Elder Care Record

Illinois › Madison County › Alton

Nexus At Alton

3523 Wickenhauser, Alton, IL 62002

CCN 145427 · For-profit, limited liability company · 181 certified beds

CMS abuse iconNo standard inspection in 2+ years
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 181 beds, Nexus At Alton serves Alton in Madison County, Illinois and has taken Medicare and Medicaid residents since 1981.

CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 1 and quality measures 2.

Inspectors recorded 98 health deficiencies across the three most recent survey cycles (35, 40, 23 by cycle, most recent first), 22 of them at the actual-harm or immediate-jeopardy level. That is 54.1 per 100 beds, more than the state median of 28.4.

CMS lists 8 penalties in the period covered: fines totalling $392K and 3 payment denials.

Reported nurse staffing is 4.3 hours per resident per day (0.6 RN), above the Illinois median of 3.3; nursing staff turnover is 81.5%.

CMS flags that the facility carries the CMS abuse icon and has not had a standard health inspection in more than two years.

98health deficiencies, 3 survey cycles22 at actual harm or worse
$392Kfines listed by CMS8 penalties in period
4.3nurse hours per resident per daystate median 3.3
42%occupancy (residents ÷ beds)75 residents a day

Compared with county, state and nation

MeasureThis facilityMadison Co. medianIllinois medianUS average
Overall star rating1123.0
Health citations, 3 cycles98383428.7
Citations per 100 beds54.134.228.426.8
Total nurse hours per resident day4.33.23.33.9
RN hours per resident day0.60.40.60.7
Nursing staff turnover81.5%66.7%43.4%45.8%
Fines listed$392,111$85,546$45,123—

County and state figures are medians across facilities (17 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)35
Cycle 240
Cycle 323

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 May 2024, 6 Apr 2023.

Severity mix: J ×1 G ×21 D ×41 E ×26 F ×8 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
29 Jun 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigationDeficient, Provider has no plan of correction
29 Jun 2026F0880Provide and implement an infection prevention and control program.DComplaint investigationDeficient, Provider has no plan of correction
21 Jun 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GComplaint investigationDeficient, Provider has no plan of correction
21 Jun 2026F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigationDeficient, Provider has no plan of correction
21 Jun 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigationDeficient, Provider has no plan of correction
21 Jun 2026F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FComplaint investigationDeficient, Provider has no plan of correction
21 Jun 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint investigationDeficient, Provider has no plan of correction
21 Jun 2026F0584Honor 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.EComplaint investigationDeficient, Provider has no plan of correction
21 Jun 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigationDeficient, Provider has no plan of correction
21 Jun 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigationDeficient, Provider has no plan of correction
21 Jun 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigationDeficient, Provider has no plan of correction
29 May 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation23 Jun 2026
29 May 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation23 Jun 2026
29 May 2026F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.EComplaint investigation23 Jun 2026
29 May 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation23 Jun 2026
29 May 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation23 Jun 2026
29 May 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation23 Jun 2026
29 May 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation23 Jun 2026
20 Feb 2026F0584Honor 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.EComplaint investigation24 Feb 2026
20 Feb 2026F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation24 Feb 2026
20 Feb 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation25 Feb 2026
29 Dec 2025F0584Honor 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.EComplaint investigation30 Dec 2025
29 Dec 2025F0908Keep all essential equipment working safely.EComplaint investigation30 Dec 2025
19 Nov 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.GComplaint investigation20 Nov 2025
30 Sep 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.GComplaint investigation1 Oct 2025
30 Sep 2025F0808Ensure 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.EComplaint investigation1 Oct 2025
30 Sep 2025F0584Honor 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.DComplaint investigation30 Dec 2025
30 Sep 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation1 Oct 2025
30 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation1 Oct 2025
30 Sep 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation1 Oct 2025
25 Jul 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation4 Aug 2025
25 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation4 Aug 2025
3 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation4 Aug 2025
17 Jun 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation18 Jun 2025
2 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation2 Jun 2025
30 May 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation18 Jun 2025
30 May 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EComplaint investigation31 May 2025
30 May 2025F0610Respond appropriately to all alleged violations.DComplaint investigation31 May 2025
8 May 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.GComplaint investigation9 May 2025
8 May 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation9 May 2025
8 May 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation9 May 2025
8 May 2025F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DComplaint investigation9 May 2025
26 Mar 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation1 May 2025
26 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation1 May 2025
26 Mar 2025F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation1 May 2025
26 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.GComplaint investigation1 May 2025
26 Mar 2025F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EComplaint investigation1 May 2025
26 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation2 May 2025
26 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation1 May 2025
26 Mar 2025F0610Respond appropriately to all alleged violations.DComplaint investigation1 May 2025
26 Mar 2025F0758Implement 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.DComplaint investigation1 May 2025
16 Jan 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation28 Jan 2025
14 Nov 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Nov 2024
14 Nov 2024F0610Respond appropriately to all alleged violations.DComplaint investigation19 Nov 2024
14 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Nov 2024
14 Nov 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation19 Nov 2024
14 Nov 2024F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation19 Nov 2024
15 Oct 2024F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint investigation16 Oct 2024
15 Oct 2024F0624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint investigation31 Oct 2024
24 Sep 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GComplaint investigation8 Oct 2024
24 Sep 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation8 Oct 2024
24 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation8 Oct 2024
10 Sep 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.GComplaint investigation26 Sep 2024
10 Sep 2024F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint investigation26 Sep 2024
10 May 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard survey17 May 2024
10 May 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey17 May 2024
10 May 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard survey17 May 2024
10 May 2024F0880Provide and implement an infection prevention and control program.EStandard survey17 May 2024
10 May 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey17 May 2024
24 Apr 2024F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint investigation5 May 2024
28 Feb 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation8 Mar 2024
9 Feb 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint investigation10 Feb 2024
9 Feb 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation10 Feb 2024
9 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation10 Feb 2024
14 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation17 Dec 2023
14 Nov 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation22 Nov 2023
3 Oct 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation8 Mar 2024
3 Oct 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation6 Oct 2023
3 Oct 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation10 Oct 2023
3 Oct 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Jan 2024
6 Apr 2023F0761Ensure 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.FStandard survey13 Apr 2023
6 Apr 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey13 Apr 2023
6 Apr 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey13 Apr 2023
6 Apr 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey13 Apr 2023
6 Apr 2023F0880Provide and implement an infection prevention and control program.EStandard survey13 Apr 2023
6 Apr 2023F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey13 Apr 2023
11 Jan 2022F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey28 Jan 2022
11 Jan 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey28 Jan 2022
11 Jan 2022F0880Provide and implement an infection prevention and control program.FStandard survey28 Jan 2022
11 Jan 2022F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey28 Jan 2022
11 Jan 2022F0761Ensure 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.EStandard survey28 Jan 2022
11 Jan 2022F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey28 Jan 2022
11 Jan 2022F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey28 Jan 2022
11 Jan 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 Jan 2022
11 Jan 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey28 Jan 2022
11 Jan 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey28 Jan 2022
11 Jan 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey28 Jan 2022
11 Jan 2022F0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.CStandard survey28 Jan 2022

Penalties

DateTypeAmountDetail
19 Nov 2025Fine$14,505
30 Sep 2025Fine$18,915
26 Mar 2025Payment denial—102 days
26 Mar 2025Fine$189,280
10 Sep 2024Payment denial—22 days
10 Sep 2024Fine$53,768
3 Oct 2023Payment denial—127 days
3 Oct 2023Fine$115,643

Staffing

Total nursing4.28 h
Nurse aides2.52 h
LPN1.18 h
RN0.58 h
Weekend total3.43 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 81.5%, RNs 66.7%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIllinois medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.3%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.5%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.1%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.2%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.8%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.4%17.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Madison County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Eden Village Care CenterGlen Carbon107545109.3—6 Feb 2025
Manor Court of MaryvilleMaryville1325531813.6—8 Jul 2025
Meridian Village Care CenterGlen Carbon70555710.0—22 Nov 2024
Alhambra Rehab & HealthcareAlhambra574511322.8—2 Aug 2024
Alton Memorial Rehab & TherapyAlton644442437.5$16K6 Jan 2026
Evercare of Granite CityGranite City863412124.4$33K8 Dec 2025
Hitz Memorial HomeAlhambra593341423.7$76K12 Mar 2026
Bria of GodfreyGodfrey682314160.3$210K5 May 2026

All 17 facilities in Madison County

Questions and answers

How many deficiencies has Nexus At Alton been cited for?

98 health deficiencies across the three most recent survey cycles, 22 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Nexus At Alton been fined?

Yes. CMS lists fines totalling $392K in the period covered, plus 3 payment denials.

How does staffing at Nexus At Alton compare?

Reported total nurse staffing is 4.3 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates Nexus At Alton?

Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Nexus At Alton last inspected?

The most recent survey or investigation in the CMS record is dated 29 Jun 2026; the most recent standard health survey was 10 May 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.