J G Alexander Nursing Center

25112 Highway 15 · Union, MS · 39365 · 6017745065

60 certified beds For profit - Individual Chain: The Beebe Family

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • 3 citations involved actual harm to residents.

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Red flags

3 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Weekends run noticeably short-staffed

Weekend staffing is 74% of the overall level. Visit on a Saturday or Sunday before deciding.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 82
Staffing 20% 79
Federal penalties 15% 61
Trend 10% 26
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.753.48 min · 4.1 strong
RN hours / resident-day0.740.55–0.75
Weekend hours / resident-day3.50≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)2 · $16,720

Inspection citations (16 in the current record)

  • Actual harm · G January 30, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected February 22, 2025 · Resident Rights

  • Actual harm · G January 30, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 22, 2025 · Quality of Life and Care

  • Actual harm · G January 30, 2025

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected February 22, 2025 · Pharmacy Service

  • Potential for harm · D January 30, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 22, 2025 · Resident Rights

  • Potential for harm · D January 30, 2025

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected February 22, 2025 · Quality of Life and Care

  • Potential for harm · D January 30, 2025

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected February 22, 2025 · Quality of Life and Care

  • Potential for harm · F January 30, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 22, 2025 · Nutrition and Dietary

  • Potential for harm · D January 30, 2025

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected February 22, 2025 · Administration

  • No harm found · B January 30, 2025

    Post nurse staffing information every day.

    Corrected February 22, 2025 · Nursing and Physician Services

  • Potential for harm · D August 3, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 7, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 3, 2023

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected September 7, 2023 · Pharmacy Service

  • Potential for harm · D August 3, 2023

    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.

    Corrected September 7, 2023 · Pharmacy Service

  • Potential for harm · D August 3, 2023

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected September 7, 2023 · Nutrition and Dietary

  • Potential for harm · F August 3, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 7, 2023 · Nutrition and Dietary

  • Potential for harm · E March 11, 2021

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected April 8, 2021 · Resident Rights

  • Potential for harm · D March 11, 2021

    Ensure each resident receives an accurate assessment.

    Corrected April 8, 2021 · Resident Assessment and Care Planning

Federal penalties

DateTypeAmount / length
January 30, 2025Fine$8,360
January 30, 2025Fine$8,360

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 255318 · certified since March 20, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.