Nexus at Alton

3523 Wickenhauser, Alton, IL 62002 · (618) 465-8887
For profit - Limited Liability company · 181 certified beds

Nexus at Alton has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2024, found 5 citations (the Illinois average is 12.6). It was fined 5 times in the last three years, $392,683 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 10, 2024 found 5 citations. What an inspection citation means

• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.May 10, 2024 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 10, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.May 10, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.May 10, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 10, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 72 citations.

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 10, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.June 29, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.June 29, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 21, 2026 · F0550 · Level of harm: Actual harm · Residents affected: Few
• 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.June 21, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.June 21, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.June 21, 2026 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 21, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.June 21, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 21, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.June 21, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Make sure that a working call system is available in each resident's bathroom and bathing area.June 21, 2026 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.May 29, 2026 · F0559 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 29, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.May 29, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 29, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.May 29, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 29, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.May 29, 2026 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 20, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure medication error rates are not 5 percent or greater.February 20, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.February 20, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 29, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep all essential equipment working safely.December 29, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.November 19, 2025 · F0755 · Level of harm: Actual harm · Residents affected: Few
• 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.September 30, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.September 30, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.September 30, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 30, 2025 · F0755 · Level of harm: Actual harm · Residents affected: Few
• 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.September 30, 2025 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.September 30, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 25, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 25, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 3, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.June 17, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 2, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 30, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.May 30, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.May 30, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide doctor's orders for the resident's immediate care at the time the resident was admitted.May 8, 2025 · F0635 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.May 8, 2025 · F0658 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 8, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.May 8, 2025 · F0760 · Level of harm: Actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 26, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 26, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 26, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.March 26, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 26, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.March 26, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 26, 2025 · F0755 · Level of harm: Actual harm · Residents affected: Few
• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.March 26, 2025 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 26, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 16, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 14, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.November 14, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 14, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.November 14, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide for the safe, appropriate administration of IV fluids for a resident when needed.November 14, 2024 · F0694 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Let each resident or the resident's legal representative access or purchase copies of all the resident's records.October 15, 2024 · F0573 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prepare residents for a safe transfer or discharge from the nursing home.October 15, 2024 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.September 24, 2024 · F0550 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.September 24, 2024 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.September 24, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.September 10, 2024 · F0745 · Level of harm: Actual harm · Residents affected: Few
• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.September 10, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Let each resident or the resident's legal representative access or purchase copies of all the resident's records.April 24, 2024 · F0573 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 28, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 9, 2024 · F0580 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 9, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 9, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.November 14, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 14, 2023 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few

Fines and payment denials

• Fine of $14,753November 19, 2025
• Fine of $19,239September 30, 2025
• Fine of $189,280March 26, 2025
• Fine of $53,768September 10, 2024
• Fine of $115,643October 3, 2023
• Medicare payment denial for 102 daysStarting April 24, 2025
• Medicare payment denial for 22 daysStarting October 9, 2024
• Medicare payment denial for 127 daysStarting November 2, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home