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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.
Conveniently situated near Ochsner Laird Hospital in Union, MS, J.G. Alexander Nursing Center is an exceptional nursing home that offers skilled nursing and rehabilitation. Dedicated to enhancing residents’ well-being, personal care plans are provided around the clock. This 60-bed nursing home promotes a nurturing and welcoming environment, striving to meet their healthcare needs.
Focusing on residents’ holistic wellness, recreational activities and enriching programs are conducted based on their interests. Mealtimes promote social interactions and satisfy dietary needs with delicious and well-balanced dining options served daily. This nursing home also participates in Medicaid and Medicare to ease financial burdens. With its comprehensive care options, residents are guaranteed to receive the right care to live to their potential.
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 16th out of 110 homes in Mississippi. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 50m per day | ▲ 32% State avg: 38m 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.
| 57m per day | ▼ 12% State avg: 1h 5m 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 | ▲ 18% State avg: 2h 29m per day · National avg: 2h 21m 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.
| 3h 16m per day | ▼ 7% State avg: 3h 31m per day · National avg: 3h 26m 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.
| 26m per day | ▲ 18% State avg: 22m per day · National avg: 29m per day |
Higher than the Mississippi average: 82.3%J. G. Alexander Nursing Center is legally operated by Newton County LTC, LLC, and administrated by Stephen Pace.
In Mississippi, the State Department of Health, Bureau of Health Facilities Licensure conducts unannounced surveys to monitor facility compliance with health, safety, and resident rights laws.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Mississippi state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MS Average | vs. MS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 58 | 45 | This facility has 29% more total deficiencies than a typical Mississippi nursing home (58 vs. MS avg 45).↑ 29% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 8.3 | 6.4 | This facility has 30% more deficiencies per year than a typical Mississippi nursing home (8.3 vs. MS avg 6.4).↑ 30% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Mississippi average 4.4
Last Health inspection on Jan 2025
Mississippi average 16.9
Mississippi average 3.83
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 16 citations resulted from standard inspections.
100% better than Mississippi averageMississippi average: 1
173% worse than Mississippi averageMississippi average: 1.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
22% better than Mississippi average
0% compared with Mississippi average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 52 CNA Staff are full-time employees. No contractors work on this role.
52
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,188 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 52 | 0 | 52 | 13,083 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 12 | 0 | 12 | 3,837 | 92 | 100% | 9.4 |
| Nurse Aide in Training | 16 | 0 | 16 | 3,138 | 89 | 97% | 7.9 |
| Registered Nurse | 9 | 0 | 9 | 2,826 | 92 | 100% | 9.6 |
| RN Director of Nursing | 4 | 0 | 4 | 1,767 | 77 | 84% | 8.7 |
| Dietitian | 2 | 0 | 2 | 767 | 63 | 68% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 677 | 62 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 394 | 63 | 68% | 6.2 |
| Qualified Social Worker | 0 | 2 | 2 | 356 | 66 | 72% | 5.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 336 | 64 | 70% | 5.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 179 | 23 | 25% | 7.8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 58 | 15 | 16% | 3.9 |
| Physical Therapy Assistant | 0 | 1 | 1 | 45 | 18 | 20% | 2.5 |
| Medical Director | 1 | 0 | 1 | 44 | 25 | 27% | 1.8 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 26 | 3 | 3% | 8.5 |
Includes penalties issued in 2025
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 (Data as of Jan 2026)
57% lower than Mississippi averageMississippi average: $39K
In line with Mississippi averageMississippi average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Mississippi averageMississippi average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2025Last updated: Jan 2026
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.
13.7
10% worse than Mississippi averageMississippi average: 12.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.0
8% worse than Mississippi averageMississippi average: 22.3
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
23.7%
12% worse than Mississippi averageMississippi average: 21.2%
Percent of long-stay residents whose ability to move independently worsened
24.4%
In line with Mississippi averageMississippi average: 24.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
11% worse than Mississippi averageMississippi average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
14% worse than Mississippi averageMississippi average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.2%
15% worse than Mississippi averageMississippi average: 7.1%
Percent of long-stay residents with a urinary tract infection
11.8%
349% worse than Mississippi averageMississippi average: 2.6%
Percent of long-stay residents who lose too much weight
8.5%
36% worse than Mississippi averageMississippi average: 6.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Mississippi averageMississippi average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
18.5%
13% better than Mississippi averageMississippi average: 21.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Mississippi averageMississippi average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Mississippi averageMississippi average: 97.0%
Number of hospitalizations per 1,000 long-stay resident days.
2.53
In line with Mississippi averageMississippi average: 2.44
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.87
34% worse than Mississippi averageMississippi average: 2.88
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
100.0%
14% better than Mississippi averageMississippi average: 87.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Mississippi averageMississippi average: 2.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.2%
38% better than Mississippi averageMississippi average: 27.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.8%
10% better than Mississippi averageMississippi average: 15.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Mississippi averageMississippi average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.4%
17% worse than Mississippi averageMississippi average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
30.0%
41% worse than Mississippi averageMississippi average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
62% of new residents, usually for short-term rehab.
12% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for J. G. Alexander Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #72 / 106Payroll — State benchmarkedThis home is ranked 72nd out of 106 homes in Mississippi. Shows total annual staff payroll benchmarked to the Mississippi average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Building Type: Single-story
Dining Services
On-site Medical Care and Health Services
Social and Recreational Activities
Exercise Programs
Most residents typically stay for a few weeks or months before returning home or moving on.
1.4 miles from city center
Estimated distance in miles from Union's city center to J. G. Alexander Nursing Center's address, calculated via Google Maps.
Add your location
J. G. Alexander Nursing Center is located in Union, Mississippi.
Here are the financial assistance programs available to residents in Mississippi.
The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.
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MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Meridian | 89 | - | - | 5.00 | +20% | +8% | $0 | 20 | 3.3 | - | 17 | - | 0 | Shelley Hale | $9.5M | $5.1M | 53.7% | 255315 | ||||
| J. G. Alexander Nursing 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). | Union | 60 | 96.7% | +17% | 5.70 | -12% | +23% | $16.7k | 16 | 5.3 | 3 | 58 | - | 8 | Stephen Pace | $7.6M | $3.8M | 50.2% | 255318 | ||||
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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).
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The legal owner and operator of J. G. Alexander Nursing Center is Newton County LTC, LLC.
J. G. Alexander Nursing Center has a walk score of 8. Car-dependent. Most errands require a car, with limited nearby walkable options.
J. G. Alexander Nursing Center's occupancy is 97%.
Stephen Pace is the administrator of J. G. Alexander Nursing Center.
J. G. Alexander Nursing Center has 60 beds.
Yes — there are 4 photos of J. G. Alexander Nursing Center in the photo gallery on this page.
J. G. Alexander Nursing Center is located at 25112 Highway 15, Union, MS 39365.
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