J. G. Alexander Nursing Center

Nursing Home in Mississippi

CMS overall rating Info 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.
J. G. Alexander Nursing Center

Nursing Home in Mississippi

CMS overall rating Info 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.

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Inspection History

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.

18 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date April 23, 2025
Complaint Investigation

58 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Mississippi average: 45 deficiencies

Inspection Report Summary for J. G. Alexander Nursing Center

The most recent inspection on April 23, 2025, found the facility in compliance with no deficiencies cited during a substantiated complaint investigation regarding a resident left wet, soiled, and with an injury of unknown origin. Earlier inspections showed a mixed history with multiple deficiencies noted in the January 30, 2025 annual recertification survey, including issues with resident rights related to bed rails, notification of significant weight loss, behavioral health care, psychotropic medication management, nursing staffing postings, food labeling and disposal, and quality assurance follow-up. Complaint investigations were generally substantiated but did not result in citations, and enforcement actions such as fines or license suspensions were not listed in the available reports. Prior surveys also identified recurring concerns with food safety, medication management, and emergency preparedness documentation, though life safety code compliance was consistently met. The recent clean inspection suggests improvement following the earlier cited deficiencies.

Health Inspection History

Inspections
Total health inspections 3

Mississippi average 4.4


Last Health inspection on Jan 2025

Total health citations 16

Mississippi average 16.9

Citations per inspection
5.33

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.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Mississippi average

Mississippi average: 1


Serious Health citations More info 3
173% worse than Mississippi average

Mississippi average: 1.1

0 critical citations More info Mississippi average: 1

3 serious citations More info Mississippi average: 1.1

12 moderate citations More info Mississippi average: 14.6

1 minor citation More info Mississippi average: 0.3
Citations history (last 3 years)
Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Jan 30, 2025
Corrected

Nursing Services minor citation Info Issues related to the availability and quality of nursing staff and the care they provide. Jan 30, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jan 30, 2025
Corrected

Pharmacy serious citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jan 30, 2025
Corrected

Compare Nursing Homes around Mississippi The information below is reported by the Mississippi State Department of Health, Bureau of Health Facilities Licensure.

5 facilities compared · CMS & MS Dept. of Health data · Updated Apr 2026

Filter by care type
Glen Oaks 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).

Lucedale45 73.1% -11%- --000.0040- 42 Gonc Ltc, Llc$4.8M$1.7M36.8%255181
Claiborne County Senior Care
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).

Port Gibson75 89.3% +8%5.78 -44%+25%093.0065- 0 Claiborne County Senior Care Llc$8.7M$2.9M33.2%255192
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).

Union60 111.5% +35%5.70 -2%+23%2165.3357- 8 Pace, Stephen$7.5M$3.0M39.4%255318
Adams County 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).

Natchez100 56.6% -31%4.66 -55%+1%2235.8361- 15 Elton G Beebe Sr Irrv Grndchildrens Tr$5.8M$3.0M51.1%255169
Glen Burney Nursing Home
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).

Natchez96 68.7% -17%4.72 -33%+2%2348.5361- 17 Borum, Charles$9.9M$2.0M20%255173

Financial Assistance for
Nursing Home in Mississippi

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Elderly and Disabled Waiver

Mississippi Medicaid E&D Waiver

Age 65+ or disabled
General Mississippi resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
MS

Higher asset limit; rural focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Meals ($6/meal)

Mississippi Caregiver Respite Program

MS NFCSP Respite

Age Caregiver of someone 60+
General Mississippi resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
MS

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Assisted Living (AL) Waiver

Mississippi Assisted Living Waiver

Age 65+ or disabled
General Mississippi resident, Medicaid-eligible, NFLOC, living in approved AL facility.
Income Limits (2025) ~$2,829/month (300% FBR, individual); QIT required.
Asset Limits $4,000 (individual), $6,000 (couple).
MS

Only for AL facilities with waiver contracts; small program size.

Benefits
Personal care Meals Medication management Respite Transportation within AL facility

Independent Living (IL) Waiver

Mississippi Independent Living Waiver

Age 16+ (65+ for seniors)
General Mississippi resident, Medicaid-eligible, NFLOC but capable of self-direction.
Income Limits (2025) ~$2,829/month (300% FBR, individual); QIT required.
Asset Limits $4,000 (individual), $6,000 (couple).
MS

Self-directed care; limited to in-home settings.

Benefits
Personal care (4-6 hours/day) Respite (~200 hours/year) Home mods Assistive tech Transition services

Medicare Savings Program (MSP)

Mississippi Medicare Savings Program

Age 65+ or disabled
General Mississippi resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MS

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Mississippi Homemaker Program

Mississippi Homemaker Program (via Area Agencies on Aging)

Age 60+
General Mississippi resident, not Medicaid-eligible, needs assistance with daily living.
Income Limits (2025) ~$1,063/month (100% FPL, individual); prioritizes low-income.
Asset Limits Not strictly assessed; need-based focus.
MS

10 AAAs; waitlist possible due to funding caps.

Benefits
Homemaker services (2-4 hours/day, e.g., cleaning, meal prep) Respite (~2 days/year) Transportation Meals

Senior Community Service Employment Program (SCSEP)

Mississippi SCSEP

Age 55+
General unemployed, low-income, Mississippi resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
MS

Priority for veterans, rural residents; MDES oversees.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Mississippi VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Mississippi resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MS

High veteran population in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near J. G. Alexander Nursing Center

Address 1.4 miles from city center Info Estimated distance in miles from Union's city center to J. G. Alexander Nursing Center's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 110
Employees 101
Contractors 9
Staff to resident ratio 2.00:1
18% better than Mississippi average

Mississippi average ratio: 1.69:1

Avg staff/day 33
Average shift 8.8 hours
10% better than Mississippi average

Mississippi average: 8 hours

Total staff hours (quarter) 26,426
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

4.8%

1,255 contractor hours this quarter

Qualified Social Worker: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Speech Language Pathologist: 1 Respiratory Therapy Technician: 1
Staff by category
Certified Nursing Assistant5105111,96091100%8.9
Licensed Practical Nurse110114,04091100%10.9
Nurse Aide in Training170172,6738492%9
Registered Nurse100102,64391100%10.5
RN Director of Nursing3031,5477684%8.9
Clinical Nurse Specialist2029266470%7.8
Dietitian2026086369%7.6
Nurse Practitioner1015206571%8
Speech Language Pathologist0114716470%7.4
Physical Therapy Aide0223826571%5.9
Qualified Social Worker0333046470%4.5
Dental Services Staff1011061415%7.6
Other Dietary Services Staff101811011%8.1
Respiratory Therapy Technician011611719%3.6
Medical Director101402629%1.5
Physical Therapy Assistant022391618%2.4
Occupational Therapy Assistant1012733%8.8
51 Certified Nursing Assistant
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
17 Nurse Aide in Training
% of Days 92%
10 Registered Nurse
% of Days 100%
3 RN Director of Nursing
% of Days 84%
2 Clinical Nurse Specialist
% of Days 70%
2 Dietitian
% of Days 69%
1 Nurse Practitioner
% of Days 71%
1 Speech Language Pathologist
% of Days 70%
2 Physical Therapy Aide
% of Days 71%
3 Qualified Social Worker
% of Days 70%
1 Dental Services Staff
% of Days 15%
1 Other Dietary Services Staff
% of Days 11%
1 Respiratory Therapy Technician
% of Days 19%
1 Medical Director
% of Days 29%
2 Physical Therapy Assistant
% of Days 18%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 55
Medicare
6
10.9% of residents
Medicaid
46
83.6% of residents
Private pay or other
3
5.5% of residents
Programs & Services
Residents Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Mississippi average: 12.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.0
8% worse than Mississippi average

Mississippi average: 22.3

Long-stay resident measures
Significantly below average Mississippi avg: 1.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.7%
12% worse than Mississippi average

Mississippi average: 21.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 24.4%
In line with Mississippi average

Mississippi average: 24.5%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.8%
11% worse than Mississippi average

Mississippi average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.6%
14% worse than Mississippi average

Mississippi average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.2%
15% worse than Mississippi average

Mississippi average: 7.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 11.8%
349% worse than Mississippi average

Mississippi average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.5%
36% worse than Mississippi average

Mississippi average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Mississippi average

Mississippi average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.5%
13% better than Mississippi average

Mississippi average: 21.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Mississippi average

Mississippi average: 95.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Mississippi average

Mississippi average: 97.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.53
In line with Mississippi average

Mississippi average: 2.44

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.87
34% worse than Mississippi average

Mississippi average: 2.88

Short-stay resident measures
Below average Mississippi avg: 2.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
14% better than Mississippi average

Mississippi average: 87.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Mississippi average

Mississippi average: 2.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 17.2%
38% better than Mississippi average

Mississippi average: 27.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.8%
10% better than Mississippi average

Mississippi average: 15.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Mississippi average

Mississippi average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 44.4%
17% worse than Mississippi average

Mississippi average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 30.0%
41% worse than Mississippi average

Mississippi average: 50.6%

Penalties and fines

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)

Total fines amount $17K
57% lower than Mississippi average

Mississippi average: $39K

Number of fines 2
In line with Mississippi average

Mississippi average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Mississippi average

Mississippi average: 0.2

Fines amount comparison
Fines amount comparison
This facility $17K
Mississippi average $39K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 30, 2025
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 30, 2025
$8K

Last updated: Jan 2026

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