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.
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.
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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.
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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.
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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
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $29,100 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $189,280 was recorded.
PENALTY
A federal payment denial was recorded.
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.