1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Managing 16 dementia units and 50 behavioral health units, The Seasons at Alexandria is a 66-bed nonprofit senior community that integrates skilled nursing, assisted living, and physical rehabilitation. The property serves a patient base that averages a 102-day length of stay, relying heavily on a combination of private-pay admissions (65%) and Medicare coverage (34%). While local building utilization stays stable at an 87% occupancy rate, commercial data points to immense operational stress. The business recorded a $3.7 million net operating loss in 2023 despite pulling in a high $35.7 million in gross revenue, with management keeping its payroll allocation down to just 36.1% of overall funding.
Critical front-line staffing shortages and serious historical regulatory fines stand out in public health databases, alongside mixed clinical outcomes. Daily direct nursing care lines average 1 hour and 11 minutes per resident, ranking the facility last out of 184 homes statewide across Kentucky, while weekend registered nurse hours drop slightly to 1 hour and 10 minutes. On the compliance side, state records note 17 total citations since 2019, featuring five critical and two serious deficiencies alongside a massive $226,000 federal financial penalty issued in June 2024.
A more recent August 2025 inspection logged four moderate, subsequently resolved points involving infection protocols, nutrition, and pharmacy tracking. While permanent resident files show solid skin care management, short-term post-acute recovery charts flag an elevated 1.7% major injury fall rate during active rehabilitation.
Prospective residents evaluating regional behavioral health options or short-term physical therapy placements can examine these state monitoring logs to weigh the provider’s current workloads. Since the public paperwork documents substantial historical financial penalties, low permanent-resident mobility preservation, and the thinnest daily nursing hours in the state alongside stable local building occupancy, the files outline a facility facing acute structural and care delivery challenges.
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.
Staffing hours
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.
Hours per resident per day vs Kentucky averages
Total nursing care
This home is ranked 189th out of 189 homes in Kentucky for nurse hours. 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.
1h 11m
69% below state avg
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.
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.
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.
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.
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.
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.
2 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Kentucky average: 81.3%The Seasons at Alexandria is administered by Rev. A Stroud.
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 19 | 6 | This facility has 217% more total deficiencies than a typical Kentucky nursing home (19 vs. KY avg 6).↑ 217% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.8 | 1.5 | This facility has 153% more deficiencies per inspection than a typical Kentucky nursing home (3.8 vs. KY avg 1.5).↑ 153% worse |
Inspections
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 5 | 4 | This facility has had 25% more total inspections than the Kentucky average (5 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more |
State average 2.9
Last Health inspection on Aug 2025
State average 13.5
State average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 17 citations resulted from standard inspections; 5 of 17 resulted from complaint investigations; and 1 of 17 came from combined inspections (standard and complaint).
355% worse than State averageState average: 1.1
233% worse than State averageState average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
38% more staff per resident than Kentucky average
9% better than Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
13 total: 12 full-time employees and 1 contractor.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.7 hoursAssists with medical care and medications.
51 total: 22 full-time employees and 29 contractors.
51
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.4 hoursHelps with daily care and mobility.
120 total: 82 full-time employees and 38 contractors.
120
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,802 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 82 | 38 | 120 | 24,641 | 92 | 100% | 9.7 |
| Licensed Practical Nurse | 22 | 29 | 51 | 8,411 | 92 | 100% | 11.4 |
| Registered Nurse | 12 | 1 | 13 | 3,763 | 92 | 100% | 11.7 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,788 | 87 | 95% | 8.9 |
| Medication Aide/Technician | 14 | 1 | 15 | 1,639 | 88 | 96% | 10.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,370 | 67 | 73% | 9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,163 | 74 | 80% | 6.5 |
| Physical Therapy Aide | 0 | 6 | 6 | 891 | 87 | 95% | 6.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 733 | 70 | 76% | 5.8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 692 | 78 | 85% | 5 |
| Speech Language Pathologist | 0 | 3 | 3 | 501 | 70 | 76% | 6.4 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 455 | 60 | 65% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 356 | 64 | 70% | 5.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 76 | 54 | 59% | 1.4 |
| Medical Director | 0 | 1 | 1 | 45 | 9 | 10% | 5 |
Includes penalties issued in 2024
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)
259% higher than Kentucky averageKentucky average: $63K
57% fewer fines than Kentucky averageKentucky average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 6, 2024 · $226K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 6, 2024Last 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.
9.6
8% better than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.9
16% worse than Kentucky averageKentucky average: 18.9
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
19.1%
14% worse than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
18.3%
7% better than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.3%
38% worse than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
24% better than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
2.1%
63% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.9%
54% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
5.7%
16% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
15.0%
5% worse than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
18.7%
20% worse than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
6% better than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.4%
6% worse than Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.01
7% worse than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.46
33% better than Kentucky averageKentucky average: 2.19
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
98.9%
18% better than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
20% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
18% better than Kentucky averageKentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.2%
38% better than Kentucky averageKentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
33% better than Kentucky averageKentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
1.7%
117% worse than Kentucky averageKentucky average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.4%
12% worse than Kentucky averageKentucky average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
60.7%
20% better than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
34% of new residents, usually for short-term rehab.
65% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
99Residents 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.
Historical financial and operational data for The Seasons at Alexandria from 2019–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #6 / 184Payroll costs — State benchmarkedThis home is ranked 6th out of 184 homes in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #4 / 184Payroll % of net patient revenue — State benchmarkedThis home is ranked 4th out of 184 homes in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (65% of admissions), and a typical private pay stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Alexandria's city center to The Seasons at Alexandria's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Redbanks Colonial Terrace | NH IL MC SNF | Sebree | 87
Facility
87
KY AVG
82
Rank
#149 / 341 |
92.0%
Facility
92.0%
KY AVG
84.3
Rank
#58 / 168 | +9% | 3.91
Facility
3.91
KY AVG
3.75
Rank
#35 / 189 | -17% | +4% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 6
Facility
6
KY AVG
13.5
Rank
#28 / 191 | 3.0
Facility
3.0
KY AVG
4.4
Rank
#47 / 191 | - | 80 | A+ |
41
Facility
41
KY AVG
43
Rank
#220 / 403 | Henderson County Health Care Corporation | $5.8MFiscal year ending 06/2024
Facility
$5.8MFiscal year ending 06/2024
KY AVG
$9.8M
Rank
#157 / 184 | $3.6MFiscal year ending 06/2024
Facility
$3.6MFiscal year ending 06/2024
KY AVG
$4.8M
Rank
#114 / 184 | 62.3%Fiscal year ending 06/2024
Facility
62.3%Fiscal year ending 06/2024
KY AVG
48.9%
Rank
#13 / 184 | 185291 | ||||
| Middlesboro Nursing and Rehabilitation Facility | NH SNF | Middlesboro | 95
Facility
95
KY AVG
82
Rank
#116 / 341 |
96.6%
Facility
96.6%
KY AVG
84.3
Rank
#17 / 168 | +15% | 3.34
Facility
3.34
KY AVG
3.75
Rank
#91 / 189 | -26% | -11% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 1
Facility
1
KY AVG
13.5
Rank
#1 / 191 | 1.0
Facility
1.0
KY AVG
4.4
Rank
#1 / 191 | - | 92 | - |
62
Facility
62
KY AVG
43
Rank
#88 / 403 | Melissa Robbins | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
KY AVG
$9.8M
Rank
#71 / 184 | $4.6MFiscal year ending 12/2023
Facility
$4.6MFiscal year ending 12/2023
KY AVG
$4.8M
Rank
#76 / 184 | 43.5%Fiscal year ending 12/2023
Facility
43.5%Fiscal year ending 12/2023
KY AVG
48.9%
Rank
#130 / 184 | 185240 | ||||
| Maysville Nursing and Rehabilitation Facility | NH SNF | Maysville | 130
Facility
130
KY AVG
82
Rank
#37 / 341 |
88.5%
Facility
88.5%
KY AVG
84.3
Rank
#87 / 168 | +5% | 3.07
Facility
3.07
KY AVG
3.75
Rank
#137 / 189 | -49% | -18% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 4
Facility
4
KY AVG
13.5
Rank
#10 / 191 | 4.0
Facility
4.0
KY AVG
4.4
Rank
#89 / 191 | - | 115 | - |
55
Facility
55
KY AVG
43
Rank
#126 / 403 | - | $13.3MFiscal year ending 12/2023
Facility
$13.3MFiscal year ending 12/2023
KY AVG
$9.8M
Rank
#35 / 184 | $6.0MFiscal year ending 12/2023
Facility
$6.0MFiscal year ending 12/2023
KY AVG
$4.8M
Rank
#37 / 184 | 45.2%Fiscal year ending 12/2023
Facility
45.2%Fiscal year ending 12/2023
KY AVG
48.9%
Rank
#112 / 184 | 185207 | ||||
| Rockcastle Regional Hospital and Respiratory Care | NH SNF | Mount Vernon | 143
Facility
143
KY AVG
82
Rank
#26 / 341 |
82.5%
Facility
82.5%
KY AVG
84.3
Rank
#122 / 168 | -2% | 2.36
Facility
2.36
KY AVG
3.75
Rank
#181 / 189 | +103% | -37% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 195 | 4
Facility
4
KY AVG
13.5
Rank
#10 / 191 | 2.0
Facility
2.0
KY AVG
4.4
Rank
#16 / 191 | - | 118 | - |
49
Facility
49
KY AVG
43
Rank
#170 / 403 | - | - | - | - | 185157 | ||||
| The Seasons at Alexandria | NH AL HOS MC RC SNF | Alexandria | 66
Facility
66
KY AVG
82
Rank
#204 / 341 | - | - | 1.18
Facility
1.18
KY AVG
3.75
Rank
#189 / 189 | -49% | -69% | $246.1k
Facility
$246.1k
KY AVG
$65.4k
Rank
#191 / 195 | 17
Facility
17
KY AVG
13.5
Rank
#132 / 191 | 3.4
Facility
3.4
KY AVG
4.4
Rank
#73 / 191 | 7 | 99 | - |
50
Facility
50
KY AVG
43
Rank
#164 / 403 | Robert Long | $17.7MFiscal year ending 12/2023
Facility
$17.7MFiscal year ending 12/2023
KY AVG
$9.8M
Rank
#10 / 184 | $12.9MFiscal year ending 12/2023
Facility
$12.9MFiscal year ending 12/2023
KY AVG
$4.8M
Rank
#6 / 184 | 72.8%Fiscal year ending 12/2023
Facility
72.8%Fiscal year ending 12/2023
KY AVG
48.9%
Rank
#4 / 184 | 185484 |
The Seasons at Alexandria has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to KY state health department records, The Seasons at Alexandria's license number is 100055.
The Seasons at Alexandria's occupancy is 100%.
No, The Seasons at Alexandria has a no-pet policy.
The Seasons at Alexandria is registered as a non-profit in KY.
Reva Stroud is the administrator of The Seasons at Alexandria.
The Seasons at Alexandria has 66 beds.
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