The Seasons at Alexandria
7341 E Alexandria Pike, Alexandria, KY 41001 · Campbell County · 117 certified beds · avg 108 residents/day · certified since Jun 30, 2018
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, facility-wide · Aug 15, 2025 · F-0880 · triggered by a complaint
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Sep 4, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 14, 2024 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 14, 2024 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 6, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 13, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 6, 2024 · F-0607 · triggered by a complaint
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 13, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 26, 2022 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
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: Jun 23, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 26, 2022 · F-0689
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: Jun 23, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Aug 15, 2025 | ▲ L · Immediate jeopardy, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Aug 15, 2025 | F · Potential for harm, facility-wide | 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. |
| Aug 15, 2025 | E · Potential for harm, repeated | 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 provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 14, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Aug 14, 2024 | ▲ J · Immediate jeopardy, 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 |
| Jun 6, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 6, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jun 6, 2024 | 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. · from a complaint |
| May 26, 2022 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 26, 2022 | ▲ 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. |
| May 26, 2022 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 26, 2022 | 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. |
| May 16, 2019 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 16, 2019 | E · Potential for harm, repeated | 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. |
| May 16, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 16, 2019 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | E |
| 2022 | 4 | 2 | G ▲ |
| 2024 | 5 | 4 | J ▲ |
| 2025 | 4 | 1 | L ▲ |
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)
2 fines totaling $246,139.
| Date | Type | Amount / length |
|---|---|---|
| Aug 15, 2025 | Fine | $19,955 |
| Jun 6, 2024 | Fine | $226,184 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.38 | 3.71 | 3.95 | top 16% in Kentucky; top 27% in the U.S. |
| Registered Nurse hours | 0.63 | 0.74 | 0.69 | bottom 49% in Kentucky; top 44% in the U.S. |
| Weekend total nurse staffing | 3.94 | 3.27 | 3.50 | top 15% in Kentucky; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.53 | 0.48 | bottom 44% in Kentucky; top 46% in the U.S. |
| Total nursing staff turnover (%) | 50.3 | 46.4 | 45.8 | bottom 33% in Kentucky; bottom 36% in the U.S. |
| RN turnover (%) | 37.5 | 41.8 | 42.9 | top 46% in Kentucky; top 42% 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 4.43, RN 0.64, weekend 3.99. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chilelli, Justine | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Concept Rehab, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Dorsey, Josh | Individual | Corporate Director | NOT APPLICABLE | 02/01/2019 |
| Dressman, Jim | Individual | Corporate Director | NOT APPLICABLE | 03/08/2017 |
| Epplen, Steve | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Hamberg, Joyce | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Hargis & Associates, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Levermann, Jack | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Macke, Dave | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| McIntosh, Effie | Individual | Corporate Director | NOT APPLICABLE | 10/01/2020 |
| Pavlou, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Pavlou, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Richardson, Kevin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Santos, William | Individual | Corporate Director | NOT APPLICABLE | 01/10/2018 |
| Schreiner Spille, Christina | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Stroud, Reva | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Stroud, Reva | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 |
|---|---|---|---|---|---|
| Coldspring Transitional Care Center | 1.9 mi | Cold Spring, KY | ★★☆☆☆ | 2/5 | |
| Carmel Manor | 5.9 mi | Fort Thomas, KY | ★☆☆☆☆ | 1/5 | |
| Residence at Salem Woods | 6.3 mi | Cincinnati, OH | ★★★★★ | 5/5 | |
| Rosedale Green | 6.6 mi | Covington, KY | ★★★★☆ | 5/5 | |
| Mount Washington Care Center | 6.7 mi | Cincinnati, OH | ★★★☆☆ | 2/5 | |
| Highlandspring of Ft Thomas | 7.1 mi | Fort Thomas, KY | ★★★☆☆ | 3/5 | |
| Anderson, the | 7.1 mi | Cincinnati, OH | ★☆☆☆☆ | 2/5 | |
| St Elizabeth Ft Thomas SNF | 7.4 mi | Fort Thomas, KY | ★★★★☆ | 5/5 | |
| The Pavilion at Kenton | 7.9 mi | Covington, KY | ★☆☆☆☆ | 1/5 | |
| Siena Gardens Rehabilitation & Transitional Care | 8.3 mi | Cincinnati, OH | ★★★★★ | 5/5 | |
| Atlantes the | 8.7 mi | Cincinnati, OH | ★★★★★ | 5/5 | |
| St Elizabeth Edgewood SNF | 9.1 mi | Edgewood, KY | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
All facilities in Alexandria →
Facility data as of CMS processing date 2026-08-01. CCN 185484.