★★★☆☆CMS 3/5139 bedsFor-profitMedicaid
- Nurse hours
- 4.61 /day
- Staff turnover
- 45%
- Serious cites
- 0
Belle Grande runs 4.61 nurse hours per resident day, about 19% above the national average of 3.86, and that staffing shows up in a 4-out-of-5 staffing rating. The catch is weekends, when hours drop roughly 17% below the home's own weekday level. Turnover sits at 44.7%, essentially the national rate, so the staffing advantage comes from hours scheduled, not from a stable crew. Inspections tell a more mixed story: 15 deficiencies on the current record, one serious enough to reach harm or jeopardy level, no abuse findings, and a single fine of $16,149. That combination, strong hours, weak quality measures at 2/5, a recent September 2025 inspection, is why the home lands in the middle rather than at the top.
★★☆☆☆CMS 2/5130 bedsFor-profitMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 48%
- Serious cites
- 0
Lexington House runs 130 beds in Alexandria under corporate ownership, and its staffing sits slightly above the national average at 3.99 nurse hours per resident day. That margin shrinks on weekends, which run about 11% leaner than weekdays, and turnover is 47.9%, a bit worse than the 45.8% national figure. The bigger issue is the inspection record: 24 deficiencies, including one at the harm level and one tied to abuse, plus a $9,945 fine. CMS rates its health inspections 2 out of 5 and its quality measures just 1 out of 5, even though staffing earns a 3. The most recent inspection was May 2025, so the record is current.
★☆☆☆☆CMS 1/558 bedsFor-profit
- Nurse hours
- 3.78 /day
- Staff turnover
- 72%
- Serious cites
- 0
Regency House of Alexandria runs 58 certified beds under corporate ownership, and its staffing numbers are the first thing to look at. Nurse coverage sits at 3.78 hours per resident day, a bit under the national average, but the bigger issue is weekends, when staffing drops roughly 21% below what the home runs Monday through Friday. Annual turnover hits 71.8%, well above the 45.8% national figure, which means aides and nurses are cycling through constantly. The current inspection record shows 39 deficiencies, including one abuse-related citation, though none rose to the harm level. The last inspection was in March 2026. Quality measures score well, but weak staffing and high turnover are the real story here.
★☆☆☆☆CMS 1/5130 bedsFor-profitMedicaid
- Nurse hours
- 3.52 /day
- Staff turnover
- 44%
- Serious cites
- 0
The Summit runs 130 certified beds in Alexandria under for-profit LLC ownership, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 16% below its own weekday coverage, which matters when residents need help on a Saturday night. Staff turnover at 43.8% is slightly better than the national 45.8%, though that's a low bar.
What stands out more is the inspection record: 25 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse. CMS rated health inspections 2 out of 5, quality measures 1 out of 5, and staffing 2 out of 5. One fine totaling $14,287 is on file, and the most recent inspection came April 8, 2026.
★★☆☆☆CMS 2/5124 bedsFor-profitMedicaid
- Nurse hours
- 3.78 /day
- Staff turnover
- 59%
- Serious cites
- 0
Matthews Memorial runs 124 certified beds in Alexandria under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Total nurse coverage sits at 3.78 hours per resident day, just under the national average, but weekends drop roughly 17% below what the home staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 59.2% is well above the national 45.8%, meaning you'll likely see unfamiliar faces. The current record shows 33 deficiencies, including one at the harm level and one abuse-related, plus a $36,140 fine. Last inspection was December 2025. Ask about weekend coverage and how they've addressed the abuse finding.