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Alexandria Care Center
1912 S Park Ave, Alexandria, IN 46001 (opens Google Maps) · Madison County · (765) 724-4478· 70 certified beds · avg 56 residents/day · certified since Jul 1, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Aug 15, 2025
1
Serious findings on record
most recent Apr 28, 2026
$0
Fines, last 3 years
3.73
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Apr 28, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Actual harm, isolated · Apr 28, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 24, 2026 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). F-0628
View all 14 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 28, 2026 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jul 3, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760 |
| Aug 30, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Aug 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Oct 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · F-0744 |
| Oct 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Oct 3, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 6).
All citationsSerious citations (G–L)
2023
All citations: 3
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 3 | 0 | E |
| 2025 | 7 | 0 | D |
| 2026 | 1 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIndiana averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.73
Indiana average: 3.42
U.S. average: 3.95
Registered Nurse hours
This facility: 0.45
Indiana average: 0.62
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.07
Indiana average: 3.01
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Indiana avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.73 | 3.42 | 3.95 | top 25% in Indiana; bottom 48% in the U.S. |
| Registered Nurse hours | 0.45 | 0.62 | 0.69 | bottom 29% in Indiana; bottom 30% in the U.S. |
| Weekend total nurse staffing | 3.07 | 3.01 | 3.50 | top 37% in Indiana; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.47 | 0.48 | bottom 12% in Indiana; bottom 22% in the U.S. |
| Total nursing staff turnover (%) | 47.2 | 45.9 | 45.8 | bottom 44% in Indiana; bottom 44% in the U.S. |
| RN turnover (%) | 22.2 | 40.4 | 42.9 | top 17% in Indiana; top 17% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.94, RN 0.48, weekend 3.25.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.94 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Alexandria Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Witham Memorial Hospital | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2012 |
| Alexandria Real Estate Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/26/2018 |
| Bailey, Patricia | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 10/22/2025 |
| Bayston, Brett | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Bohannon, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Bohannon, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 11/12/2025 |
| Brand, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Braverman, Kelly | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2021 |
| Castetter, Andrea | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Hafidh, Saad | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/12/2025 |
| Hafidh, Saad | Individual | ADP of the SNF | NOT APPLICABLE | 11/12/2025 |
| Hawkins, Claude | Individual | Corporate Director | NOT APPLICABLE | 09/01/2013 |
| Hornbecker, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Magnolia Health Management I LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2012 |
| Magnolia Health Systems INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2012 |
| Reagan, Julie | Individual | Corporate Director | NOT APPLICABLE | 09/25/2024 |
| Reed, Michael | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 11/12/2025 |
| Reed, Stuart | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2012 |
| Sellers, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 06/21/2024 |
| Ward, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2011 |
All 20 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 47% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 29 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Summit Health and Living | 6.2 mi | Summitville, IN | ★★★★☆ | 4/5 | |
| Bethany Pointe Health Campus | 7.3 mi | Anderson, IN | ★★★★☆ | 3/5 | |
| Northview Health and Living | 7.6 mi | Anderson, IN | ★★☆☆☆ | 2/5 | abuse |
| Edgewater Woods | 7.8 mi | Anderson, IN | ★★★★☆ | 3/5 | |
| Beaumont Rehabilitation and Healthcare Center | 8.1 mi | Anderson, IN | ★★☆☆☆ | 1/5 | |
| Envive of Anderson | 8.6 mi | Anderson, IN | ★★☆☆☆ | 3/5 | |
| Elwood Health and Living | 9.3 mi | Elwood, IN | ★★★☆☆ | 2/5 | |
| Waters of Chesterfield Skilled Nursing Facility | 10.0 mi | Chesterfield, IN | ★★★★☆ | 4/5 | |
| Countryside Manor Health & Living Community | 10.9 mi | Anderson, IN | ★★★★★ | 4/5 | |
| Yorktown Manor | 11.1 mi | Yorktown, IN | ★★★★☆ | 4/5 | |
| Westminster Village Muncie INC | 11.5 mi | Muncie, IN | ★★★★★ | 4/5 | |
| Morrison Woods Health Campus | 12.1 mi | Muncie, IN | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Madison, IN — 11 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Rawlins House Health & Living Community — Pendleton, IN · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 155521.