Ascension Living Alexian Village - Tennessee (Independent Living)

    437 Alexian Way, Signal Mountain, TN, 37377
    3.0 · 6 reviews
    • Independent living
    AnonymousCurrent/former resident
    3.0

    Beautiful campus, costly, inconsistent healthcare

    I've lived here 11 years: the campus is beautiful, river walks are lovely, and many caregivers are excellent and kind. However, frequent management changes, slipping maintenance, a director focused on payment, and poor ongoing service have been problems. Healthcare is limited-no on-site physician, no licensed medical staff after 5 PM, only two CNAs at night-my family had to give meds and a dosing error once led to hospitalization. Food is mediocre to terrible, almost everything is charged extra, and monthly costs are very high. Activities are limited (many COVID cancellations) and the hilly campus with long elevator walks can be hard to navigate. I'm glad I chose it but I can't fully recommend it without big caveats.

    Pricing

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    Amenities

    3.00 · 6 reviews

    Overall rating

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

      2.0
    • Staff

      3.0
    • Meals

      2.3
    • Amenities

      2.0
    • Value

      1.5

    Pros

    • Clean grounds
    • Professional interview/admissions process
    • Long-term resident satisfaction (many-year tenure)
    • Ability to receive higher care levels without a major move
    • Maintenance improving
    • Friendly, wonderful frontline employees
    • Excellent front-line staff reported by some reviewers
    • Beautiful campus and grounds
    • Lovely community atmosphere
    • Scenic walks along the river
    • Good care reported by some residents
    • Excellent food reported by some reviewers

    Cons

    • Poor ongoing service levels after move-in
    • Director perceived as focused on payment
    • Staff often busy and unresponsive
    • Night staffing thin (only two CNAs at night reported)
    • No licensed medical staff after 5 PM
    • Family members administering medications
    • On-site physician not always informed about patient conditions
    • Medication/dosage errors leading to hospitalization
    • Management problems and frequent management changes
    • Lack of on-site physician or reliable healthcare availability
    • High monthly cost and many additional charges
    • Poor or terrible food reported by some reviewers
    • Facility not consistently well maintained
    • Limited activities and COVID-related cancellations
    • Accessibility challenges: hilly terrain, long walks, only two elevators
    • Overall facility described as mediocre by some

    Summary review

    Overall sentiment across the review summaries is mixed and polarized: several reviewers praise the campus, frontline staff, and long-term continuity of care, while an overlapping set of reviewers raise significant operational, medical-safety, management, and cost concerns. Positive remarks focus on the physical environment and some staff members — reviewers repeatedly mention clean grounds, a beautiful campus with pleasant river walks, and friendly or excellent employees. Some residents report being very happy with their choice and note long tenures (for example, 11 years), indicating satisfaction with certain aspects of the community and the ability to receive higher levels of care without relocating.

    However, the reviews reveal consistent and serious concerns about care delivery and management. Multiple summaries describe a decline in ongoing service levels after move-in: staff are characterized as busy and unresponsive, management is described as having problems or being in flux, and directors are perceived as overly focused on billing. There are repeated and specific safety-related issues: several reviewers mention that there is no licensed medical staff after 5 PM and that night staffing can be minimal (only two CNAs reported), that family members are sometimes required to administer medications, and that an on-site physician was not notified about a resident’s condition. One reviewer reports a hospitalization attributed to an incorrect water-pill dosage. These points suggest systemic gaps in clinical oversight and night-time staffing that could pose health risks for residents with medical needs.

    Dining, activities, and amenities produce mixed impressions. A few reviewers praise excellent food and the community’s beauty, while others call the food terrible and complain that nearly everything has an extra charge. Activities are described as limited overall, with COVID-related cancellations further restricting programming at times. The campus’s physical setting is attractive, but accessibility is a recurring concern: hilly terrain, long walks, and only two elevators make mobility and access more difficult for some residents.

    Cost and transparency emerge as recurring themes. Reviewers cite high monthly costs and additional charges (“charged for everything”), which, paired with complaints about management and inconsistent service, creates dissatisfaction for some families. Management instability — multiple management changes — is frequently mentioned and appears to contribute to inconsistent service and coordination failures (for example, failures in communicating with physicians or ensuring proper medication administration).

    In summary, the facility presents a clear split between strengths and weaknesses. Strengths include a pleasant campus, long-tenured satisfied residents, caring frontline employees, and some reports of good care and dining. Weaknesses that recur across reviews are concerning: medical staffing gaps (especially evenings/nights), medication safety issues, unresponsive or overstretched staff, management turnover and billing-focused leadership, inconsistent maintenance and food quality, limited activities, and accessibility challenges. For prospective residents or family members, these reviews suggest verifying clinical staffing patterns (night coverage, licensed clinicians), medication administration policies, recent management stability, and detailed fee structures before committing. The praise for staff and environment is meaningful, but the documented operational and safety concerns warrant careful, specific follow-up during tours and conversations with current residents and management.

    Location

    Map showing location of Ascension Living Alexian Village - Tennessee (Independent Living)

    About Ascension Living Alexian Village - Tennessee (Independent Living)

    Ascension Living Alexian Village in Signal Mountain, Tennessee, offers independent living alongside other levels of care like assisted living, memory care, and skilled nursing, so folks can age in place as their needs change, and you'll notice the community sits on a scenic area overlooking Chattanooga with nice views, walking paths, and pretty grounds. The place has a mix of studio, one-bedroom, and two-bedroom apartments; each comes with private bathrooms and patios or balconies, and some face lovely natural views, and the apartments are unfurnished so people can bring their own things. There's a buy-in model where residents invest based on their apartment, and the monthly fee covers most utilities except phone, with property management and housekeeping including laundry on each floor to keep things easy, and maintenance isn't a worry anymore.

    Residents have plenty of indoor and outdoor spaces to use like a pool, a fitness center, a courtyard, and a residents' lounge, plus there's a library and free Wi-Fi for everyone, and cable or satellite TV comes included, so it's comfortable and simple. Meal options come from restaurant-style dining rooms, where chefs and meal planners make sure the food's nutritious and enjoyable, and staff can help with medication and other health needs, with 24/7 nurse coverage for peace of mind. The campus also offers transportation for errands, shopping, and trips to the pharmacy, while housekeeping and flat linen services cut down on daily chores; if someone needs more help, assisted living and memory care are available, alongside therapies like physical therapy, speech therapy, and occupational therapy for those who need them.

    Activities and programs keep the days full, with faith-based worship, meditation, fitness, social outings, and educational events giving folks many choices, and people with memory loss or dementia can get extra help and a secure environment with specially trained caregivers focusing on dignity and safety. There are adult day programs, retreat stays, and short-term rehab for extra support, plus long-term medical management for ongoing needs, all tied together under Ascension Living's Catholic-inspired mission, so people's minds, bodies, and spirits get respectful care and attention. Staff are known for being kind, helpful, and always available, aiming to keep a friendly, home-like feeling, and the community earned the Best of Senior Living All Star award for strong resident and family satisfaction. Ascension Living Alexian Village offers options and support for seniors who want to stay independent, have a secure and active environment, and connect with others in a place with faith-inspired care, comfort, and flexibility for whatever comes next.

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