Cycle 1
Health 2025-08-15 · Fire 2025-08-15
4 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Alexandria, KY
The Seasons at Alexandria
2-star overall rating with 1-star inspections with $256,884 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
7341 E Alexandria Pike, Alexandria, KY
(859) 694-4450
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
117
Certified beds
Average residents
105
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2018-06-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.64
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.85
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.51
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.11
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
4.69
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
4,535
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9925
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.66
Baseline 21.78% · Performance 20.28% · Measure score 2.66 · Achievement 2.49 · Improvement 2.66
Healthcare-associated infections
6.22
Baseline 7.25% · Performance 5.98% · Measure score 6.22 · Achievement 6.22 · Improvement 5.16
Total nurse turnover
2.78
Performance 52.31% · Measure score 2.78 · Achievement 2.78 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
4.16
Baseline 3.32 hours · Performance 4.26 hours · Measure score 4.16 · Achievement 4.16 · Improvement 3.31
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.86% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 210 · Observed rate 9.05% · Lower 95% interval 7.77% |
| Discharge to community | 60.65% |
50.57%
10.1 pts better
|
Better than the National Rate · Eligible stays 212 · Observed rate 53.77% · Lower 95% interval 54.62% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.17% |
95.27%
3.9 pts better
|
Numerator 119 · Denominator 120 |
| Falls with major injury | 1.67% |
0.77%
0.9 pts worse
|
Numerator 2 · Denominator 120 |
| Discharge self-care score | 47.42% |
53.69%
6.3 pts worse
|
Numerator 46 · Denominator 97 |
| Discharge mobility score | 40.21% |
50.94%
10.7 pts worse
|
Numerator 39 · Denominator 97 |
| Pressure ulcers or injuries, new or worsened | 3.33% |
2.29%
1 pts worse
|
Numerator 4 · Denominator 120 · Adjusted rate 3.85% |
| Healthcare-associated infections requiring hospitalization | 5.98% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 137 · Observed rate 4.38% · Lower 95% interval 3.44% |
| Staff COVID-19 vaccination coverage | 14.29% |
8.2%
6.1 pts better
|
Numerator 29 · Denominator 203 |
| Staff flu vaccination coverage | 18.15% |
42%
23.9 pts worse
|
Numerator 49 · Denominator 270 |
| Discharge function score | 45.36% |
56.45%
11.1 pts worse
|
Numerator 44 · Denominator 97 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 74 · Denominator 74 |
| Resident COVID-19 vaccinations up to date | 43.64% |
25.2%
18.4 pts better
|
Numerator 24 · Denominator 55 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.9
0.1 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.2
0.7 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.3%
5.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.4% |
96.2%
5.8 pts worse
|
95.5%
5.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.8%
0.4 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.5% · Q3 3.6% · Q4 3.3% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.3% |
15.2%
1.9 pts better
|
11.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 15.6% · Q3 13.3% · Q4 10.0% · 4Q avg 13.3% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
6.7%
1.3 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.3% · Q3 2.6% · Q4 3.9% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.8% |
29.6%
7.8 pts better
|
19.6%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 21.2% · Q3 23.4% · Q4 21.2% · 4Q avg 21.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.7% |
17.6%
2.1 pts worse
|
16.7%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 26.2% · Q3 19.4% · Q4 10.8% · 4Q avg 19.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.8% |
17.3%
7.5 pts better
|
16.3%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 6.7% · Q3 5.2% · Q4 2.1% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.6% |
15.6%
5 pts better
|
14.9%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 10.9% · Q3 6.2% · Q4 3.0% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.7%
0.1 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.7%
0.8 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.4% |
19.8%
6.6 pts worse
|
19.8%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 33.2% · Q3 18.9% · Q4 24.1% · 4Q avg 26.4% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
5.5%
2.9 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 2.0% · Q3 0.0% · Q4 2.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
83.8%
14.7 pts better
|
81.7%
16.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 99.3% · Q3 98.7% · Q4 97.5% · 4Q avg 98.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
13.9%
4.6 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 9.1% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.8%
0.3 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.3% · Q3 0.0% · Q4 2.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.7% |
83.6%
15.1 pts better
|
79.7%
19 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.2% |
24.5%
9.3 pts better
|
23.9%
8.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 14.8% · Expected 23.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-26 · Fire 2022-05-26
9 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2019-05-16 · Fire 2019-05-16
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-08-15
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-03
F · Potential for more than minimal harm
2022-05-26
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2022-06-23
D · Potential for more than minimal harm
2022-05-26
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-06-23
F · Potential for more than minimal harm
2019-05-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-06-14
D · Potential for more than minimal harm
2019-05-16
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-06-14
D · Potential for more than minimal harm
2019-05-16
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-06-14
Inspection history
Recent health citations
L · Immediate jeopardy
2025-08-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-04
F · Potential for more than minimal harm
2025-08-15
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-04
E · Potential for more than minimal harm
2025-08-15
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-09-04
D · Potential for more than minimal harm
2025-08-15
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-04
J · Immediate jeopardy
2024-08-14
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-22
J · Immediate jeopardy
2024-08-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-22
J · Immediate jeopardy
2024-06-06
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-13
J · Immediate jeopardy
2024-06-06
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-06-13
D · Potential for more than minimal harm
2024-06-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-13
G · Actual harm
2022-05-26
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-06-23
G · Actual harm
2022-05-26
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-06-23
E · Potential for more than minimal harm
2022-05-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-23
D · Potential for more than minimal harm
2022-05-26
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-26
E · Potential for more than minimal harm
2019-05-16
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-06-14
E · Potential for more than minimal harm
2019-05-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-06-14
D · Potential for more than minimal harm
2019-05-16
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-06-14
D · Potential for more than minimal harm
2019-05-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-14
Penalties and ownership
What sits behind the stars
$30,700
2025-08-15
Fine
Fine · fine $30,700
Fine
$226,184
2024-06-06
Fine
Fine · fine $226,184
Fine
Ownership
Baptist Convalescent Center, Inc.
5% Or Greater Direct Ownership Interest · Organization
Bahr, Don
Corporate Director · Individual
Baptist Convalescent Center, Inc.
Operational/Managerial Control · Organization
Blankenship, Randy
Corporate Director · Individual
Browning, Michael
Corporate Director · Individual
Dressman, Jim
Corporate Director · Individual
Francis, Dan
Corporate Director · Individual
Goderwis, Douglas
Corporate Director · Individual
Hales, Mike
Corporate Director · Individual
Hunley, David
Corporate Director · Individual
Jolly, Susan
Corporate Director · Individual
Kemper, Jon
Corporate Director · Individual
Klein, Mary
Corporate Director · Individual
Long, Robert
Operational/Managerial Control · Individual
Long, Robert
Corporate Officer · Individual
Long, Robert
W-2 Managing Employee · Individual
Santos, William
Corporate Director · Individual
Toole, Todd
Corporate Director · Individual
Vittetoe, Henry
Corporate Director · Individual
Nearby options
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2-star overall rating with 2-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Carmel Manor
Fort Thomas, KY
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $312,265 in total fines with 27 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Residence At Salem Woods
Cincinnati, OH
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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