistent assignment continuity. These staffing patterns are linked in some accounts to delays in medication administration and slower responses to call signals. There are also repeated observations that the community’s memory‑care program is more limited than its assisted‑living services, with smaller rooms and a layout that some describe as constrained; families seeking care for advanced dementia should verify clinical capabilities and safety protocols.

    Safety‑related themes emerge across reviews. Reviewers described instances that point to weaknesses in fall‑prevention practices, placement of call systems, and availability of certain safety equipment. There is also mention of an individual serious outcome following a fall, which reviewers connected to staffing and safety gaps; this has prompted concern about clinical incident response and family communication in those cases.

    Dining and activities are generally seen as strengths but with variability. Many residents and guests praise mealtime presentation, portions, and the engaging social environment created by dining; others note occasional bland or cold meals and inconsistent menu variety. The activities program and event calendar are consistently noted as robust and beneficial to resident engagement.

    Facility upkeep and management receive mixed feedback. The building and interiors are often described as clean and well cared for, but some reviewers report intermittent maintenance problems (HVAC/AC issues) and variability in cleanliness between units. Reviewers also identify periods of managerial transition and instances of perceived unresponsiveness or cost‑cutting that affected meal service or staffing levels.

    In summary, Alexander Guest House offers a compelling physical setting, strong social programming, and a generally warm caregiving culture, paired with transparent, all‑inclusive billing that many families value. Prospective residents and families should, however, verify current staffing patterns (including overnight RN coverage), the community’s clinical scope for advanced dementia, medication administration and call‑response procedures, room sizes in memory care, and recent maintenance and management practices during an in‑person visit. These targeted inquiries will help determine whether the facility’s strengths align with a particular resident’s clinical and safety needs.

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    Location

    Map showing location of Alexander Guest House

    Alexander Guest House is located at 83 Kentucky Ave, Oak Ridge, TN, 37830.

    About Alexander Guest House

    Alexander Guest House sits at 83 Kentucky Ave in Oliver Springs, Tennessee, down from the Chapel on the Hill in the Jackson Square area, and the building goes back to 1943 but they did a big remodel in 2015 before opening for senior living in 2016, so while the place keeps its old charm, everything's been made to fit modern needs, and you find 64 senior apartments here with private or two-bed suites, studio apartments, and every one's got private bathrooms with walk-in showers, emergency call systems, kitchenettes, and some nice touches like TV and Wi-Fi, plus there are lounges, a well-stocked library, an atrium, and a patio garden where folks can sit, watch the birds, or just relax. You'll see people walking outside on raised paths and in an enclosed courtyard, and yes, pets are welcome and there's guest parking too, so visitors don't have to fuss about finding a spot, and folks can even have help bringing their own cats and dogs along, which makes things homier.

    Alexander Guest House offers both assisted living and memory care, covering everything from personal care, bathing, grooming, medication reminders and management, transfer help, and even toileting support, and they never charge different prices for each level of care because it's all-inclusive so you know what to expect every month, paying by check if you prefer, and the community also has specialized staff like part-time nurses, a weekly Nurse Practitioner visit, on-call doctors, and visiting therapists-physical, speech, and occupational-plus on-site pharmacy, so you don't need to run all over town for care. They're set up to provide more help if someone needs physical transfers, help with incontinence, behavioral needs, or diabetic care, and even folks prone to wandering can have the safety of a secure and monitored memory care wing, with technology like alarm bracelets to help keep everyone in the right place, and the staff is trained for dementia and Alzheimer's, giving residents supervision, reminders, and gentle prompts throughout the day.

    The social life is full here, because there's a full calendar with activities like arts and crafts, game nights, trivia, live music, gardening in the raised beds, outings for shopping or local events, plus pet programs, wine tasting, educational workshops, cooking classes, karaoke, and intergenerational events, and an activity director keeps things stirring so that folks have a chance to try something new as well as keep up with old interests; for the spiritual needs, devotional services are held on-site and off-site, and a chaplain visits as well. Dining comes with room service, special diets for those who need low sodium or diabetic options, and restaurant-style seats for mealtimes, all included with the rent, and folks can invite family or friends for guest meals, or reserve a private dining room for a get-together.

    Alexander Guest House takes care of chores like laundry, linens, housekeeping, and maintenance, and you get help with things like money management, coordination of appointments, and all that daily business that starts to get away from you, and when families need a break, Alexander does offer respite stays as well as hospice services for those at the end of life, so folks can stay in one familiar place no matter their needs. Residents get round-the-clock staff available, with transportation for appointments and outings, and the environment pays attention to safety with secure gates, emergency systems, and well-maintained indoor and outdoor spaces, including accessible bathrooms and showers, wide halls, elevators, and room for wheelchairs everywhere you look.

    This community combines history, modern care, and genuine attention for older adults, whether needing help short-term or long-term, and reviews average 4.5 stars from 11 users, so people usually seem pleased with what they find, making Alexander Guest House a straightforward choice for folks looking for a welcoming, inclusive place with predictable costs and the support to feel secure and at home.

    People often ask...

    Alexander Guest House offers competitive pricing, with rates starting at a cost of $3,430 per month.

    Alexander Guest House offers assisted living and memory care.

    There are 23 photos of Alexander Guest House on Mirador.

    The full address for this community is 83 Kentucky Ave, Oak Ridge, TN 37830.

    No, Alexander Guest House does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Tennessee, the Department of Health licenses long-term care facilities and publishes board actions and disciplinary records, including consent orders and civil penalties.

    License number0537-00000444
    StatusLicensed
    Facility typeAssisted Care Living Facility
    License classLicensed
    Capacity74 residents
    LicenseeAmy Duncan
    EffectiveNovember 16th, 2015
    ExpiresNovember 15th, 2026

    Inspection Reports

    1

    Reports

    2

    Citations

    0

    Complaints

    2

    Years

    03 Apr 2024Penalty
    Determined violations occurred during an on-site complaint survey and a civil monetary penalty was assessed.
    • T.C.A. § 68-11-201 et seq.Discipline for violation of Tennessee Health Facilities statutes and regulations
    • T.C.A. § 68-11-210(c).Authority to conduct on-site inspections

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Alexander Guest House. The information above has not been verified or approved by the owner or operator. For exact information, please contact Alexander Guest House directly. There is no cost for this service. We are compensated by the community you select.

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