ALEXANDRIA CARE CENTER has 70 certified beds in ALEXANDRIA, Indiana. The CMS overall rating is 3 of 5, compared with the Indiana average of 3.1. The CMS health inspection rating is 3 of 5, compared with the Indiana average of 2.8. The CMS staffing rating is 3 of 5. The latest standard health survey on Aug 15, 2025 lists 6 deficiencies, compared with the Indiana average of 5.1. Total nurse staffing is 3.94 hours per resident day in 2026Q1, compared with the Indiana average of 3.68.

Nearby facilities

BEAUMONT REHABILITATION AND HEALTHCARE CENTER ANDERSON
BETHANY POINTE HEALTH CAMPUS ANDERSON
COUNTRYSIDE MANOR HEALTH & LIVING COMMUNITY ANDERSON
EDGEWATER WOODS ANDERSON
ELWOOD HEALTH AND LIVING ELWOOD
ENVIVE OF ANDERSON ANDERSON
NORTHVIEW HEALTH AND LIVING ANDERSON
RAWLINS HOUSE HEALTH & LIVING COMMUNITY PENDLETON
SUMMIT HEALTH AND LIVING SUMMITVILLE
WATERS OF CHESTERFIELD SKILLED NURSING FACILITY CHESTERFIELD

CMS nursing homes in Indiana

CMS nursing home

ALEXANDRIA CARE CENTER

ALEXANDRIA, IN

CMS CCN 1555217657244478Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 155521.

At a glance

CMS research snapshot

CMS overall rating

3 of 5

CMS health inspection rating

3 of 5

CMS staffing rating

3 of 5

CMS quality-measure rating

3 of 5

CMS ownership-change history

No attached CMS ownership-change event.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

MDS quality observations are in the CMS extract.
PBJ staffing records are in the CMS extract.
Inspection evidence is in the CMS extract.
Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

BAILEY, PATRICIAIndividual ownerINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
REED, MICHAELIndividual ownerINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
WITHAM MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest

Operators

BOHANNON, JENNIFERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
HAFIDH, SAADIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
MAGNOLIA HEALTH MANAGEMENT I LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
REED, STUARTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
BOHANNON, JENNIFERIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
HAFIDH, SAADIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
MAGNOLIA HEALTH MANAGEMENT I LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
REED, STUARTIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Enrollment organizations

WITHAM MEMORIAL HOSPITALOrganization · CURRENTMedicare-enrolled legal organization
WITHAM MEMORIAL HOSPITALOrganization · UNKNOWNMedicare-enrolled legal organization

Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

BAILEY, PATRICIAIndividual owner · UNKNOWNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
REED, MICHAELIndividual owner · UNKNOWNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
WITHAM MEMORIAL HOSPITALOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest

Ownership change history

CMS ownership-change records

No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures: STALE · source as of 2026-08-01
nursing-home-provider-information: STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners: AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership: CURRENT · source as of 2026-08-24

Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

CMS is the source for national nursing-home evidence.
Trust Hub does not create the CMS star ratings.
Ownership evidence does not measure care quality.
CMS CHOW records document reported ownership-change events.
Missing evidence is not interpreted as zero.
UNKNOWN ownership history is not interpreted as divestiture.

Ownership evidence is not a quality measure.
Missing evidence is not a zero score.
CMS ratings are CMS ratings, not Trust Hub ratings.
UNKNOWN ownership does not prove an owner left.
CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS overall

3 of 5

Health inspection

3 of 5

Staffing

3 of 5

Quality measures

3 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds: 70
Ownership descriptor: Government - County
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 7657244478Verified public information · checked Aug 2026

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Not currently SFF or candidate

CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.

CMS field value: (blank). Observed Aug 1, 2026.

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

CMS field value: N. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

NPI 1245399500 · enrollment O20130517000395
NPI 1245399500 · enrollment O20130517000395

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 100.000000
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 97.727273
Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 6.217617 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who have depressive symptoms (Long Stay): 28.235294
Percentage of long-stay residents who lose too much weight (Long Stay): 7.784431
Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 34.302326
Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 14.179104 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 23.544242 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 24.844720 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.063830 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 42.617456
Percentage of long-stay residents with pressure ulcers (Long Stay): 3.621624 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 99.047619
Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 100.000000

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

2025-08-15 · tag 0222 · scope/severity 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.
2025-08-15 · tag 0363 · scope/severity E — Install corridor and hallway doors that block smoke.
2025-08-15 · tag 0761 · scope/severity E — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
2025-08-15 · tag 0921 · scope/severity E — Ensure that testing and maintenance of electrical equipment is performed.
2025-08-15 · tag 0753 · scope/severity D — Have restrictions on the use of highly flammable decorations.
2024-08-30 · tag 0251 · scope/severity E — Conform to length requirements for dead end corridors.
2024-08-30 · tag 0372 · scope/severity F — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
2024-08-30 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
2024-08-30 · tag 0161 · scope/severity E — Use approved construction type or materials.
2024-08-30 · tag 0923 · scope/severity E — Have proper medical gas storage and administration areas.
2024-08-30 · tag 0363 · scope/severity D — Install corridor and hallway doors that block smoke.
2024-08-30 · tag 0006 · scope/severity C — Conduct risk assessment and an All-Hazards approach.

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.48 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Aug 15, 2025 cited 6 deficiencies.

View inspection evidence

Ownership

CMS-published records list 21 ownership or control parties.

View ownership evidence

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: Government - CountyCMS
Related facilities: 29Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

1 CMS-reported ownership organization
CMS reports 16 individual ownership interests

Related facilities

29 currently connected nursing homes share this CMS organization identity with WITHAM MEMORIAL HOSPITAL.

Average CMS overall rating: 3.4 stars across 29 reporting facilities
CMS monetary penalties: 4 of 29 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS complaint inspections: 16 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $74,737

How connected-facility figures are read

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 21
Organizations shown: 5
Individuals shown: 16
Latest ownership source update: Aug 17, 2026

CMS-published ownership and control parties

WITHAM MEMORIAL HOSPITAL
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 1, 2012
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
ALEXANDRIA REAL ESTATE HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 26, 2018
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BOHANNON, JENNIFER
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HAFIDH, SAAD
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MAGNOLIA HEALTH SYSTEMS INC
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2012
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
WARD, JONATHAN
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2011
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BAYSTON, BRETT
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2023
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BRAND, JOHN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2015
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
CASTETTER, ANDREA
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2023
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HAWKINS, CLAUDE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 1, 2013
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HORNBECKER, MICHAEL
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
REAGAN, JULIE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 25, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BRAVERMAN, KELLY
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 1, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
SELLERS, DANIEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 21, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BAILEY, PATRICIA
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Oct 22, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
REED, MICHAEL
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Nov 12, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
BOHANNON, JENNIFER
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
HAFIDH, SAAD
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
MAGNOLIA HEALTH MANAGEMENT I LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2012
Other facilities connected through this exact CMS organization identity: 0 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
REED, STUART
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2012
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
View official CMS source
WITHAM MEMORIAL HOSPITAL
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 31 across IN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS records connect WITHAM MEMORIAL HOSPITAL to 32 facilities. Which policies and staffing decisions are managed centrally versus locally?

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Apr 28, 2026
Survey type: Health Complaint
Linked findings: 1
Highest linked CMS classification: G — Isolated; Actual harm that is not immediate jeopardy

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Aug 1, 2026
CMS provider ID: 155521
Source record locator: csv-row:42239:ccn:155521

View official CMS source

Apr 28, 2026 — Health Complaint — 1 linked finding

F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 24, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114605:ccn:155521
View official CMS source

Aug 15, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 15, 2025 — Health Standard — 6 linked findings

F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114606:ccn:155521
View official CMS source
F0628 — Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114607:ccn:155521
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114608:ccn:155521
View official CMS source
F0692 — Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114609:ccn:155521
View official CMS source
F0761 — Pharmacy Service Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114610:ccn:155521
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114611:ccn:155521
View official CMS source

Jul 3, 2025 — Health Complaint — 1 linked finding

F0760 — Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 8, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114612:ccn:155521
View official CMS source

Aug 30, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 30, 2024 — Health Standard — 3 linked findings

F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114614:ccn:155521
View official CMS source
F0644 — Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114615:ccn:155521
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 3, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114613:ccn:155521
View official CMS source

Oct 3, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Oct 3, 2023 — Health Standard — 3 linked findings

F0744 — Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 6, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114616:ccn:155521
View official CMS source
F0761 — Pharmacy Service Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 6, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114617:ccn:155521
View official CMS source
F0883 — Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 6, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
155521
Source record locator
csv-row:114618:ccn:155521
View official CMS source

Tags appearing across inspections

F0684 appears in 2 linked inspections.
F0761 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

No penalty records were found for this provider in the currently loaded CMS Penalties dataset.

Questions to ask

Questions generated from the evidence above

CMS records show F0684 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0761 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

6 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Complaint inspection recorded1 deficiencies were recorded. That includes 1 higher-severity deficiency.
RN staffing increasedRN staffing increased from 0.41 to 0.53 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.

2026

Apr 28
Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence

2025

Sep 2025
RN staffing increased
RN staffing increased from 0.41 to 0.53 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.41 → 0.53
CMS · Reported in a source release · View related evidence
Aug 15
Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Jul 3
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

2024

Aug 30
Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2023

Oct 3
Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.942
RN categories: 0.479
LPN/LVN categories: 1.023
CNA: 1.966

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	4.224	3.247
RN categories	0.571	0.252

Contract staff accounted for 4.3% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.037 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.608	0.411	0.954	1.642	6.7%	91
2025Q3	3.592	0.529	1.006	1.569	6.2%	92
2025Q4	3.758	0.516	0.949	1.584	4.7%	92
2026Q1	3.942	0.479	1.023	1.966	4.3%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 3-star overall rating.
CMS reports a 3-star health inspection rating.
CMS reports a 3-star staffing rating.
CMS reports a 3-star quality-measure rating.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Suggest a correction Report a source-data concern Represent this facility? Submit a representation claim

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Health deficiencies and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Aug 17, 2026
Retrieved: Aug 26, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

Facility record

Nearby facilities

CMS research snapshot

CMS overall rating

CMS health inspection rating

CMS staffing rating

CMS quality-measure rating

CMS ownership-change history

What CMS reports about quality

Who CMS/PECOS connects to this nursing home

Current owners

Operators

Enrollment organizations

UNKNOWN

CMS ownership-change records

How current each evidence family is

How Trust Hub researches this provider

CMS rating overview

CMS overall

Health inspection

Staffing

Quality measures

Contact

Special Focus and abuse-icon status

Not currently SFF or candidate

CMS abuse-icon designation

Medicare enrollment organization NPI associated with this CMS Certification Number

Individual CMS quality measures

CMS fire-safety citations

What to review

Staffing

Inspections

Ownership

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

WITHAM MEMORIAL HOSPITAL

ALEXANDRIA REAL ESTATE HOLDINGS LLC

BOHANNON, JENNIFER

HAFIDH, SAAD

MAGNOLIA HEALTH SYSTEMS INC

WARD, JONATHAN

BAYSTON, BRETT

BRAND, JOHN

CASTETTER, ANDREA

HAWKINS, CLAUDE

HORNBECKER, MICHAEL

REAGAN, JULIE

BRAVERMAN, KELLY

SELLERS, DANIEL

BAILEY, PATRICIA

REED, MICHAEL

BOHANNON, JENNIFER

HAFIDH, SAAD

MAGNOLIA HEALTH MANAGEMENT I LLC

REED, STUART

WITHAM MEMORIAL HOSPITAL

What this means

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0689 — Quality of Life and Care Deficiencies

F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0628 — Resident Rights Deficiencies

F0684 — Quality of Life and Care Deficiencies

F0692 — Quality of Life and Care Deficiencies

F0761 — Pharmacy Service Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0760 — Pharmacy Service Deficiencies

F0550 — Resident Rights Deficiencies

F0644 — Resident Assessment and Care Planning Deficiencies

F0684 — Quality of Life and Care Deficiencies

F0744 — Quality of Life and Care Deficiencies

F0761 — Pharmacy Service Deficiencies

F0883 — Infection Control Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset