Nexus at Columbia

253 Bradington Drive · Columbia, IL · 62236 · 6182816800

119 certified beds For profit - Limited Liability company Chain: Bria Health Services

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $288,959 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

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.

$288,959 in federal fines in the last 24 months

4 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 27
Serious harm & abuse 20% 0
Staffing 20% 57
Federal penalties 15% 0
Trend 10% 79
Context 5% 75

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: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.533.48 min · 4.1 strong
RN hours / resident-day0.360.55–0.75
Weekend hours / resident-day2.99≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)6 · $342,708

Inspection citations (46 in the current record)

  • Immediate jeopardy · J April 30, 2026 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected May 1, 2026 · Quality of Life and Care

  • Potential for harm · D April 30, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 30, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G July 8, 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 July 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G April 24, 2025 · found via complaint

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

    Corrected May 5, 2025 · Resident Rights

  • Potential for harm · D February 20, 2025 · found via complaint

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

    Corrected February 21, 2025 · Resident Rights

  • Potential for harm · E February 20, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 21, 2025 · Quality of Life and Care

  • Potential for harm · D February 20, 2025 · found via complaint

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

    Corrected February 21, 2025 · Pharmacy Service

  • Potential for harm · E February 20, 2025 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 21, 2025 · Nutrition and Dietary

  • Immediate jeopardy · J January 13, 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 January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 13, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 13, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 13, 2025 · found via complaint

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected January 17, 2025 · Nursing and Physician Services

  • Potential for harm · E October 25, 2024

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

    Corrected November 7, 2024 · Resident Rights

  • Potential for harm · D October 25, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 7, 2024 · Quality of Life and Care

  • Potential for harm · D October 25, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 7, 2024 · Pharmacy Service

  • Potential for harm · F October 25, 2024

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected November 7, 2024 · Nutrition and Dietary

  • Potential for harm · F October 25, 2024

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

    Corrected November 7, 2024 · Nutrition and Dietary

  • Actual harm · G August 14, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 26, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 1, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected August 12, 2024 · Environmental

  • Potential for harm · F July 17, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 29, 2024 · Infection Control

  • Potential for harm · D July 17, 2024 · found via complaint

    Report COVID19 data to residents and families.

    Corrected July 29, 2024 · Infection Control

  • Potential for harm · E June 28, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 12, 2024 · Pharmacy Service

  • Potential for harm · E May 24, 2024 · 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 May 27, 2024 · Resident Rights

  • Potential for harm · E May 24, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 27, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 8, 2025Fine$24,421
April 24, 2025Fine$21,255
December 18, 2024Fine$220,695
December 18, 2024Payment Denial2 days
August 14, 2024Fine$22,588
December 14, 2023Fine$11,180
August 14, 2023Fine$42,569
August 14, 2023Payment Denial1 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 145717 · certified since February 6, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.