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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 161st out of 267 homes in Indiana.| Staff type | Hours / day | 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.
| 26m per day | ▼ 33% State avg: 39m 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.
| 54m per day | ▼ 26% State avg: 1h 13m 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 27m per day | ▼ 7% State avg: 2h 38m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 2h 54m per day | ▼ 29% State avg: 4h 5m 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 | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 19m per day | ▼ 37% State avg: 30m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
47% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #241 / 267Payroll — state benchmarkedThis home is ranked 241st out of 267 homes in Indiana.Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Indiana average: 68.1%Alexandria Care Center is legally operated by Board Of Trustees Of The Flavius J Witham Memorial, and administrated by Glenn Burke.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 38 | 36 | This facility has 6% more total deficiencies than a typical Indiana nursing home (38 vs. IN avg 36).↑ 6% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 9.5 | 9 | This facility has 6% more deficiencies per year than a typical Indiana nursing home (9.5 vs. IN avg 9).↑ 6% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.8 | 1.9 | This facility has 5% fewer deficiencies per inspection than a typical Indiana nursing home (1.8 vs. IN avg 1.9).↓ 5% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
| 21 | 19 | This facility has 11% more total visits than a typical Indiana nursing home (21 vs. IN avg 19).↑ 11% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 8 | 7 | This facility has 14% more inspections with deficiencies than a typical Indiana nursing home (8 vs. IN avg 7).↑ 14% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 38% | 37% | This facility has 1 percentage point higher inspection deficiency rate than a typical Indiana nursing home (38% vs. IN avg 37%).↑ 1% worse |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
| 6 | 13 | This facility has 54% fewer inspections than a typical Indiana nursing home (6 vs. IN avg 13).↓ 54% better |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 1 | 5 | This facility has 80% fewer total complaints than a typical Indiana nursing home (1 vs. IN avg 5).↓ 80% better |
|
Complaints per year
Average complaints per year since 2022.
| 0.3 | 1.3 | This facility has 77% fewer complaints per year than a typical Indiana nursing home (0.3 vs. IN avg 1.3).↓ 77% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 24, 2025, found no deficiencies related to complaint investigations. Earlier inspections showed a pattern of deficiencies primarily involving Life Safety Code compliance, emergency preparedness, and resident care issues such as medication management and individualized interventions for dementia behaviors. A substantiated complaint in August 2022 involved physical abuse of a resident, which led to staff removal, but no enforcement actions such as fines or license suspensions were listed in the available reports. Most complaint investigations were unsubstantiated, and the facility generally addressed cited issues with plans of correction. The inspection history shows some improvement in Life Safety Code compliance and complaint outcomes over time, with recent surveys indicating compliance.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIndiana average 6
Last Health inspection on Jul 2025
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 16 citations resulted from standard inspections; and 1 of 16 resulted from complaint investigations.
100% better than Indiana averageIndiana average: 0.2
0
100% better than Indiana averageIndiana average: 0.6
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 03, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 30, 2024
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 30, 2024
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 30, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Alexandria Care Center is located in ALEXANDRIA, Indiana.
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0.0 miles from city center
Estimated distance in miles from Alexandria's city center to Alexandria Care Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
2522627% better than Indiana averageIndiana average ratio: 0.00:1
6% worse than Indiana averageIndiana average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Total hours from contractors
3,821 contractor hours this quarter
| Certified Nursing Assistant | 41 | 0 | 41 | 8,317 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 18 | 2 | 20 | 4,832 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 8 | 2 | 10 | 2,062 | 91 | 100% | 7.7 |
| Registered Nurse | 4 | 4 | 8 | 1,591 | 88 | 97% | 8.3 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,022 | 76 | 84% | 6.3 |
| Nurse Aide in Training | 5 | 0 | 5 | 981 | 77 | 85% | 7 |
| Mental Health Service Worker | 3 | 0 | 3 | 813 | 64 | 70% | 7.9 |
| Qualified Activities Professional | 2 | 0 | 2 | 724 | 90 | 99% | 6.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 529 | 61 | 67% | 6 |
| Administrator | 2 | 0 | 2 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 491 | 70 | 77% | 7 |
| Speech Language Pathologist | 0 | 2 | 2 | 490 | 69 | 76% | 6.2 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 442 | 67 | 74% | 6.6 |
| Qualified Social Worker | 0 | 3 | 3 | 299 | 60 | 66% | 4.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 226 | 43 | 47% | 5.1 |
| Dental Services Staff | 2 | 0 | 2 | 60 | 6 | 7% | 8.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 56 | 10 | 11% | 5.6 |
| Medical Director | 0 | 1 | 1 | 35 | 14 | 15% | 2.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 6 | 7% | 4.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
22.2
178% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
41.2
142% worse than Indiana averageIndiana average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
40.3%
234% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
45.6%
218% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
37.8%
54% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
11.7%
204% worse than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.6%
5% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
9.0%
58% worse than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
27.8%
15% worse than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
15.9%
28% worse than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Indiana averageIndiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.61
28% better than Indiana averageIndiana average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.54
66% better than Indiana averageIndiana average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
19% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
44% worse than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
27% better than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.6%
10% worse than Indiana averageIndiana average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.6%
50% better than Indiana averageIndiana average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
22% worse than Indiana averageIndiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.1%
27% worse than Indiana averageIndiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
40.4%
20% worse than Indiana averageIndiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Decatur | 167 | 67.1% | -3% | 3.69 | -10% | +7% | 0 | 2 | 2.0 | - | 108 | - | 79 | Adams County Memorial Hospital | $12.8M | $5.6M | 43.8% | 155747 | ||||
| Adams Heritage |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Monroeville | 61 | 60.7% | -13% | 4.12 | +29% | +20% | 0 | 2 | 1.0 | - | 39 | A+ | 40 | Adams County Memorial Hospital | $5.5M | $2.5M | 44.8% | 155729 | ||||
| Addison Pointe Health & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Chesterton | 100 | 93.0% | +34% | 3.16 | -5% | -8% | 1 | 27 | 4.5 | 1 | 93 | - | 73 | Steven Dobben | $15.3M | $5.3M | 34.6% | 155805 | ||||
| Alexandria Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Alexandria | 70 | 71.4% | +3% | 3.19 | -24% | -7% | 0 | 16 | 4.0 | - | 56 | - | 63 | Magnolia Health Management I LLC | $6.0M | $2.2M | 35.6% | 155521 | ||||
| Albany Health Care & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Albany | 102 | 75.5% | +9% | 3.51 | +4% | +2% | 0 | 19 | 3.2 | 1 | 77 | - | 34 | Melanie Troxwell | $12.4M | $4.3M | 34.7% | 155432 |
Historical financial and operational data for Alexandria Care Center based on CMS SNF Cost Reports.
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Amanda Brown is the Director of Nursing at Alexandria Care Center.
The legal owner and operator of Alexandria Care Center is Board Of Trustees Of The Flavius J Witham Memorial.
Alexandria Care Center has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IN state health department records, Alexandria Care Center's license number is 24-000518-1.
According to IN state health department records, Alexandria Care Center's license expires on October 31, 2025.
Alexandria Care Center's occupancy is 84%.
Glenn Burke is the administrator of Alexandria Care Center.
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