Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 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.
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.
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.
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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.
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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 | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.