Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Seasons At Alexandria during CMS and state inspections, most recent first.
Expired and unlabeled food items were found in dry storage, the kitchen refrigerators, and multiple unit nourishment refrigerators. Surveyors observed items such as expired bread, salad dressing, yogurt, pudding, gelatin, mustard, and orange juice, along with opened packages that were not dated. Staff interviews showed labeling and expiration checks were inconsistently assigned, and some staff were not instructed to check nourishment refrigerators for expired items.
Unlabeled Medications and Improper Refrigeration Control The facility had opened medications on a unit cart that were not labeled with the resident’s name or date opened, including nasal spray, insulin pens, eye medications, and an inhaler. The medication refrigerator on another unit was found at 20 degrees F, outside the facility’s required range, and the temperature log did not document that reading. Staff gave inconsistent accounts of who was responsible for checking and recording refrigerator temperatures. A compounded normal saline bag prepared for a resident’s gentamycin irrigation was stored in the medication refrigerator with only the word mixed written on it. Staff stated the bag was for a resident with a suprapubic catheter, but it was not labeled with the resident’s name or the contents after mixing.
A resident who required partial to moderate assistance with bathing and grooming was not provided a shower while on droplet/contact precautions for COVID. Staff gave conflicting accounts, with an STNA and RN stating showers were not allowed for COVID-positive residents, while the DON, IP, Medical Director, and Administrator stated care should be provided with PPE and that the resident was asymptomatic and should not have been denied a shower. The resident said she was only cleaned with wipes and wanted a shower, and a family member was told staff could not assist until isolation ended.
The facility failed to implement comprehensive care plans for five residents, lacking interventions for outdoor supervision. One resident was left unsupervised in high temperatures, leading to an emergency department transfer. Staff interviews revealed no clear policies for outdoor supervision, and care plans did not address this need, despite residents' cognitive impairments and medical conditions.
A resident with cognitive impairment was left unattended in 90-degree weather for 30-45 minutes, resulting in heatstroke and emergency hospitalization. The facility lacked a formal policy for supervising residents outdoors, and staff practices for checking on residents were inconsistent, leading to the incident.
Two residents were subjected to physical and verbal abuse by a staff member in an LTC facility. The first incident involved rough handling, which went unreported, allowing the staff member to continue working. This led to a second incident where the staff member physically and verbally abused another resident, resulting in a bruise. The facility's failure to ensure resident protection from abuse was identified as a deficiency.
A failure to report suspected abuse by a State Tested Nurse Aide (STNA) led to further abuse of another resident in the facility. An STNA observed rough handling of a resident but did not report it, allowing the abusive STNA to continue working and later physically and verbally abuse another resident, resulting in a bruise. Both residents had severe cognitive impairments, and the incidents highlighted a breach in the facility's abuse reporting policy.
The facility failed to ensure safe food service and proper hand hygiene during a supper meal. An STNA was observed not following hand hygiene protocols, such as washing hands with soap and water and using a paper towel to turn off the faucet. Interviews revealed inconsistencies in hand hygiene practices, with staff sometimes rinsing hands without soap and not using towels to dry them. The Administrator confirmed the expectation for proper hand hygiene before and during meal service.
Expired and Unlabeled Food Items Found in Kitchen and Nourishment Refrigerators
Penalty
Summary
The facility failed to ensure food items in dry storage, the walk-in refrigerator, the number five kitchen reach-in refrigerator, and multiple unit nourishment refrigerators were properly labeled and dated, and it failed to discard expired food items. The facility policy titled, Food and Supply Storage, revised 01/2024, stated foods past the use-by, sell-by, best-by, or enjoy-by date should be discarded, and unused portions and opened packages of food should be covered, labeled, and dated. During observation, surveyors found a pork ham in the walk-in refrigerator with a discard date of 08/11/2025, an undated opened package of devil's food cake mix, an undated opened 11-pound tub of chocolate fudge icing, an expired loaf of bread in dry storage, and an expired container of italian salad dressing in the number five reach-in refrigerator. Additional observations in unit nourishment refrigerators found expired or undated items, including yogurt past its best-by date, yogurt and pudding cups past expiration dates, a pudding cup that had burst open and leaked, multiple gelatin containers with expiration dates ranging from 11/29/2023 through 10/2024 and 07/2025, french salad dressing with a 05/2025 expiration date, a gelatin snack pack with a 10/22/2024 expiration date, mustard with a best-by date of 06/13/2024, and orange juice containers with a best-by date of 08/09/2025. Staff interviews showed inconsistent oversight of labeling and expiration checks. A Patient Server stated she had not been instructed to check nourishment refrigerators for expired items. A Dietary Checker stated the Chef was primarily responsible for labeling items received from the food truck and that expired food should be thrown away immediately. A Dietary Runner stated one runner was designated to check nourishment refrigerators and discard unlabeled or expired items, while the Executive Chef and Culinary Manager stated labeling occurred when items were received or opened and that checking for expired items was a shared responsibility, with unit nourishment refrigerators checked at least weekly. The DON and Administrator stated they expected food items to be properly labeled and dated and expired items discarded, and both stated expired foods should not be served to residents.
Unlabeled Medications, Improper Refrigerator Temperature, and Unlabeled Compounded Medication
Penalty
Summary
The facility failed to ensure medications used for multiple administrations were labeled with the resident’s name and/or the date opened in the Maple Unit medication cart. During observation, opened medications on the Dogwood Unit medication cart included Fluticasone nasal spray, Lantus insulin pen, Humalog insulin pen, Erythromycin eye ointment, Atropine eye drops, Brimonidine eye drops, and an Albuterol inhaler, and none were labeled to identify the resident for whom they were prescribed or the date opened. Facility policy required staff to enter the date opened on medications with shortened expiration dates and not administer medications if the prescription label was missing or illegible. The facility also failed to maintain appropriate environmental controls for the Maple Unit medication storage refrigerator. At observation, the refrigerator thermometer measured 20 degrees Fahrenheit, while the facility’s documented refrigeration range was 36 to 46 degrees Fahrenheit. Unopened Tuberculin PPD and unopened Latanoprost ophthalmic solution bottles were stored in the refrigerator, and the temperature log did not document a temperature for that time. Staff interviews showed inconsistent understanding of responsibility for checking and documenting refrigerator temperatures, and one RN stated the refrigerator was temperamental and had not been reported to maintenance. The facility further failed to ensure a compounded medication prepared for Resident 56 was properly labeled. A 250-milliliter bag of normal saline in the Walnut Unit medication refrigerator was marked only with the word mixed in black marker and was not labeled with the resident’s name or the contents. Staff stated the bag contained gentamycin mixed for Resident 56’s suprapubic catheter irrigation, but the label from pharmacy had not been placed on the bag after mixing. Interviews confirmed staff knew the medication was compounded for the resident, knew the mixture’s stability after preparation, and understood that an unlabeled compounded medication could lead to a medication error.
Resident Denied Shower While on COVID Precautions
Penalty
Summary
The facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming and personal and oral hygiene. The resident, admitted with diagnoses including COVID-19 and syncope, had a BIMS score of 15 out of 15 and required partial to moderate assistance with showering. Her care plan identified impaired ADL function and included assistance with toileting, transfers, bathing, dressing, and grooming. The resident’s ADL charting showed she received a shower on one date, but during observation she was noted to be on droplet/contact precautions. In interview, the resident stated staff told her they were not allowed to assist her with a shower in her room until precautions were lifted, and that staff only helped her clean up with wipes even though she wanted a shower and had not had one in a while. A family member reported being told by an RN that staff could not assist with a shower until the resident came out of isolation. Staff interviews showed conflicting understanding of the facility’s practice for residents with COVID. An STNA stated she was told residents on droplet precautions were not allowed showers, and an RN stated staff had been told the process was to provide bed baths instead of showers for COVID-positive residents, particularly if symptomatic. Other staff, including an LPN, the IP, the DON, the Medical Director, and the Administrator, stated residents with COVID were to receive care using PPE and that showering decisions were case-by-case, with the resident’s wishes honored; they also stated the resident was asymptomatic and should not have been denied a shower. The Administrator stated she was unaware the resident requested a shower and did not receive one.
Failure to Implement Comprehensive Care Plans for Outdoor Supervision
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for five residents, which included measurable objectives and timeframes to meet their medical, nursing, and mental and psychosocial needs. This deficiency was identified through observation, interviews, and record reviews. Specifically, the care plans for the residents did not include interventions for supervision when they were outdoors, despite their regular outdoor activities. One resident, who had a history of cerebrovascular disease and vascular dementia, was left unsupervised outside in 90-degree weather for 30 to 45 minutes, resulting in a transfer to the Emergency Department due to mental status changes and a high temperature. The care plan for this resident did not include any interventions for supervision while outdoors. Similarly, other residents who were observed outside did not have care plans that addressed outdoor supervision, despite their cognitive impairments and medical conditions. Interviews with staff revealed a lack of clear policies or documentation regarding the supervision of residents outdoors. Staff members indicated that they were aware of the need to check on residents outside but noted that this was not documented in the care plans. The facility's Director of Nursing and Administrator acknowledged the absence of specific care plans for outdoor activities and supervision, highlighting a gap in the facility's processes for ensuring resident safety during independent activities.
Resident Left Unattended in Heat, Resulting in Heatstroke
Penalty
Summary
The facility failed to ensure adequate supervision and assistance devices to prevent accidents for a resident, identified as R4, who was left unattended in 90-degree Fahrenheit weather for 30 to 45 minutes. R4, who had a history of cerebrovascular disease, muscle weakness, unsteadiness, and mild vascular dementia, was taken outside by a State Trained Nurse Assistant (STNA) and left without supervision. The resident was later found unresponsive with a high body temperature of 105 degrees Fahrenheit, indicating heatstroke, and required emergency medical attention. The facility's policy on accidents and supervision was not effectively implemented, as there was no care plan for R4's supervision when outdoors, despite his enjoyment of outdoor activities. Staff interviews revealed that R4 was routinely left outside unsupervised, relying on his ability to self-propel his wheelchair and signal when he wanted to return inside. On the day of the incident, the STNA did not inform other staff members that R4 was outside, nor did she check on him again until prompted by another staff member who noticed R4's wheelchair off the concrete path. The facility lacked a formal policy for supervising residents in the courtyard or for conducting regular checks on residents outside. Staff practices varied, with some setting alarms to remind them to check on residents every 15 minutes, but this was not a documented or enforced policy. The Director of Nursing and other staff acknowledged the absence of a formal supervision policy and the need for visual checks, but these practices were not consistently applied, leading to the incident with R4.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to protect two residents from physical and verbal abuse by a staff member. During the first week of May 2024, a State tested Nurse Aide (STNA) witnessed another STNA being rough with a resident during care but did not report the incident. This inaction allowed the abusive STNA to continue working, leading to a subsequent incident where the same STNA physically and verbally abused another resident. The abusive behavior included hitting the resident's arm and making inappropriate comments, resulting in a bruise on the resident's arm. The first resident involved, admitted in 2008, had diagnoses including Parkinson's disease and depression. The second resident, admitted in 2023, had a history of cerebral infarction, dysphagia, and aphasia, with cognitive skills severely impaired. The abuse incident involving the second resident occurred while the STNA was attempting to provide evening care, and the resident became agitated. Despite the resident's non-verbal status, the abuse was witnessed by another STNA, who reported it to the nurse on duty and the facility's administration. The facility's policies required staff to report any allegations of abuse, but the initial failure to report the rough handling of the first resident allowed the abusive STNA to continue working. The facility's investigation confirmed the abuse of the second resident, and the STNA involved was removed from the facility. The facility's failure to have an effective system in place to ensure residents were protected from abuse was identified as a deficiency, with Immediate Jeopardy declared due to the potential for serious harm.
Failure to Report Abuse Leads to Resident Harm
Penalty
Summary
The facility failed to ensure its staff implemented the abuse policy regarding reporting allegations of physical abuse, which led to a deficiency. During the first week of May 2024, a State Tested Nurse Aide (STNA) observed another STNA being rough with a resident, R24, but failed to report the incident to the Administrator or designee as required by the facility's policy. This inaction allowed the STNA in question to continue working and subsequently physically and verbally abuse another resident, R11, on May 19, 2024. The abuse resulted in R11 sustaining a large bruise on the left upper arm. R24, who was admitted to the facility in 2008, had a diagnosis of Parkinson's disease and severe cognitive impairment. The incident involving R24 occurred during a transfer with a Hoyer lift, where the STNA was observed being rough. Despite recognizing the inappropriate behavior, the observing STNA did not report it, which was a violation of the facility's policy that mandates immediate reporting of any abuse or suspicion of abuse. R11, admitted in November 2023, had a history of cerebral infarction with hemiparesis affecting the right side and was also severely cognitively impaired. On May 19, 2024, another STNA witnessed the abusive STNA punch R11 multiple times and verbally abuse him while providing care. This incident was reported and verified by the Administrator, highlighting the failure of staff to adhere to the abuse reporting policy, which could have potentially prevented the abuse of R11 if the initial incident with R24 had been reported promptly.
Improper Hand Hygiene During Meal Service
Penalty
Summary
The facility failed to ensure that residents' food was served in a safe manner and that all staff practiced proper hand hygiene procedures during the supper meal service. During an observation of the supper meal, a State tested Nurse Aide (STNA) was seen not following the facility's hand hygiene policy. The STNA turned on the water with her hands, rinsed them without using soap, and then turned off the faucet with her bare hand. She proceeded to shake her hands dry without using a paper towel and did not use hand sanitizer afterward. Interviews with the STNA and the Staff Development Licensed Practical Nurse (LPN) revealed inconsistencies in hand hygiene practices. The STNA admitted to not following the proper procedure, which included washing hands with soap and water for 15 to 30 seconds and turning off the faucet with a paper towel. The LPN, responsible for monitoring staff hand hygiene, acknowledged having observed similar improper practices in the past, such as staff rinsing hands with water only, waving hands to dry, and touching clothing after washing hands. The Administrator confirmed that the expectation was for staff to perform proper hand hygiene before service, use hand sanitizer between trays, and wash hands with soap and water after every third tray.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 783 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Alexandria
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Coldspring Transitional Care Center | 1.9 mi | ★★★★★ | 1 | 0 |
| Carmel Manor | 5.9 mi | ★★★★★ | 15 | 0 |
| Residence At Salem Woods | 6.3 mi | ★★★★★ | 0 | 0 |
| Rosedale Green | 6.6 mi | ★★★★★ | 0 | 0 |
| Mount Washington Care Center | 6.7 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for The Seasons At Alexandria.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.