Nexus at Alton
3523 Wickenhauser · Alton, IL · 62002 · 6184658887
181 certified beds For profit - Limited Liability company Chain: Bria Health Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $294,463 in fines in the last 24 months.
- 21 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$294,463 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
82% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.45 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 3.60 | ≈ weekday level |
| Nursing turnover / year | 82% | median 45% |
| Fines (3-yr window) | 5 · $410,106 |
Inspection citations (92 in the current record)
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Potential for harm · E February 20, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 24, 2026 · Resident Rights
-
Potential for harm · D February 20, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected February 24, 2026 · Pharmacy Service
-
Potential for harm · D February 20, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 25, 2026 · Nutrition and Dietary
-
Potential for harm · E December 29, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 30, 2025 · Resident Rights
-
Potential for harm · E December 29, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected December 30, 2025 · Environmental
-
Actual harm · G November 19, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 20, 2025 · Pharmacy Service
-
Actual harm · G September 30, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 1, 2025 · Pharmacy Service
-
Potential for harm · D September 30, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 30, 2025 · Resident Rights
-
Potential for harm · D September 30, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · D September 30, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 1, 2025 · Quality of Life and Care
-
Potential for harm · E September 30, 2025 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected October 1, 2025 · Nutrition and Dietary
-
Potential for harm · D September 30, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 1, 2025 · Infection Control
-
Potential for harm · D July 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 4, 2025 · Quality of Life and Care
-
Potential for harm · E July 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 4, 2025 · Pharmacy Service
-
Actual harm · G July 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 4, 2025 · Quality of Life and Care
-
Potential for harm · D June 17, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 18, 2025 · Quality of Life and Care
-
Potential for harm · D June 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 2, 2025 · Quality of Life and Care
-
Actual harm · G May 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 30, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 30, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 31, 2025 · Nutrition and Dietary
-
Actual harm · G May 8, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Actual harm · G May 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 9, 2025 · Quality of Life and Care
-
Actual harm · G May 8, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 9, 2025 · Pharmacy Service
-
Potential for harm · D May 8, 2025 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected May 9, 2025 · Resident Assessment and Care Planning
-
Actual harm · G March 26, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 19, 2025 | Fine | $22,315 |
| September 30, 2025 | Fine | $29,100 |
| March 26, 2025 | Fine | $189,280 |
| March 26, 2025 | Payment Denial | 102 days |
| September 10, 2024 | Fine | $53,768 |
| September 10, 2024 | Payment Denial | 22 days |
| October 3, 2023 | Fine | $115,643 |
| October 3, 2023 | Payment Denial | 127 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145427 · certified since August 28, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.