Alexandria Care Center
1912 S Park Ave, Alexandria, IN 46001 · Madison County · (765) 724-4478
70 certified beds, about 56 residents a day · Government - County · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155521 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 15, 2025, inspectors cited 6 health deficiencies (the Indiana average is 7.2, the national average 9.2).
Of 14 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.94 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
47.2% of nursing staff left within the year CMS measured (Indiana average 45.9%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
310/23
308/24
107/25
608/25
104/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
12D
1E
0F
Potential for minimal harm
0A
0B
0C
April 28, 2026Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide supervision to mitigate the risk of repeated falls and failed to ensure individualized fall interventions were developed, added to the plan of care, and implemented to prevent repeated falls for 1 of 3 residents reviewed for accidents. (Resident B) This deficient practice resulted in the resident suffering a left hip fracture requiring surgical repair.
August 15, 2025Standard inspection · 6 citations
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents prescribed antipsychotic medications received appropriate Gradual Dose Reductions (GDR) attempts and had indication for continued use when GDRs were attempted and were deemed unsuccessful without clinical justification for 2 of 5 residents reviewed for unnecessary medications (Residents 8 and 12).
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and interview, the facility failed to ensure the resident's representative was notified in writing of transfer/discharge appeal rights and the facility bed hold policy for 4 of 7 residents reviewed for hospitalizations (Resident 6, 7, 22, and 57) and failed to provide communication to the receiving health care facility for 1 of 7 residents reviewed for hospitalizations. (Resident 22)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to administer a PRN (as needed) medication per physician orders for 2 of 16 residents reviewed for physician orders. (Resident 35 and Resident 5)1. Resident 35's clinical record was reviewed on 8/13/25 at 1:56 p.m. Diagnoses included Alzheimer's disease, essential hypertension (high blood pressure), and atrial fibrillation (irregular heartbeat). Current orders included hydralazine 10 milligrams four times a day as needed for high blood pressure [to lower blood pressure]. Special instructions included: administer the medication when Resident 35's blood pressure was above 165 [systolic (top number)]. The clinical record indicated the following:On 7/1/25 the resident's blood pressure was 170/83. Hydralazine was not administered. On 7/6/25 the resident's blood pressure was 198/87. Hydralazine was not administered. [...]
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the dietitian's recommendations and follow a physician's order for a resident with significant weight loss for 1 of 3 residents reviewed for nutrition. (Resident 8)
- D 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.
Inspectors wroteBased on observation and interview, the facility failed to ensure medications were stored in a secure manner when one medication cart was left unlocked and unattended. This deficiency had the potential to allow access to medications belonging to 19 residents.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure hygienic food handling practices were followed during dining services for 1 of 19 residents observed in the main dining room. (Resident 35)
July 3, 2025Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review, the facility failed to prevent a significant medication error, resulting in the hospitalization of a resident for altered mental status. (Resident B)
August 30, 2024Standard inspection · 3 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to monitor vital signs per physician orders prior to giving medications for 3 of 3 residents reviewed. (Resident 24, 31, and 35)
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a dignified dining experience for 1 of 14 residents observed during dining on the secured unit. (Resident 35)
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) was submitted for a resident with a new mental health diagnosis. (Resident 12)
October 3, 2023Standard inspection · 3 citations
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, record review, and interview, the facility failed to develop and implement individualized interventions to reduce physical aggression toward a resident (Resident 29) by a resident with dementia (Resident 23).
- D 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medication was secured after medication administration for 1 of 4 residents observed during medication administration (Resident 11).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, the facility failed to ensure 1 of 7 residents reviewed for immunizations received a pneumococcal vaccination to remain up to date with pneumococcal vaccination (Resident 24).
Fire safety inspections
17 fire safety citations on file: 5 on August 15, 2025, 7 on August 30, 2024, 5 on October 3, 2023.
Every fire safety citation17 citations
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Install corridor and hallway doors that block smoke.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure that testing and maintenance of electrical equipment is performed.
- D Have restrictions on the use of highly flammable decorations.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Use approved construction type or materials.
- E Conform to length requirements for dead end corridors.
- E Have proper medical gas storage and administration areas.
- D Install corridor and hallway doors that block smoke.
- C Conduct risk assessment and an All-Hazards approach.
- E Install a fire alarm system that can be heard throughout the facility.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Have properly installed electrical wiring and gas equipment.
- E Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.94 | 3.69 | 3.86 |
| Registered nurses | 0.48 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.25 | 3.25 | 3.42 |
| Nurse aides | 2.44 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 47.2% | 45.9% | 45.8% |
| Registered nurse turnover | 22.2% | 40.3% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.05 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.22 on weekdays and 3.25 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.94 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.94 | 0.48 | 4.22 | 3.25 | 4.3% | 0 of 90 | 56 |
| Oct to Dec 2025 | 3.76 | 0.52 | 4.01 | 3.10 | 4.7% | 0 of 92 | 56 |
| Jul to Sep 2025 | 3.59 | 0.53 | 3.86 | 2.90 | 6.2% | 0 of 92 | 54 |
| Apr to Jun 2025 | 3.61 | 0.41 | 3.89 | 2.90 | 6.7% | 0 of 91 | 56 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.8 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.2 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.5 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.2 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.8 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.7 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 1.4 | 1.8 |
Owners and operators
Legal business name: WITHAM MEMORIAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Witham Memorial Hospital | 5% or greater direct ownership interest | Organization | 100% | 12/01/2012 |
| Bayston, Brett | Corporate director | Individual | 01/01/2023 | |
| Brand, John | Corporate director | Individual | 01/01/2015 | |
| Castetter, Andrea | Corporate director | Individual | 01/01/2023 | |
| Hawkins, Claude | Corporate director | Individual | 09/01/2013 | |
| Hornbecker, Michael | Corporate director | Individual | 01/01/2024 | |
| Reagan, Julie | Corporate director | Individual | 09/25/2024 | |
| Braverman, Kelly | Corporate officer | Individual | 12/01/2021 | |
| Sellers, Daniel | Corporate officer | Individual | 06/21/2024 | |
| Magnolia Health Management I LLC | Operational/managerial control | Organization | 11/01/2012 | |
| Bohannon, Jennifer | Operational/managerial control | Individual | 07/01/2025 | |
| Hafidh, Saad | Operational/managerial control | Individual | 11/12/2025 | |
| Reed, Stuart | Operational/managerial control | Individual | 11/01/2012 | |
| Bailey, Patricia | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/22/2025 | |
| Reed, Michael | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 11/12/2025 | |
| Alexandria Real Estate Holdings LLC | Adp of the SNF | Organization | 02/26/2018 | |
| Magnolia Health Systems Inc | Adp of the SNF | Organization | 11/01/2012 | |
| Bohannon, Jennifer | Adp of the SNF | Individual | 11/12/2025 | |
| Hafidh, Saad | Adp of the SNF | Individual | 11/12/2025 | |
| Ward, Jonathan | Adp of the SNF | Individual | 11/01/2011 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on April 28, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 15, 2025: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 15, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 15, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Summit Health and Living Summitville, 6.2 mi · 2 of 5 stars · 13 citations
- Bethany Pointe Health Campus Anderson, 7.3 mi · 4 of 5 stars · 13 citations
- Northview Health and Living Anderson, 7.6 mi · 2 of 5 stars · 21 citations
- Edgewater Woods Anderson, 7.8 mi · 4 of 5 stars · 14 citations
- Beaumont Rehabilitation and Healthcare Center Anderson, 8.1 mi · 2 of 5 stars · 41 citations
- Envive of Anderson Anderson, 8.6 mi · 2 of 5 stars · 18 citations
- Elwood Health and Living Elwood, 9.3 mi · 3 of 5 stars · 23 citations
- Waters of Chesterfield Skilled Nursing Facility Chesterfield, 10 mi · 4 of 5 stars · 14 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Alexandria Care Center's Medicare star rating?
- CMS rates Alexandria Care Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Alexandria Care Center get at its last inspection?
- 6 health deficiencies at the standard inspection on August 15, 2025. The Indiana average is 7.2.
- Has Alexandria Care Center been fined?
- CMS lists no fines in the last three years.
- Does Alexandria Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Alexandria Care Center?
- CMS lists 20 owners and managers. Legal business name: WITHAM MEMORIAL HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.