The Seasons at Alexandria in Alexandria, KY has a 1-star overall rating, with a 1-star health inspection rating and a recent federal penalty plus $246,139 in fines over the last 24 months. Staffing is 3 stars, and reported nurse staffing is 4.68 hours per resident per day, above the federal benchmark of 4.1.
Last inspection: August 15, 2025Penalties, last 24 months: $246,139recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6826.
Staffing detail
Registered nurses
0.67
Licensed practical nurses
1.09
Nurse aides
2.93
Weekend nursing
4.31
Hours per resident per day.
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
27.1%10.2%Improving
Residents with a fall causing major injury
4.5%2.4%Improving
Residents with pressure ulcers (bedsores)
2%1%Improving
Residents with a urinary tract infection
1.1%2.4%Worsening
Residents who lost too much weight
6.3%4.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.9%10.9%No change
Residents whose ability to walk got worse
6.7%7.6%Worsening
Long-stay residents on antianxiety or sleep medication
21.2%28%Worsening
Short-stay residents newly given an antipsychotic
1.3%5.9%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
33.2%24.5%Improving
Residents with depressive symptoms
15.6%12.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—90.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.7%—
Short-stay residents given the pneumonia vaccine
99.3%95.2%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: L
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal fine of $19,955 was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $226,184 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $246,139 in total fines.
Federal fine
Aug 15, 2025
$19,955
Federal fine
Jun 6, 2024
$226,184
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
97.6 residents on an average day (83% of 117 beds)
Resident voice
Resident council
Medicare history
Certified for 7 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.