Knoxville Senior AdvisorAlexander Guest House at 83 Kentucky Avenue, Oak Ridge is an assisted-care living facility licensed by the Tennessee Health Facilities Commission under ACLF license #444 for 74 residents; 17 of its beds sit inside a secured (locked) unit, and the license runs through November 15, 2026.
What license does Alexander Guest House hold in Tennessee?
The HFC record shows an active ACLF license, #444, for 74 beds at 83 Kentucky Avenue, expiring November 15, 2026.
| Field | From the state record |
|---|---|
| HFC license | Assisted-care living facility #444 |
| Licensed capacity | 74 beds |
| Secured memory care beds | 17 |
| Adult day care beds | None reported |
| Current license expires | November 15, 2026 |
| Original licensure | November 16, 2015 |
| Most recent survey on the HFC listing | June 5, 2024 |
| Disciplinary actions on the HFC listing | 1 |
| County | Anderson County |
| Managed by (per HFC) | Senior Solutions Management Group, Suwanee GA |
Each Tennessee ACLF license is good for one year and must be renewed on its anniversary; this one was first issued November 16, 2015.
How large is Alexander Guest House compared with other assisted living in Anderson County?
At 74 licensed beds, Alexander Guest House ranks 3rd of 7 licensed ACLFs in Anderson County, a mid-sized buildings, and holds about 15% of the county's licensed assisted living beds.
For context, the median ACLF across Knox and the six surrounding counties is licensed for 70 beds. Licensed beds are a ceiling, not an occupancy count; ask how many residents live there today and how many apartments are shared.
What is the latest HFC survey date for Alexander Guest House?
Alexander Guest House's last survey date in the state listing is June 5, 2024, 29 months ago at the time of this build.
Tennessee's ACLF rule calls for an unannounced visit within 15 months of the last one, so this date is older than the cycle. Public listings are sometimes updated late; ask the administrator for the most recent statement of deficiencies and the plan of correction that answered it.
Among all 57 licensed ACLFs in the seven counties, the median listed survey is 38 months old.
Does Alexander Guest House offer locked memory care?
Yes. The October 2026 bed report credits Alexander Guest House with 17 secured beds within its 74-bed license; Tennessee treats a secured unit as a distinct area where residents are deliberately kept from leaving except as fire safety requires.
State rule 0720-26-.08(9) attaches duties to every secured unit: an awake attendant physically on the unit at all hours, a physician-RN-family evaluation before admission, a placement review each quarter, and yearly dementia training for all unit staff. Read the full secured-unit rules.
What does Alexander Guest House's Tennessee enforcement history show?
Yes. The state lists 1 disciplinary action for Alexander Guest House, most recently on April 3, 2024; Tennessee can fine an ACLF up to $1,000 per violation for most care and records problems and up to $3,000 per resident for keeping someone the building is not allowed to serve.
- April 3, 2024: Board Agreed Order assessing one (1) CMP of five hundred dollars($500) due within thirty (30) days of ratification (Violations affecting the health, safety & welfare of residents.)
Penalty amounts say little about seriousness on their own. Open the order linked from the HFC listing and ask how the plan of correction is being checked today.
Which hospitals and alternatives are close to Alexander Guest House in Oak Ridge?
The nearest other licensed ACLF is The Courtyard Senior Living Briarcliff in Oak Ridge (same ZIP by straight line, 50 beds, 25 secured), and the closest acute-care hospital is Methodist Medical Center of Oak Ridge at about 0.0 miles.
| Facility | Miles (straight line) | Licensed beds | Secured / Alzheimer's beds | Last state survey | HFC disciplinary actions |
|---|---|---|---|---|---|
| The Courtyard Senior Living Briarcliff 300 Briarcliff Avenue Building #1, 37830 | 0.0 | 50 | 25 | 03/03/2020 | 1 |
| The Glen at Oak Ridge 200 Bus Terminal Road, 37830 | 0.0 | 96 | 22 | 12/18/2024 | 1 |
| The Groves at Oak Ridge, LLC 734 Emory Valley Road, 37830 | 0.0 | 94 | 20 | 12/03/2024 | 0 |
| Viva Senior Living at Oak Ridge 360 Laboratory Road, 37830 | 0.0 | 62 | 0 | 05/04/2022 | 2 |
| Autumn Care II, LLC 136 Canton Hollow Road, 37934 | 8.8 | 56 | 0 | 03/08/2023 | 1 |
If nursing care becomes necessary, the nearest certified homes are NHC HealthCare, Oakridge (4.8 mi, CMS 5 of 5) and Diversicare of Oak Ridge (5.1 mi, CMS 1 of 5).
Mileage uses ZIP-code centers, so two buildings in one ZIP show as the same spot; drive times along Kingston Pike, Alcoa Highway or I-40 can be much longer than the straight line.
What should families ask on a tour of Alexander Guest House?
Begin with the questions the public record itself raises: ask what surveyors found before the April 3, 2024 action and how the fix is being monitored now.
- The listed survey is 29 months old: ask for the newest statement of deficiencies and its plan of correction.
- Find out whether pills are passed by nurses or by certified medication aides, and who checks their work.
- Ask how quickly a call button is answered at 3 a.m., and how the building measures it.
- Ask to see the secured unit's daily staffing record and the date of each resident's last quarterly review.
- Ask which TennCare health plans, if any, the community works with for CHOICES members.
- Ask for the written disclosure of liability insurance and the medication disposal policy, both required before admission.
