Federal inspection record · CMS data as of October 1, 2026
The Seasons at Alexandria
7341 E Alexandria Pike, Alexandria, KY · (859) 694-4450
- Certified beds
- 117
- Residents per day
- 109
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 30, 2018
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
The Seasons at Alexandria carries 216.25 inspection points. That is fewer than 2% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
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L
Provide and implement an infection prevention and control program.
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J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service1E
- E
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.
Quality of Life and Care1D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspection history
2025-08-15
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2022-05-26
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2019-05-16
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 26 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
4 h 26 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 31% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$246,139 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-15 | Fine | $19,955 |
| 2024-06-06 | Fine | $226,184 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.3 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 100.0% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine38.1 pts worse | 58.1% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 3.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.6 pts better | 9.3% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 5.1% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts better | 27.1% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.2 pts better | 12.0% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.6 pts better | 6.7% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts better | 7.5% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.3% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.6% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts worse | 23.1% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 2.2% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.1 pts better | 97.6% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts better | 10.7% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts worse | 3.4% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7 pts better | 90.7% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts better | 21.6% | 23.9% | 23.4% |
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Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Chilelli, Justine | Corporate Director · Individual | 0% | 2 facilities |
| Concept Rehab, Inc. | Adp Of The SNF · Organization | 0% | 22 facilities |
| Dorsey, Josh | Corporate Director · Individual | 0% | 2 facilities |
| Dressman, Jim | Corporate Director · Individual | 0% | 2 facilities |
| Epplen, Steve | Corporate Director · Individual | 0% | 2 facilities |
| Hamberg, Joyce | Corporate Director · Individual | 0% | 2 facilities |
| Hargis & Associates, LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Levermann, Jack | Corporate Director · Individual | 0% | 2 facilities |
| Macke, Dave | Corporate Director · Individual | 0% | 2 facilities |
| Mcintosh, Effie | Corporate Director · Individual | 0% | 2 facilities |
| Pavlou, Maria | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pavlou, Maria | Adp Of The SNF · Individual | 0% | 1 facilities |
| Richardson, Kevin | Corporate Director · Individual | 0% | 2 facilities |
| Santos, William | Corporate Director · Individual | 0% | 2 facilities |
| Schreiner Spille, Christina | Corporate Director · Individual | 0% | 2 facilities |
| Stroud, Reva | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stroud, Reva | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2F
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Smoke2D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Construction1F
- F
Meet requirements for sections of health care facilities separated by fire resistive construction.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
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Coldspring Transitional Care Center
Cold Spring, KY · Carespring
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0
-
Carmel Manor
Fort Thomas, KY · Carmelite Sisters For The Aged & Infirm
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 7 min
- Fines
- $305,116
-
Residence At Salem Woods
Cincinnati, OH · Foundations Health Solutions
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0