Nexus at Alton

Nursing Home · Alton, IL

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number145427
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

3523 Wickenhauser
Alton, IL 62002
Madison County
Phone
(618) 465-8887
ZIP code
62002 – all care providers

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Facility details

Certified beds
181
Residents per day
75.3 (42% occupied)
Ownership
For profit - Limited Liability company
Legal name
Legal Business Name Not Available
Medicare certified since
August 28, 1981
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 1/5
State avg 2.7
Staffing★★★★★ 1/5
State avg 2.1
Quality measures★★★★★ 2/5
State avg 3.0
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.28 (state 3.45 · U.S. 3.86)
Registered nurses (RN)
0.58 (state 0.72 · U.S. 0.69)
Licensed practical nurses
1.18 (state 0.64 · U.S. 0.86)
Nurse aides
2.52 (state 2.09 · U.S. 2.32)
Weekend total
3.43 (state 3.08 · U.S. 3.42)
Nursing staff turnover
81.5 (state 44.5 · U.S. 45.8)%
RN turnover
66.7 (state 41.8 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
May 10, 2024
Health deficiencies (last cycle)
35.0 (state 12.5 · U.S. 9.3)
From complaints
30
Citations on record (3 years)
78 health · 2 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-29 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-21 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
G
Actual harm
Deficient, Provider has no plan of correction
2026-06-21 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Deficient, Provider has no plan of correction
2026-06-21 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-21 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-21 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-21 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-21 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-21 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-06-21 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-05-29 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-06-23
2026-05-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-06-23
2026-05-29 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
F0559 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-23
2026-05-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-23
2026-05-29 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-23
2026-05-29 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-23
2026-05-29 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-23
2026-02-20 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-24
2026-02-20 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-24
2026-02-20 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-25
2025-12-29 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-30
2025-12-29 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-30
2025-11-19 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-11-20
2025-09-30 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-10-01
2025-09-30 Ensure 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.
F0808 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-01
2025-09-30 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.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-30
2025-09-30 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-01
2025-09-30 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-01
2025-09-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-01
2025-07-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-04
2025-07-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-04
2025-07-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-08-04
2025-06-17 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-18
2025-06-02 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-02
2025-05-30 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-06-18
2025-05-30 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-31
2025-05-30 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-31
2025-05-08 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-05-09
2025-05-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-05-09
2025-05-08 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-05-09
2025-05-08 Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
F0635 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-03-26 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-05-01
2025-03-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-05-01
2025-03-26 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-05-01
2025-03-26 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-05-01
2025-03-26 Ensure 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.
F0809 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2025-03-26 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-03-26 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-01
2025-03-26 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

8 penalties in the last three years, including $392,111 in fines.

DateTypeAmount
2025-11-19Fine$14,505
2025-09-30Fine$18,915
2025-03-26Payment Denial102 days payment denial
2025-03-26Fine$189,280
2024-09-10Payment Denial22 days payment denial
2024-09-10Fine$53,768
2023-10-03Payment Denial127 days payment denial
2023-10-03Fine$115,643

Ownership & management

NameRoleSince
Ownership Data Not Available

Frequently asked questions

What is the rating of Nexus at Alton?

Nexus at Alton has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.

How many beds does Nexus at Alton have?

It has 181 certified beds and cares for about 75 residents per day.

Has Nexus at Alton been fined?

Yes. CMS lists 8 penalties totaling $392,111 in the last three years.

What is the phone number of Nexus at Alton?

(618) 465-8887. The facility is located at 3523 Wickenhauser, Alton, IL 62002.

Other nursing homes in Alton

Compare all nursing homes in Alton, IL →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.