Nursing home report
Registered name: Nexus at Alton
ALTON, IL · Medicare-certified · 181 beds
Bria of Alton has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 2 stars for quality measures. It has reported nurse staffing of 4.28 hours per resident per day, slightly above the federal benchmark of 4.1, and has had $276,468 in fines in the last 24 months plus a recent abuse citation.
Health inspections
Staffing
4.2781 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2781.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2026 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2026 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
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.
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.
F-Tag 684 — 42 CFR §483.25 — S/S: G
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 7 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 3 health deficiencies.
Health inspection found 2 health deficiencies.
A federal fine of $14,505 was recorded.
A federal fine of $22,315 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $18,915 was recorded.
A federal fine of $29,100 was recorded.
A federal payment denial was recorded.
A federal fine of $189,280 was recorded.
A federal payment denial was recorded.
A federal fine of $53,768 was recorded.
On record with Medicare: 5 fines · $392,111 in total fines · 3 payment denials.
Federal fine
Nov 19, 2025
Federal fine
Sep 30, 2025
Medicare/Medicaid payment denial
Mar 26, 2025
Federal fine
Mar 26, 2025
Medicare/Medicaid payment denial
Sep 10, 2024
Federal fine
Sep 10, 2024
Medicare/Medicaid payment denial
Oct 3, 2023
Federal fine
Oct 3, 2023
Now operated by Bria of Alton LP, previously Alton Rehabilitation and Nursing Center, LLC.
The most recent standard health inspection was more than two years ago.
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.
