Best Nursing Homes in Alexandria, LA

Why trust this guide? Our editorial team analyzed 7 nursing homes in Alexandria, LA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in LA
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We analyzed These are the facilities in Alexandria, LA our team has analyzed — not a count of every nursing home provider in Alexandria, LA.
7 homes
Other senior care options in Alexandria:
Avg Overall CMS Rating: 1.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Alexandria, LA. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.4/ 5The average Staffing Rating across all CMS-certified nursing homes in Alexandria, LA. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.4/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Alexandria, LA. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Alexandria (Metro Area)

Info below is compiled from CMS reports & the LA Dept. of Health (LDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Louisiana average is: 47.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Naomi Heights Nursing & Rehabilitation Center
NH
SNF
Alexandria (Rapides Parish)
139
Facility 139
LA AVG 126
Rank #74 / 190
69.1%
Facility 69.1%
LA AVG 72.4%
Rank #104 / 169
-5%
4.83
Facility 4.83
LA AVG 4.14
Rank #21 / 195
+64%+16%
$16.1k
Facility $16.1k
LA AVG $107.9k
Rank #113 / 202
15
Facility 15
LA AVG 25.7
Rank #112 / 202
3.8
Facility 3.8
LA AVG 3.9
Rank #71 / 202
196-
57
Facility 57
LA AVG 39
Rank #46 / 213
Naomi Heights Nursing & Rehabilitation Center, LLC
$8.1MFiscal year ending 03/2024
Facility $8.1MFiscal year ending 03/2024
LA AVG $9.8M
Rank #125 / 195
$4.7MFiscal year ending 03/2024
Facility $4.7MFiscal year ending 03/2024
LA AVG $4.5M
Rank #76 / 195
58.5%Fiscal year ending 03/2024
Facility 58.5%Fiscal year ending 03/2024
LA AVG 47.8%
Rank #20 / 194
195420
Matthews Memorial Health Care
NH
HOS
MC
SNF
Alexandria
124
Facility 124
LA AVG 126
Rank #95 / 190
71.6%
Facility 71.6%
LA AVG 72.4%
Rank #98 / 169
-1%
3.85
Facility 3.85
LA AVG 4.14
Rank #109 / 195
-19%-7%
$36.1k
Facility $36.1k
LA AVG $107.9k
Rank #135 / 202
33
Facility 33
LA AVG 25.7
Rank #158 / 202
3.3
Facility 3.3
LA AVG 3.9
Rank #89 / 202
189-
65
Facility 65
LA AVG 39
Rank #30 / 213
Annie Mae Matthews Properties, LLC
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
LA AVG $9.8M
Rank #103 / 195
$3.9MFiscal year ending 12/2023
Facility $3.9MFiscal year ending 12/2023
LA AVG $4.5M
Rank #116 / 195
43.6%Fiscal year ending 12/2023
Facility 43.6%Fiscal year ending 12/2023
LA AVG 47.8%
Rank #120 / 194
195600
Lexington House
NH
HOS
MC
SNF
Alexandria (Rapides Parish)
130
Facility 130
LA AVG 126
Rank #81 / 190
84.6%
Facility 84.6%
LA AVG 72.4%
Rank #39 / 169
+17%
4.32
Facility 4.32
LA AVG 4.14
Rank #59 / 195
-36%+4%
$9.9k
Facility $9.9k
LA AVG $107.9k
Rank #97 / 202
24
Facility 24
LA AVG 25.7
Rank #81 / 202
2.7
Facility 2.7
LA AVG 3.9
Rank #40 / 202
1110A
32
Facility 32
LA AVG 39
Rank #122 / 213
Lexington House, LLC
$12.4MFiscal year ending 12/2023
Facility $12.4MFiscal year ending 12/2023
LA AVG $9.8M
Rank #39 / 195
$5.4MFiscal year ending 12/2023
Facility $5.4MFiscal year ending 12/2023
LA AVG $4.5M
Rank #41 / 195
43.5%Fiscal year ending 12/2023
Facility 43.5%Fiscal year ending 12/2023
LA AVG 47.8%
Rank #126 / 194
195424
Summit Retirement Center
NH
HOS
MC
PC
SNF
Alexandria
130
Facility 130
LA AVG 126
Rank #81 / 190
70.8%
Facility 70.8%
LA AVG 72.4%
Rank #101 / 169
-2%
3.62
Facility 3.62
LA AVG 4.14
Rank #126 / 195
+37%-13%
$14.3k
Facility $14.3k
LA AVG $107.9k
Rank #109 / 202
25
Facility 25
LA AVG 25.7
Rank #144 / 202
3.6
Facility 3.6
LA AVG 3.9
Rank #117 / 202
292-
49
Facility 49
LA AVG 39
Rank #60 / 213
Loren Pinion
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
LA AVG $9.8M
Rank #60 / 195
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
LA AVG $4.5M
Rank #71 / 195
45.3%Fiscal year ending 12/2023
Facility 45.3%Fiscal year ending 12/2023
LA AVG 47.8%
Rank #105 / 194
195560
Regency House
NH
IL
Alexandria
58
Facility 58
LA AVG 126
Rank #185 / 190
82.6%
Facility 82.6%
LA AVG 72.4%
Rank #50 / 169
+14%
3.41
Facility 3.41
LA AVG 4.14
Rank #139 / 195
+11%-18%
$0
Facility $0
LA AVG $107.9k
Rank #1 / 202
39
Facility 39
LA AVG 25.7
Rank #140 / 202
5.6
Facility 5.6
LA AVG 3.9
Rank #159 / 202
-48-
45
Facility 45
LA AVG 39
Rank #75 / 213
Steed Care LLC
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
LA AVG $9.8M
Rank #146 / 195
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
LA AVG $4.5M
Rank #157 / 195
41%Fiscal year ending 12/2023
Facility 41%Fiscal year ending 12/2023
LA AVG 47.8%
Rank #153 / 194
195637

Rank badges are statewide: each nursing home is ranked against every LA nursing home we track that reports that metric, not just the 7 analyzed for Alexandria. See how we rank facilities

Overview of Naomi Heights Nursing & Rehabilitation Center

Naomi Heights Nursing & Rehabilitation Center is a nursing home in Alexandria, LA, offering skilled nursing. Licensed nursing care is available around the clock, while rehabilitation services support residents who need therapy during their stay. Respite care provides a short-term stay when a usual caregiver needs time to travel, recover or manage another responsibility.

The community has 139 beds, giving families a clear sense of its available capacity without implying a particular community size. Total nurse staffing is 4 hours 50 minutes per resident per day, representing the daily hands-on nursing time assigned per resident. Residents can use a salon for personal grooming and spend time outdoors in landscaped grounds with multiple pathways for walking.

Naomi Heights Nursing & Rehabilitation Center accepts Medicaid, Medicare and private pay, allowing families to consider those payment sources when planning for care. In-house religious services from local churches and chaplain services provide access to faith-based support on site. Facility-arranged transportation is also available when residents need it.

Contact Naomi Heights Nursing & Rehabilitation Center

Overview of Matthews Memorial Health Care

Matthews Memorial is a well-regarded healthcare community in Alexandria, Louisiana. This compassionate community caters to the diverse needs of its residents, providing tailored solutions for recovery, rehabilitation, and long-term residence. As residents’ needs evolve, Matthews Memorial remains steadfast in providing long-term care within a homelike setting, complete with a plethora of engaging activities that nurture not only their physical well-being but also their mental and spiritual health.

The dedicated staff at Matthews Memorial takes pride in extending a warm welcome to residents. It stands ready to deliver the personalized care required to help them attain their highest levels of health and well-being. For those seeking short-term care following surgery or a hospital stay, Matthews Memorial excels in offering skilled nursing services that expedite the recovery process, ensuring patients return home safely. Moreover, individuals who have undergone procedures like joint replacement surgeries or faced medical events like heart attacks or strokes benefit from Matthews Memorial’s comprehensive rehabilitation therapies, which enhance mobility, strength, and overall functionality.

Contact Matthews Memorial Health Care

Overview of Lexington House

Lexington House is a 130-bed skilled nursing and rehabilitation facility located at 16 Heyman Lane in Alexandria, Louisiana. Serving Rapides Parish, the community is owned by Lexington House, LLC, managed by ASI Management, and accepts Medicare, Medicaid, and private pay.

Total adjusted nursing hours are 4 hours and 1 minute per resident per day, which is 5% above the Louisiana average. The facility holds a 2-star overall CMS rating, with a 3-star health inspection sub-rating and a 1-star quality measures sub-rating. Clinical programs include wound care and short-term rehabilitation. Current occupancy is 85%, with 110 of 130 beds filled, which is above the state average of 71.8%.

The Louisiana Department of Health, Health Standards Section, oversees facility inspections. An August 6, 2025, inspection cited 21 deficiencies, including an instance of staff discouraging a resident from using a call light. Historical records indicate recurring deficiencies involving resident dignity. No civil money penalties or payment denials appear in available reports, and the facility maintains a citations-per-inspection rate of zero.

The campus provides 24-hour nursing care and on-site rehabilitation services. Residents receive daily meals in a communal dining room, and the facility operates a volunteer program. Specific details regarding monthly pricing and available room types are not reported in the available source data, so families should request these details during a tour.

This facility suits families seeking rehabilitation services in a setting with above-average total nursing hours. Families evaluating Lexington House should ask directly about staff training and oversight protocols regarding resident dignity and call system access before making a placement decision.

Contact Lexington House

Overview of Summit Retirement Center

The Summit, a healthcare community nestled in the heart of Alexandria, Louisiana, is a haven for individuals seeking recovery, rehabilitation, or a nurturing long-term residence tailored to their unique requirements. The journey to well-being extends to those requiring consistent medical monitoring, and The Summit’s commitment shines through by providing long-term care within a homelike environment. Residents can partake in a wealth of activities that not only nurture their physical health but also stimulate their minds and uplift their spirits.

The compassionate and dedicated staff at The Summit extends a warm welcome to each individual, ensuring that their presence is felt and that every resident receives the care and attention they need to achieve their health and well-being. For those pursuing short-term care post-surgery or hospitalization, The Summit offers a comprehensive range of skilled nursing services dedicated to expediting recovery and ensuring a secure return home. Individuals who have undergone joint replacement surgeries or encountered medical events such as heart attacks or strokes will find solace in The Summit’s rehabilitation therapies. These programs enhance mobility, strength, and overall functionality, promoting a more fulfilling and independent life.

Contact Summit Retirement Center

Overview of Regency House

Regency House, a private and family-owned sanctuary for skilled nursing and rehabilitation, graces the community of Alexandria, Louisiana. The dedicated staff here shares an unwavering passion for providing the highest quality of care. Their mission is to help residents reach their full potential, helping them lead lives that reflect their highest aspirations.

At Regency House, the essence of resident-centered living and individual choice is woven into the very fabric of daily life. Here, residents are empowered to express their individuality and pursue lives rich in fulfillment. This intimate facility, home to 60 beds and Medicare-certified reveals the luxury of personal acquaintance with each resident and their distinct needs.

Contact Regency House

Overview of Lexington House

Owned by the Elton G. Limited Partnership Trust, Lexington House is a nursing home in Alexandria, Louisiana. It offers skilled nursing, hospice care, memory care, and long-term nursing care. Families can choose from Medicare, Medicaid, and private pay to cover both short-term rehabilitation and longer-term stays.

With 130 beds, Lexington House is a mid-sized community with an occupancy rate of 90%. Residents stay for an average of about 267 days, which is a mix of people recovering after a hospital stay and those receiving ongoing long-term care. The community focuses on rehabilitation for residents recovering from joint replacements, strokes, and other major medical conditions. There’s therapy to improve mobility, strength, and daily function. For residents needing short-term rehabilitation after surgery, the skilled nursing team works to support a safe return home.

Residents receive about 4 hours of direct nursing care each day from registered nurses, licensed nurses, and nurse aides. The community also offers programs to engage residents in body, mind, and spirit. Its goal is to provide a more home-like setting for long-term residents.

The neighborhood has a Walk Score of 24, which means it’s car-dependent. Most errands and visits require driving. Families touring Lexington House should ask about the rehabilitation team’s experience treating the conditions most relevant to their loved one because rehabilitation is a central part of the community’s care approach.

Contact Lexington House

Overview of Naomi Heights Nursing and Rehabilitation Center

Nestled conveniently in Alexandria, Louisiana, Naomi Heights Nursing & Rehabilitation Center, LLC is a senior living community dedicated to what they do. Seniors immediately sense the warm and friendly atmosphere surrounding the facility. This ambiance is not just a coincidence; it reflects a longstanding tradition of unwavering commitment to quality care. At Naomi Heights, employees understand that they’re tasked with more than just a job; they’re entrusted with the profound importance of a kind word, a gentle touch, and the transformative power of a smile.

The staff at Naomi Heights Nursing & Rehabilitation Center, LLC is deeply passionate about their role in improving the quality of life for every resident they serve. It’s more than a vocation; it’s a calling, a dedication to providing compassionate and expert care in a setting that residents can call home. Naomi Heights boasts a prime location just minutes from prominent healthcare centers like CHRISTUS Cabrini & Rapides Medical Centers. It also enjoys proximity to many doctors’ offices and healthcare professionals’ workplaces.

Contact Naomi Heights Nursing and Rehabilitation Center, LLC

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Alexandria, LA

What's the difference between assisted living and a nursing home in Louisiana?

Assisted living in Louisiana is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Louisiana Medicaid cover nursing home care?

Yes — Louisiana Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 7 nursing homes in Alexandria, LA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Alexandria, LA?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Alexandria, LA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Alexandria, LA?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.