Facility profile · CCN 445123
Ascension Living Alexian Village Tennessee
28 federal citations on record , including 5 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $214,408.
Record summary
Federal record · Q1 202628
Total citations
27
Last 3 years
6
Actual harm+
2
Federal penalties
$214,408
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
28 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 10, 2025 | F760 | Ensure that residents are free from significant medication errors. | G | Complaint |
| Dec 10, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 10, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 10, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Dec 10, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Dec 10, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Dec 10, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Dec 10, 2025 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard |
| Sep 25, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 25, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 25, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Aug 7, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 7, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint |
| Aug 7, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Dec 13, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint |
| Dec 13, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Dec 13, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Oct 11, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Complaint |
| Oct 11, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint |
| Oct 11, 2023 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint |
| Oct 11, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Oct 11, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Oct 11, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Oct 11, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | Complaint |
| Oct 11, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | J | Complaint |
| Oct 11, 2023 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint |
| Oct 11, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Nov 20, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $214,408 and 1 payment-denial actions spanning 63 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 11, 2023 | Fine | $214,408 | — |
| Oct 11, 2023 | Payment Denial | — | Nov 10, 2023 · 63 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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