Operator Investigation · 2026-04-21

ALEXANDER, JAMES: 16% Abuse-Flagged, 25 Facilities

Facilities
25
CMS Fines
$826K
States
4
OIG Excluded
3

ALEXANDER, JAMES operates 25 nursing homes across IN, KY, MI and 1 other state. According to CMS federal data, the operator's facilities have collectively received $825,868 in civil monetary penalties. 4 of 25 facilities (16%) carry CMS's Abuse Icon designation, a flag reserved for facilities with confirmed patterns of resident abuse or neglect. 1 facility is currently on CMS Special Focus status, a designation reserved for the nation's worst-performing nursing homes. The portfolio carries an average CMS star rating of 2.4 out of 5.

Facilities (25)