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Nursing home report

Nexus at Alton

ALTON, IL · Medicare-certified · 181 beds

Needs attention
Abuse citationFor-profitChain member
1 of 5 overall

1 out of 5 stars overall. Nexus at Alton has a 1-star health inspection and staffing rating, 2-star quality measures, reported nurse staffing above the federal benchmark (4.45 vs 4.1 hours/resident/day), $272,148 in fines in the last 24 months, and a recent abuse citation.

Facility ratings

Health inspections

Staffing

4.4542 hrs/resident/day

Quality measures

Last inspection: February 20, 2026Penalties, last 24 months: $272,148recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4542.

Staffing detail

Registered nurses
0.54
Licensed practical nurses
1.13
Nurse aides
2.79
Weekend nursing
3.60

Hours per resident per day.

Total staff turnover: 82%
Registered nurse turnover: 73%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

15.5%Improving

Residents with a fall causing major injury

2.6%Steady

Residents with pressure ulcers (bedsores)

6%Improving

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

4.2%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

5.3%Worsening

Residents whose ability to walk got worse

3.4%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

21.8%Steady

Short-stay residents newly given an antipsychotic

2%Worsening

Residents with a long-term catheter

0.9%Worsening

Residents with new or worsening incontinence

12.6%Improving

Residents with depressive symptoms

85.9%Worsening

Long-stay residents given the seasonal flu vaccine

67.4%Steady

Long-stay residents given the pneumonia vaccine

61.4%Worsening

Short-stay residents given the seasonal flu vaccine

5.1%Steady

Short-stay residents given the pneumonia vaccine

8.6%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited November 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: G

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The nursing home failed to protect residents from abuse and neglect by others. Cited May 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

The nursing home failed to provide services that met professional standards of quality. Cited May 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $29,100 was recorded.

  6. PENALTY

    A federal payment denial was recorded.

  7. PENALTY

    A federal fine of $189,280 was recorded.

  8. PENALTY

    A federal payment denial was recorded.

  9. PENALTY

    A federal fine of $53,768 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $427,789 in total fines · 4 payment denials.

  • Federal fine

    Sep 30, 2025

    $29,100
  • Medicare/Medicaid payment denial

    Mar 26, 2025

    102 days
  • Federal fine

    Mar 26, 2025

    $189,280
  • Medicare/Medicaid payment denial

    Sep 10, 2024

    22 days
  • Federal fine

    Sep 10, 2024

    $53,768
  • Medicare/Medicaid payment denial

    Oct 3, 2023

    127 days
  • Federal fine

    Oct 3, 2023

    $115,643
  • Medicare/Medicaid payment denial

    Jun 6, 2023

    2 days

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of BRIA HEALTH SERVICES · 15 homes · 1.3 stars avg
Occupancy
75.5 residents on an average day (42% of 181 beds)
Resident voice
Resident council
Medicare history
Certified for 44 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.