Alexian Village of Tennessee

    437 Alexian Way, Signal Mountain, TN 37377
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Resident praises staff, food, community

    I've lived here 11 years and I'm very happy with my choice. The staff and food are excellent, the campus is beautiful with lovely river walks, and higher care levels are available so my family didn't have to look for another nursing home. Maintenance has been improving and activities are returning after COVID - a lovely community I'd recommend.

    Current/former resident
    Jul 2026

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    Reviews

    3.00·(8)

    Overall rating

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

      1.8
    • Staff

      2.5
    • Meals

      2.0
    • Amenities

      2.0
    • Value

      1.3

    Pros

    • Clean, attractive grounds
    • Professional admission and interview process
    • Compassionate, experienced nursing staff
    • Friendly, supportive frontline employees
    • Long-term care levels available without relocation
    • Responsive maintenance with recent improvements
    • Attractive campus with riverfront walking paths
    • On-site physician access at times

    Cons

    • Inconsistent staffing levels, including insufficient night coverage
    • High staff turnover and reliance on temporary personnel
    • Gaps in clinical oversight and medication-management processes
    • Limited on-site licensed clinical presence during evenings
    • Inconsistent administrative responsiveness
    • Inconsistent meal quality and difficulty accommodating dietary restrictions
    • High and opaque pricing with frequent extra charges
    • Limited and inconsistently offered activities
    • Variable facility maintenance and upkeep
    • Management instability with frequent leadership changes
    • Accessibility challenges related to terrain and long walking routes

    Summary of reviews

    Reviews describe a community with several tangible strengths alongside recurring operational concerns. Positive remarks focus on the campus environment and staff interactions: grounds are generally described as clean and attractive, the admission and interview process is professional, and many families praised individual nursing staff and frontline employees as compassionate and helpful. The campus setting and riverfront walking paths were noted as appealing features, and some reviewers observed recent improvements in maintenance. The facility also supports multiple levels of care, allowing some residents to remain without a major relocation.

    At the same time, a consistent pattern of care-delivery and management issues emerges. Staffing was the primary operational concern: reviewers described uneven staffing levels, with particular shortfalls at night and frequent use of temporary staff for routines such as bathing and showers. High staff turnover was named alongside reports of busy, sometimes unresponsive aides. Related to staffing, reviewers flagged gaps in clinical oversight and medication-management processes; one account cited a medication-dosing problem that led to hospitalization and another indicated family members delivering medications because of limited evening clinical coverage. Several reviews noted that licensed clinical presence on-site was limited after typical business hours.

    Dining and daily services receive mixed feedback. Some reviewers praised food and mealtimes, while others characterized meal quality as marginal and said dietary restrictions were not consistently accommodated. Multiple comments also raised concerns about billing transparency and extra charges for services, leading to a perception of high monthly cost relative to service consistency.

    Activities and amenities were described as modest. The community offers outdoor walking opportunities, but organized activities were sometimes limited or curtailed (notably during infection-control periods). Facility maintenance comments were mixed: while some reviewers observed recent improvements, others felt parts of the property and interiors were not consistently well maintained. Accessibility was noted as a practical challenge in places because of hilly terrain and long walks between areas that require elevator use.

    Management and communication surfaced repeatedly as areas needing attention. Reviewers described frequent leadership changes and uneven responsiveness from administration; a few expressed the perception that administrative staff emphasized billing and admissions over ongoing service follow-through. Where reviewers had positive experiences, they most often cited individual caregivers and nurses rather than system-wide reliability.

    For prospective residents and families: a tour and direct questions are advisable. Ask for current staffing ratios (day and night), how temporary staff are integrated, the facility’s medication-administration and clinical-coverage schedule, examples of how dietary restrictions are handled, a clear itemization of recurring and ancillary fees, and recent maintenance or capital-improvement plans. Observing mealtime and visiting during different shifts can help assess day-to-day responsiveness and staff–resident interactions. The site’s physical environment and available care levels are strengths, but operational consistency—particularly in clinical oversight, staffing, dining accommodations, and administrative responsiveness—warrants careful verification before a decision.

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    Location

    Map showing location of Alexian Village of Tennessee

    Alexian Village of Tennessee is located at 437 Alexian Way, Signal Mountain, TN, 37377.

    About Alexian Village of Tennessee

    Alexian Village of Tennessee sits up on Signal Mountain where you get nice views and fresh air, and people like the rolling hills and quiet neighborhood, and it's the kind of place where folks can pick from a good mix of living options, whether someone's able to live on their own and wants lots to do or if they need a little extra help as time goes on or even more care later, and you see, the whole setup lets a person stay put even if their health needs change because they've got independent living, assisted living, memory care, skilled nursing, and even choices like short-term rehabilitation or day services all in one spot. The Life Plan idea gets talked about a lot here, meaning people can keep living in their own apartment, with their own bathrooms and sometimes patios or balconies, but as they age and need more, they can switch to other levels of support without moving off the grounds, and a skilled team-including a Director of Nursing and Assistant Director of Nursing-stays on call twenty-four hours a day, which folks and their families find reassuring.

    Residents say the staff act kind and helpful, and you'll find them tending to both men and women, with some setups with gender-specific details, and, since the place is run under Ascension Living, which follows its Catholic roots but opens up spiritual care for anyone, you'll see a chapel for meditation and prayer, plus lots of devotional services. The apartments themselves have emergency call systems, cable TV hookups, laundry on each floor, and are left unfurnished so people can bring what they like, and with all the housework and most utilities taken care of, life feels easier. Meals get some praise because they're both healthy and tasty, and dining is usually restaurant-style, and the property even features an on-site Starbucks and Bojangles' if folks want a change from the everyday fare. People often gather at the fitness center, use the pool or hot tub, or walk the outdoor trails, and there's a putting green nearby at Signal Mountain Golf which folks enjoy when the weather's nice.

    Community rooms, a beauty salon, and a library give people extra ways to fill the day, and with scheduled transportation, outings to stores, pharmacies like Walgreens, local eateries, and medical offices such as Medical Associates PC, as well as being near Erlanger Hospital, you don't end up feeling stranded, and that brings a sense of security. Activities, both social and educational, happen nearly every week, with special clubs and committees trying to get everyone involved, and more than a few residents appreciate the attention to wellness, whether from organized fitness classes or just the freedom to walk the scenic paths and enjoy the fresh mountain air. Memory care is here, too, with thoughtful programs shaped by each individual's needs, and that goes for the skilled nursing side as well, where care plans get made with both the resident and their family's opinions in mind.

    Alexian Village of Tennessee has received awards like Best of Senior Living and All Star, which makes people proud, but even so, most would say the bigger draw is the steady, calm environment, the steady access to care, the wide range of things to do, and the chance to stick around in one community as needs change, and it's the kind of place where you run into a neighbor at the lounge, walk to chapel for a service, catch a ride to an appointment, and most everyone's there to lend a hand if you need it. The buy-in model means folks invest in their apartment, and from there have access to the entire range of services, whether it's day-to-day help with medication and meals or more intensive skilled nursing or therapy, and with the mountain backdrop and the gentle sense of routine, Alexian Village of Tennessee stands as a steady spot for people planning for both now and later in their retirement years.

    People often ask...

    Alexian Village of Tennessee offers independent living, assisted living, memory care, and skilled nursing.

    There are 7 photos of Alexian Village of Tennessee on Mirador.

    Yes, Alexian Village of Tennessee allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 437 Alexian Way, Signal Mountain, TN 37377.

    No, Alexian Village of Tennessee 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-x7c971b804a
    StatusWithdrew Appl
    Facility typeAssisted Care Living Facility
    License classWithdrew Appl
    Capacity42 residents
    LicenseeKendra Nicole Grindstaff

    Disclaimer

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

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