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Nursing Home in Alexandria

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.

Lexington House

Nursing Home in Alexandria

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.

Lexington House

Overview of Lexington House
Lexington House is a health care community in Alexandria, LA, offering individuals a place to recover, rehabilitate, and reside based on their specific needs. The facility provides skilled nursing services, rehabilitation therapies, and long-term care in a homelike environment. The dedicated staff focuses on ensuring the comfort and well-being of all residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (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.
2/5
Louisiana average: 2.2/5
Health Inspection Info 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.
3/5
Louisiana average: 2.6/5
Staffing Info 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.
2/5
Louisiana average: 2.0/5
Quality Measures Info 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.
1/5
Louisiana average: 2.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 1m per day

This home provides 5% more nursing time per resident than the Louisiana average.

Louisiana average: 3h 49m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 130

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Louisiana average
Occupancy rate 84.6%
Residents per day (avg) 114
Occupancy rate
84.6%
Residents per day (avg)
114

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

38% of new residents, usually for short-term rehab.

Typical stay 4 - 5 months

Private pay

48% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

14% of new residents, often for long-term daily care.

Typical stay 4 - 5 years

Finances and operations

Privately-owned community
Home revenue
$10.2M
Profit
$1.2M
Privately-owned community
Home revenue
$10.2M
Profit
$1.2M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.6M
45.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.3M
Total costs $9.0M
Bed community size
130-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
85%
In line with Louisiana average
Occupied beds
110 / 130
Average residents 89 per day

License Details

Facility TypeMedicare And Medicaid
CountyRapides

Additional Licensing Details

CMS Certification Number195424
AccreditationsLouisiana Nursing Home Association
AwardsBest Nursing Home in Central Louisiana by The Town Talk’s Cenla’s Choice Award in 2016 and 2017.

Ownership & Operating Entity

Owner NameLEXINGTON HOUSE, LLC
Profit StatusFor profit - Corporation

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

1 service
Skilled Nursing

Additional Services

2 services
Rehabilitation
Hospice Care

Amenities & Lifestyle

0 amenities
Specific ProgramsSkilled Nursing, Wound Care, Long-term Care, Memory Care, Hospice Care, Rehabilitation, Short-term Rehabilitation, Tours, Amenities, Activities, Private Rooms, Admissions, Getting Started, Insurance & Payment
Volunteer ProgramsYes

Dining & Nutrition

Food DescriptionNutritious, appetizing meals carefully prepared and served in a clean and comfortable dining room.

Contact Lexington House

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Overall Rating
2 / 5

Based on the Louisiana Department of Health, Health Standards Section surveys measuring health inspections, staffing, and quality measures.

Ranked 63rd (tied) of 161 homes in Louisiana

Health Inspection Rating
3 / 5

Based on the Louisiana Department of Health, Health Standards Section surveys measuring health inspection findings. Fewer deficiencies result in higher ratings.

Ranked 49th (tied) of 161 homes in Louisiana

Quality Measures Rating
1 / 5

Based on the Louisiana Department of Health, Health Standards Section surveys measuring resident health outcomes and care practices.

Ranked 97th (tied) of 157 homes in Louisiana

Staffing Rating
2 / 5

Based on the Louisiana Department of Health, Health Standards Section surveys measuring staffing levels, including hours of care provided per resident per day.

Ranked 53rd (tied) of 161 homes in Louisiana

Inspection History

In Louisiana, the Department of Health, Health Standards Section performs unannounced onsite surveys to verify that healthcare providers meet both state licensing and federal safety rules.

7 visits/inspections

2 visits/inspections triggered by complaints

2 routine inspections

Results

7 with issues

0 without issues

Latest inspection

Date August 6, 2025
Other

21 deficiencies

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

Louisiana average: 32 deficiencies

Health Inspection History

Inspections
Total health inspections 7

Louisiana average 6.5


Last Health inspection on Aug 2025

Total health citations 21

Louisiana average 25.7

Citations per inspection
3

Louisiana average 3.95


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

16 of 21 citations resulted from standard inspections; and 5 of 21 resulted from complaint investigations.

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

Louisiana average: 1.1


Serious Health citations More info 1
100% worse than Louisiana average

Louisiana average: 0.5

0 critical citations More info Louisiana average: 1.1

1 serious citation More info Louisiana average: 0.5

20 moderate citations More info Louisiana average: 23.7

0 minor citations More info Louisiana average: 0.4
Citations history (last 3 years)
Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Aug 06, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 21, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 21, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. May 21, 2025
Corrected

Compare Nursing Homes around Alexandria The information below is reported by the Louisiana Department of Health, Health Standards Section.

4 facilities compared · CMS & LA Dept. of Health data · Updated Apr 2026

Filter by care type
Matthews Memorial Health 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).

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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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.

Alexandria
124
68.6%
-4%
4.11
-21%
-1%
1
36
3.6
1
81
65
Annie Mae Matthews Properties, Llc
$7.5M
$3.3M
44.4%
195600
Lexington House
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
130
90.5%
+26%
4.01
+18%
-3%
1
21
3.0
1
114
-
Elton G Beebe Sr Limited Ptrshp Tr
$10.1M
$4.6M
45.9%
195424
Naomi Heights Nursing & 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.

Alexandria
139
57.7%
-20%
3.92
+47%
-6%
2
24
3.4
4
86
-
Shelton, James
$8.6M
$4.1M
47.3%
195420
Naomi Heights Nursing and Rehabilitation Center, LLC
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
139
57.7%
-20%
3.92
+47%
-6%
2
24
3.4
4
86
60
Shelton, James
$8.6M
$4.1M
47.3%
195420

Places of interest near Lexington House

Address 2.7 miles from city center

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Address

Staffing Data (Q2 2025)

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

Total staff 148
Employees 129
Contractors 19
Staff to resident ratio 1.29:1
18% worse than Louisiana average

Louisiana average ratio: 1.56:1

Avg staff/day 63
Average shift 7.8 hours
5% worse than Louisiana average

Louisiana average: 8.2 hours

Total staff hours (quarter) 44,943
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 74
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

7.7%

3,476 contractor hours this quarter

Physical Therapy Assistant: 3 Speech Language Pathologist: 3 Physical Therapy Aide: 3 Respiratory Therapy Technician: 2 Qualified Social Worker: 2 Medical Director: 2 Therapeutic Recreation Specialist: 1 Clinical Nurse Specialist: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant7407426,94191100%7.9
Licensed Practical Nurse220228,82391100%8.1
Registered Nurse8082,64691100%10.1
Nurse Aide in Training210211,3045055%7.3
Speech Language Pathologist0331,0136774%7.7
Clinical Nurse Specialist1126135763%8
Physical Therapy Aide0335376875%7.7
Nurse Practitioner1014846167%7.9
RN Director of Nursing1014706167%7.7
Therapeutic Recreation Specialist0114556571%7
Physical Therapy Assistant0334446875%5.6
Qualified Social Worker0224365965%7
Administrator1014245864%7.3
Respiratory Therapy Technician0221836066%3
Occupational Therapy Aide011961213%8
Occupational Therapy Assistant0114578%6.4
Medical Director022291415%2
74 Certified Nursing Assistant
% of Days 100%
22 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 100%
21 Nurse Aide in Training
% of Days 55%
3 Speech Language Pathologist
% of Days 74%
2 Clinical Nurse Specialist
% of Days 63%
3 Physical Therapy Aide
% of Days 75%
1 Nurse Practitioner
% of Days 67%
1 RN Director of Nursing
% of Days 67%
1 Therapeutic Recreation Specialist
% of Days 71%
3 Physical Therapy Assistant
% of Days 75%
2 Qualified Social Worker
% of Days 65%
1 Administrator
% of Days 64%
2 Respiratory Therapy Technician
% of Days 66%
1 Occupational Therapy Aide
% of Days 13%
1 Occupational Therapy Assistant
% of Days 8%
2 Medical Director
% of Days 15%

Facility Characteristics

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

Total census
115 residents
Residents by payment source
Medicare
11 residents (9.6%)
Medicaid
66 residents (57.4%)
Private pay or other
38 residents (33%)
Programs & Services
Residents' Group

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

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

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

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

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. 11.3
In line with Louisiana average

Louisiana average: 11.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.1
13% worse than Louisiana average

Louisiana average: 20.4

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 20.0%
In line with Louisiana average

Louisiana average: 20.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 21.9%
7% better than Louisiana average

Louisiana average: 23.5%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.2%
60% worse than Louisiana average

Louisiana average: 17.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.6%
53% better than Louisiana average

Louisiana average: 3.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.5%
14% better than Louisiana average

Louisiana average: 6.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.0%
27% better than Louisiana average

Louisiana average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.5%
45% worse than Louisiana average

Louisiana average: 5.1%

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

Louisiana average: 1.6%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.6%
19% better than Louisiana average

Louisiana average: 20.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
7% better than Louisiana average

Louisiana average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Louisiana average

Louisiana average: 94.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
20% better than Louisiana average

Louisiana average: 82.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.0%
37% better than Louisiana average

Louisiana average: 3.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 90.7%
19% better than Louisiana average

Louisiana average: 76.2%

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 $10K
90% lower than Louisiana average

Louisiana average: $103K

Number of fines 1
51% fewer fines than Louisiana average

Louisiana 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 Louisiana average

Louisiana average: 0.3

Fines amount comparison
Fines amount comparison
This facility $10K
Louisiana average $103K
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. Jul 24, 2023
$10K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Louisiana Seniors

Get financial aid guidance

Community Choices Waiver

Louisiana Medicaid Community Choices

Age 65+ or 21+ with disability, Louisiana resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High demand in urban areas.

Louisiana Elderly and Disabled Adults Program

LA EDA Program

Age 60+, Louisiana resident, at risk of nursing home.

~$1,800/month (varies).

$5,000 (individual).

Limited funding; rural focus.

Long Term-Personal Care Services (LT-PCS)

Louisiana Medicaid Long Term-Personal Care Services

Age 65+ or disabled, Louisiana resident, Medicaid-eligible, needs ADL assistance.

$943/month (individual), $1,415/month (couple).

$2,000 (individual), $3,000 (couple).

Medically Needy Spend-Down option available.

Program of All-Inclusive Care for the Elderly (PACE)

Louisiana PACE

Age 55+, Louisiana resident, Medicare/Medicaid-eligible, nursing home-level care need, safe community living possible.

No strict limit; Medicaid portion $2,901/month max.

$2,000 (individual) for Medicaid; none for Medicare-only.

Limited centers (e.g., Baton Rouge, Lafayette).

Adult Day Health Care (ADHC) Waiver

Louisiana Medicaid Adult Day Health Care Waiver

Age 65+ or 22-64 with disabilities, Louisiana resident, Medicaid-eligible, nursing home-level care need.

$2,901/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Includes transitional support from nursing homes.

Aged, Blind, and Disabled (ABD) Medicaid

Louisiana Medicaid Aged, Blind, and Disabled Program

Age 65+, blind, or disabled, Louisiana resident, Medicaid-eligible.

$943/month (individual), $1,415/month (couple).

$2,000 (individual), $3,000 (couple).

Medically Needy Spend-Down available.

Louisiana Elderly Protective Services (EPS)

Louisiana Governor’s Office of Elderly Affairs - Elderly Protective Services

Age 60+, Louisiana resident, experiencing abuse/neglect/exploitation.

No strict limit; prioritizes low-income.

None specified.

Focus on urban and rural elder abuse cases.

Senior Rx Program

Louisiana Senior Rx (Prescription Assistance)

Age 65+, Louisiana resident, no/low prescription coverage.

Varies by linked program; ~$30,000/year suggested.

None specified.

Bridges gaps in Medicare Part D coverage.

Veterans Aid and Attendance (A&A) Benefit

Louisiana VA Aid and Attendance (Federal/State Coordination)

Wartime veteran or spouse, age 65+ or disabled, needs ADL help, Louisiana resident.

Net income minus medical expenses < $1,984/month (individual with A&A).

~$155,356 (2025 net worth limit).

High veteran population in rural areas.

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