Cold Spring · 41076
Coldspring Transitional Care Center
300 Plaza Drive
Cold Spring, KY 41076
The Seasons at Alexandria
⌖ Alexandria, KY · Campbell County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds117
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About The Seasons at Alexandria
The Seasons at Alexandria is a 117-bed nonprofit nursing home in Alexandria, KY. Medicare rates it 1 out of 5 stars overall (much below average); the average in Kentucky is 3.0. At its last full inspection (Aug 2025), inspectors found 4 problems, more than the Kentucky average of 2.9. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 4 hr 26 min a day with each resident, more than the Kentucky average of 3 hr 57 min. About 50% of its nursing staff left in the past year. Medicare fined it $246,139 in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameThe Seasons At Alexandria
LocationCampbell County, Kentucky
Phone(859) 694-4450
Address7341 E Alexandria Pike, Alexandria, KY 41001 · Campbell County
CMS provider number185484
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 30, 2018 (8 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Nurse staffing per resident4 hr 26 min a dayKentucky average: 3 hr 57 minStrength
About average
- Nursing staff turnover50% a yearKentucky average: 46%About average
Things to ask about
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- Serious health citations1 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Aug 2025 (about 1 year ago). All 1 were later corrected.Ask about this
- Fines and penalties2 fines totaling $246,139Federal penalties from the last three years, most recently in Aug 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Health citations at last inspection4 (Aug 2025)Kentucky average: 2.9. Most citations are minor and corrected within weeks.Worse than state average
- Registered nurse time per resident38 min a dayKentucky average: 47 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Kentucky average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital19.7%State average: 24.2%About average
- Needed an emergency room visit10.1%State average: 13.7%Better than average
- Newly given antipsychotic drugs3.1%State average: 1.7%Worse than average
Physical therapist time: about 6 minutes per resident a day. That is more than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury3.0%State average: 3.9%Better than average
- Pressure sores (bedsores)1.0%State average: 4.8%Better than average
- Given antipsychotic drugs13.5%State average: 16.1%About average
- Hospital stays per 1,000 resident days2.1State average: 1.9About average
Source: Medicare (CMS) quality measures, compared with the Kentucky average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Kentucky, Medicaid pays for 74% of resident days at a typical home.
- 36% Medicaid
- 6% Medicare
- 58% Private pay, insurance and other
Beds in use, on average88%Kentucky typical: 87%
Cost of care per resident day$628Kentucky typical: $330
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, the same as 1 star in July 2019. It has ranged from 1 to 2 stars and changed 6 times.
Overall rating1★
Health inspections1★
Staffing3★
Quality of care4★
Nurse hours per resident per day4.4
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jul 2019 | 1 | 1 | 1 | 3 | 2.7 |
| Jan 2020 | 2 | 2 | 2 | 4 | 4.0 |
| Jan 2021 | 1 | 1 | – | 4 | – |
| Jan 2022 | 1 | 1 | 1 | 3 | – |
| Jan 2023 | 1 | 1 | 1 | 3 | 2.8 |
| Jan 2024 | 1 | 1 | 3 | 2 | 4.3 |
| Feb 2025 | 1 | 1 | 3 | 2 | 4.1 |
| Feb 2026 | 2 | 1 | 3 | 5 | 4.5 |
| Sep 2026 | 1 | 1 | 3 | 4 | 4.4 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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