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The Seasons at Alexandria

Nursing Home, Assisted Living, Hospice Care, Memory Care & Respite Care · Alexandria, KY

CMS overall rating

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Nursing Home in Kentucky

The Seasons at Alexandria

Nursing Home, Assisted Living, Hospice Care, Memory Care & Respite Care · Alexandria, KY

CMS overall rating

7341 E Alexandria Pike, Alexandria, KY 41001 View map

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The Seasons at Alexandria accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

The Seasons at Alexandria accepts Medicaid, Medicare, and private pay.

Overview of The Seasons at Alexandria

Managing 16 dementia units and 50 behavioral health units, The Seasons at Alexandria is a 66-bed nonprofit senior community that integrates skilled nursing, assisted living, and physical rehabilitation. The property serves a patient base that averages a 102-day length of stay, relying heavily on a combination of private-pay admissions (65%) and Medicare coverage (34%). While local building utilization stays stable at an 87% occupancy rate, commercial data points to immense operational stress. The business recorded a $3.7 million net operating loss in 2023 despite pulling in a high $35.7 million in gross revenue, with management keeping its payroll allocation down to just 36.1% of overall funding.

Critical front-line staffing shortages and serious historical regulatory fines stand out in public health databases, alongside mixed clinical outcomes. Daily direct nursing care lines average 1 hour and 11 minutes per resident, ranking the facility last out of 184 homes statewide across Kentucky, while weekend registered nurse hours drop slightly to 1 hour and 10 minutes. On the compliance side, state records note 17 total citations since 2019, featuring five critical and two serious deficiencies alongside a massive $226,000 federal financial penalty issued in June 2024.

A more recent August 2025 inspection logged four moderate, subsequently resolved points involving infection protocols, nutrition, and pharmacy tracking. While permanent resident files show solid skin care management, short-term post-acute recovery charts flag an elevated 1.7% major injury fall rate during active rehabilitation.

Prospective residents evaluating regional behavioral health options or short-term physical therapy placements can examine these state monitoring logs to weigh the provider’s current workloads. Since the public paperwork documents substantial historical financial penalties, low permanent-resident mobility preservation, and the thinnest daily nursing hours in the state alongside stable local building occupancy, the files outline a facility facing acute structural and care delivery challenges.

Facility Direct Line (859) 694-4450

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

1h 11m per day

vs avg

2 of 6 metrics below state avg

Standout metric LPN / LVN is +33% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	40m per day	▼ 13% State avg: 46m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 5m per day	▲ 33% State avg: 49m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 56m per day	▲ 20% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	4h 19m per day	▲ 23% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	5m per day	▲ 16% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	27m per day	▼ 13% State avg: 31m per day · National avg: 28m per day

Capacity and availability

102 days

66-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 50 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

100%

Higher than the Kentucky average: 81.3%

Occupied beds

66 / 66

Average occupied beds in Kentucky homes 80 beds

Facility TypeAssisted Living Community - Behavioral Health

StatusActive

ExpirationJuly 30, 2026

CountyCampbell

License Number100055

CMS Certification Number185484

The Seasons at Alexandria is administered by Rev. A Stroud.

Dementia Care

16 units

Behavioral Health

50 units

Total beds

66 units

Emergency SystemsYes

Safety Features24 Hour Security, Emergency Response System, Controlled Building Entry.

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

24-Hour Staffing

Outside Walking Paths

Gardening

Flexible Meal Plans

Furnished Meals

Transportation Services Available

Housekeeping Services

Outings / Day Trips

Spa On-Site

Activities

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2019 · 7 years of data 19 deficiencies 5 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Kentucky state average

Overall vs. KY average

Latest Inspection August 15, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	19	6	This facility has 217% more total deficiencies than a typical Kentucky assisted living residence (19 vs. KY avg 6).↑ 217% worse
Deficiencies per year Average deficiencies per year since 2019.	2.7	0.9	This facility has 200% more deficiencies per year than a typical Kentucky assisted living residence (2.7 vs. KY avg 0.9).↑ 200% worse
Deficiencies per inspection Average deficiencies per inspection.	3.8	2	This facility has 90% more deficiencies per inspection than a typical Kentucky assisted living residence (3.8 vs. KY avg 2).↑ 90% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	KY Average	vs. KY Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	5	3	This facility has 67% more total inspections than a typical Kentucky assisted living residence (5 vs. KY avg 3).↑ 67% worse

Show Inspection Reports

Inspections since 2019

Total health inspections 5

State average N/A

Last Health inspection on Aug 2025

Total health citations

State average N/A

Citations per inspection

3.4

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 17 citations resulted from standard inspections; 5 of 17 resulted from complaint investigations; and 1 of 17 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

5 critical citations State average: N/A

2 serious citations State average: N/A

10 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Infection Control critical citation Aug 15, 2025

Corrected

Nutrition moderate citation Aug 15, 2025

Corrected

Pharmacy moderate citation Aug 15, 2025

Corrected

Quality of Care moderate citation Aug 15, 2025

Corrected

Top deficiency categories

Infection Control 3 deficiencies (18%)

Quality of Life & Care 3 deficiencies (18%)

Abuse, Neglect & Exploitation 2 deficiencies (12%)

Pharmacy Services 1 deficiency (6%)

Total staff 235

Employees 145

Contractors 90

Staff to resident ratio 2.37 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 56

Average shift 9.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 47,930

Nursing staff breakdown

11.7 hours

11.4 hours

120

9.7 hours

Contractor staffing

6,802 contractor hours this quarter

Certified Nursing Assistant: 38 Licensed Practical Nurse: 29 Physical Therapy Aide: 6 Respiratory Therapy Technician: 4 Physical Therapy Assistant: 3 Speech Language Pathologist: 3 Qualified Social Worker: 2 Therapeutic Recreation Specialist: 1 Medication Aide/Technician: 1 Registered Nurse: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	82	38	120	24,641	92	100%	9.7
Licensed Practical Nurse	22	29	51	8,411	92	100%	11.4
Registered Nurse	12	1	13	3,763	92	100%	11.7
Clinical Nurse Specialist	5	0	5	1,788	87	95%	8.9
Medication Aide/Technician	14	1	15	1,639	88	96%	10.6
RN Director of Nursing	3	0	3	1,370	67	73%	9
Other Dietary Services Staff	4	0	4	1,163	74	80%	6.5
Physical Therapy Aide	0	6	6	891	87	95%	6.2
Physical Therapy Assistant	0	3	3	733	70	76%	5.8
Respiratory Therapy Technician	0	4	4	692	78	85%	5
Speech Language Pathologist	0	3	3	501	70	76%	6.4
Administrator	1	0	1	488	61	66%	8
Occupational Therapy Aide	1	0	1	472	59	64%	8
Therapeutic Recreation Specialist	0	1	1	455	60	65%	7.6
Nurse Practitioner	1	0	1	448	56	61%	8
Qualified Social Worker	0	2	2	356	64	70%	5.6
Occupational Therapy Assistant	0	1	1	76	54	59%	1.4
Medical Director	0	1	1	45	9	10%	5

120 Certified Nursing Assistant

% of Days 100%

51 Licensed Practical Nurse

% of Days 100%

13 Registered Nurse

% of Days 100%

5 Clinical Nurse Specialist

% of Days 95%

15 Medication Aide/Technician

% of Days 96%

3 RN Director of Nursing

% of Days 73%

4 Other Dietary Services Staff

% of Days 80%

6 Physical Therapy Aide

% of Days 95%

3 Physical Therapy Assistant

% of Days 76%

4 Respiratory Therapy Technician

% of Days 85%

3 Speech Language Pathologist

% of Days 76%

1 Administrator

% of Days 66%

1 Occupational Therapy Aide

% of Days 64%

1 Therapeutic Recreation Specialist

% of Days 65%

1 Nurse Practitioner

% of Days 61%

2 Qualified Social Worker

% of Days 70%

1 Occupational Therapy Assistant

% of Days 59%

1 Medical Director

% of Days 10%

View All Staffing Data

Total fines amount $226K

259% higher than State average

State average: $63K

Number of fines 1

57% fewer fines than State average

State average: 2.3

Payment Denials 0

100% fewer payment denials than State average

State average: 0.3

Fines amount comparison

This facility $226K

State average $63K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jun 6, 2024 · $226K

Civil Money Penalty Jun 6, 2024

$226K

Last updated: Jan 2026

High-risk clinical events score 9.6

8% better than State average

State average: 10.5

Functional decline score 21.9

16% worse than State average

State average: 18.9

Long-stay resident measures

Above average State avg: 3.5

Need for Help with Daily Activities Increased 19.1%

14% worse than State average

State average: 16.8%

Walking Ability Worsened 18.3%

7% better than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 28.3%

38% worse than State average

State average: 20.5%

Falls with Major Injury 2.8%

24% better than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers 2.1%

63% better than State average

State average: 5.8%

Urinary Tract Infection 0.9%

54% better than State average

State average: 1.9%

Lost Too Much Weight 5.7%

16% better than State average

State average: 6.8%

Depressive Symptoms 15.0%

5% worse than State average

State average: 14.3%

Antipsychotic Use 18.7%

20% worse than State average

State average: 15.6%

Pneumococcal Vaccine 99.7%

6% better than State average

State average: 93.9%

Influenza Vaccine 90.4%

6% worse than State average

State average: 96.2%

Hospitalizations per 1,000 days 2.01

7% worse than State average

State average: 1.87

ED visits per 1,000 days 1.46

33% better than State average

State average: 2.19

Short-stay resident measures

Significantly above average State avg: 2.2

Pneumococcal Vaccine 98.9%

18% better than State average

State average: 83.7%

Antipsychotic medication increase 1.5%

20% better than State average

State average: 1.9%

Influenza Vaccine 98.7%

18% better than State average

State average: 83.6%

Re-hospitalized after SNF stay 15.2%

38% better than State average

State average: 24.5%

Emergency department visits 9.3%

33% better than State average

State average: 13.9%

Falls with major injury 1.7%

117% worse than State average

State average: 0.8%

Ability to care for self at discharge 47.4%

12% worse than State average

State average: 53.7%

Successful return to home or community 60.7%

20% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

65% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 7 years

Total residents 99

Medicare

15.2% of residents

Medicaid

47.5% of residents

Private pay or other

37.4% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for The Seasons at Alexandria from 2018–2023, based on CMS SNF Cost Reports.

Occupancy Rate 240.5% ↑ 153.4pp vs 2022

Net Patient Income -$17.4M ↓ ~$1.9M vs 2022

Payroll Costs $12.9M ↑ ~$6.2M vs 2022

Operating Margin -98.1% ↓ 10.7pp vs 2022

Financial Performance

Net patient revenue Operating expenses Net patient income

Salaries Wage Costs Contract Labor

Medicare Medicaid Private Pay/Other

Metric	2018	2019	2020	2021	2022	2023
Occupancy %	75.9%	78.9%	77.3%	80.2%	87.1%	240.5%
Beds	183	183	183	183	183	66
Net Income	-$3,810,975	-$3,615,372	-$1,761,634	$1,272,908	-$3,191,819	-$3,676,399
Gross Revenue	$8,579,681	$19,372,790	$19,483,822	$21,460,962	$22,648,753	$22,234,701
Operating Expenses	$15,850,797	$30,067,973	$29,538,901	$31,019,140	$33,247,095	$35,113,468
Net Patient Income	-$9,572,866	-$15,990,576	-$14,384,051	-$14,404,748	-$15,510,142	-$17,388,785
Net Patient Revenue	$6,277,931	$14,077,397	$15,154,850	$16,614,392	$17,736,953	$17,724,683
Payroll Costs	$4,182,061	$7,365,123	$7,469,410	$7,425,617	$6,742,023	$12,899,959
Operating Margin %	-152.5%	-113.6%	-94.9%	-86.7%	-87.5%	-98.1%
Medicare %	7.7%	8.8%	7.4%	7.6%	7.0%	6.1%
Medicaid %	48.5%	46.2%	39.7%	37.9%	38.5%	35.0%
Private %	43.8%	45.0%	52.9%	54.5%	54.6%	58.9%
Net Patient Revenue/Day	$244	$267	$293	$310	$305	$306
Cost/Day	$617	$571	$571	$579	$572	$606
Avg Length of Stay	118.5 days	121.9 days	139.9 days	130.8 days	94.3 days	102.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$17.7M

Net patient income

-$17.4M

Nonprofit Nonprofit Corporation

Net patient revenue

$17.7M

Net patient income

-$17.4M

Other income

$13.5M

Payroll costs

$12.9M 72.8% of net patient revenue

Other operating costs

$22.2M

Total costs

$35.1M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (65% of admissions), and a typical private pay stay runs around 4 - 5 months.

Coverage residents most often arrive under.

Medicare 34%

Private pay 65%

Medicaid 2%

Coverage residents most often leave under.

Medicare 30%

Private pay 68%

Medicaid 3%

0.0 miles from city center Estimated distance in miles from Alexandria's city center to The Seasons at Alexandria's address, calculated via Google Maps.

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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.


The Seasons at Alexandria	NH AL HC MC RC	Alexandria	-	66	-	50	-
Madonna Manor	NH AL IL MC	Villa Hills	-	64	-	4	1 Bed / 2 Bed
Berea Health and Rehabilitation	NH	Berea	-	84	-	57	-
Prestonsburg Health Care Center	NH HC MC PC	Prestonsburg	-	56	-	7	-
Signature Healthcare of Monroe County Rehab and Well	NH HC PC RC	Tompkinsville	-	104	-	53	-

Nursing Home Explorer

Is The Seasons at Alexandria in a walkable area?

The Seasons at Alexandria has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of The Seasons at Alexandria?

According to KY state health department records, The Seasons at Alexandria's license number is 100055.

When does The Seasons at Alexandria's license expire?

According to KY state health department records, The Seasons at Alexandria's license expires on July 30, 2026.

What is the occupancy rate at The Seasons at Alexandria?

The Seasons at Alexandria's occupancy is 100%.

Does The Seasons at Alexandria operate as a for-profit or non-profit?

The Seasons at Alexandria is registered as a non-profit in KY.

Who is the administrator of The Seasons at Alexandria?

Reva Stroud is the administrator of The Seasons at Alexandria.

How many beds does The Seasons at Alexandria have?

The Seasons at Alexandria has 66 beds.

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The Seasons at Alexandria

Overview of The Seasons at Alexandria

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Safety & Compliance

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact The Seasons at Alexandria

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

120 Certified Nursing Assistant

51 Licensed Practical Nurse

13 Registered Nurse

5 Clinical Nurse Specialist

15 Medication Aide/Technician

3 RN Director of Nursing

4 Other Dietary Services Staff

6 Physical Therapy Aide

3 Physical Therapy Assistant

4 Respiratory Therapy Technician

3 Speech Language Pathologist

1 Administrator

1 Occupational Therapy Aide

1 Therapeutic Recreation Specialist

1 Nurse Practitioner

2 Qualified Social Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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