Alexandria Care Center
1912 S Park Ave, Alexandria, IN 46001 · Madison County · 70 certified beds · avg 56 residents/day · certified since Jul 1, 1994
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 24, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 28, 2026 | ▲ G · Actual harm, one-off | 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 |
| Aug 15, 2025 | D · Potential for harm, one-off | 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. |
| Aug 15, 2025 | D · Potential for harm, one-off | 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). |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Aug 15, 2025 | D · Potential for harm, one-off | 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. |
| Aug 15, 2025 | D · Potential for harm, one-off | 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. |
| Jul 3, 2025 | D · Potential for harm, one-off | 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 |
| Aug 30, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 30, 2024 | D · Potential for harm, one-off | 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. |
| Aug 30, 2024 | D · Potential for harm, one-off | 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. |
| Oct 3, 2023 | D · Potential for harm, one-off | 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. |
| Oct 3, 2023 | D · Potential for harm, one-off | 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. |
| Oct 3, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 6).
| 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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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, 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. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
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 |
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (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 →
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Facility data as of CMS processing date 2026-08-01. CCN 155521.