The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Alexandria Health & Rehabilitation
Registered name: ALEXANDRIA CARE CENTER
ALEXANDRIA, IN · Medicare-certified · 70 beds
In good standing
Government-run
Data as of July 1, 2026
3 of 5 overall
Alexandria Health & Rehabilitation in Alexandria, IN has a 3 out of 5 star overall rating, with 3-star scores for health inspections, staffing, and quality measures. It reported 3.94 nurse staffing hours per resident day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection concerns included accident hazards, treatment and care orders, and psychotropic medication use.
Facility ratings
Health inspections
Staffing
3.9421 hrs/resident/day
Quality measures
Last inspection: April 28, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9421.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 1.02
- Nurse aides
- 2.44
- Weekend nursing
- 3.25
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 22%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
25%5.7%Improving
Residents with a fall causing major injury
7.8%4.2%Improving
Residents with pressure ulcers (bedsores)
7.2%2.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
11.6%9.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.3%22%Improving
Residents whose ability to walk got worse
40.2%16.5%Improving
Long-stay residents on antianxiety or sleep medication
40.9%29.5%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
59%37.7%Improving
Residents with depressive symptoms
21.7%35%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.7%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
97.8%100%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 605 — 42 CFR §483.12 — S/S: D
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
The home failed to provide enough food and fluids to keep residents healthy. Cited August 2025 — isolated incident, potential for harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 56.3 residents on an average day (80% of 70 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.