Illinois › Monroe County › Columbia
Nexus At Columbia
253 Bradington Drive, Columbia, IL 62236
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.
Nexus At Columbia is a For-profit, limited liability company nursing home in Columbia, Illinois, certified for 119 beds and caring for about 104 residents a day.
CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 2, staffing 1 and quality measures 2.
Inspectors recorded 46 health deficiencies across the three most recent survey cycles (8, 13, 25 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 38.7 per 100 beds, more than the state median of 28.4.
CMS lists 7 penalties in the period covered: fines totalling $339K and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (0.3 RN), close to the Illinois median of 3.3; nursing staff turnover is 51.5%.
Compared with county, state and nation
| Measure | This facility | Monroe Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 46 | 46 | 34 | 28.7 |
| Citations per 100 beds | 38.7 | 38.7 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.8 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | 51.5% | 81.2% | 43.4% | 45.8% |
| Fines listed | $338,854 | $338,854 | $45,123 | — |
County and state figures are medians across facilities (2 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Oct 2024, 1 Sep 2023.
Severity mix: J ×3 G ×6 D ×21 E ×10 F ×5 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 1 May 2026 |
| 30 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 May 2026 |
| 30 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 May 2026 |
| 8 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 9 Jul 2025 |
| 24 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint investigation | 5 May 2025 |
| 20 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 21 Feb 2025 |
| 20 Feb 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 21 Feb 2025 |
| 20 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 21 Feb 2025 |
| 20 Feb 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 21 Feb 2025 |
| 13 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 17 Jan 2025 |
| 13 Jan 2025 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint investigation | 17 Jan 2025 |
| 13 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Jan 2025 |
| 13 Jan 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Jan 2025 |
| 25 Oct 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Standard survey | 7 Nov 2024 |
| 25 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Nov 2024 |
| 25 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 7 Nov 2024 |
| 25 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Nov 2024 |
| 25 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 7 Nov 2024 |
| 14 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 26 Aug 2024 |
| 1 Aug 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 12 Aug 2024 |
| 17 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 29 Jul 2024 |
| 17 Jul 2024 | F0885 | Report COVID19 data to residents and families. | D | Complaint investigation | 29 Jul 2024 |
| 28 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 12 Jul 2024 |
| 24 May 2024 | F0584 | 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. | E | Complaint investigation | 27 May 2024 |
| 24 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 27 May 2024 |
| 3 May 2024 | F0727 | Have 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. | F | Complaint investigation | 4 May 2024 |
| 3 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 May 2024 |
| 19 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 23 Apr 2024 |
| 19 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 23 Apr 2024 |
| 19 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 23 Apr 2024 |
| 24 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 25 Jan 2024 |
| 24 Jan 2024 | F0814 | Dispose of garbage and refuse properly. | C | Complaint investigation | 25 Jan 2024 |
| 12 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 Jan 2024 |
| 5 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 6 Jan 2024 |
| 14 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 Jan 2024 |
| 1 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 2 Sep 2023 |
| 23 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | Complaint investigation | 24 Aug 2023 |
| 23 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 2 Sep 2023 |
| 23 Aug 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 24 Aug 2023 |
| 14 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Aug 2023 |
| 18 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 3 Feb 2023 |
| 18 Nov 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 19 Nov 2022 |
| 18 Nov 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 19 Nov 2022 |
| 18 Nov 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 19 Nov 2022 |
| 18 Nov 2022 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 19 Nov 2022 |
| 18 Nov 2022 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 19 Nov 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Apr 2026 | Fine | $38,715 | |
| 8 Jul 2025 | Fine | $24,421 | |
| 24 Apr 2025 | Fine | $21,255 | |
| 18 Dec 2024 | Payment denial | — | 2 days |
| 18 Dec 2024 | Fine | $220,695 | |
| 14 Aug 2024 | Fine | $22,588 | |
| 14 Dec 2023 | Fine | $11,180 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 51.5%, RNs 69.2%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.6% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.4% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.5% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.5% | 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 Monroe County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accolade Healthcare of Waterloo | Waterloo | 144 | 4 | 4 | 2 | 8 | 5.6 | — | 25 Jul 2025 |
All 2 facilities in Monroe County
Questions and answers
How many deficiencies has Nexus At Columbia been cited for?
46 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Nexus At Columbia been fined?
Yes. CMS lists fines totalling $339K in the period covered, plus 1 payment denial.
How does staffing at Nexus At Columbia compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Nexus At Columbia?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Nexus At Columbia last inspected?
The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 25 Oct 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.