Nexus at Alton
Nursing home in Alton, IL
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 3523 Wickenhauser, Alton, IL 62002
- Phone
- (618) 465-8887
- Listed under
- For-profit
- Medicare CCN
- 145427
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 181
- Average residents per day
- 75
- Ownership
- For-profit, limited Liability company
- Legal business name
- Legal Business Name Not Available
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Aug 28, 1981
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: May 10, 2024. CMS lists 98 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 11, 2022 to Jun 29, 2026): 75 from complaint inspections, 22 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 29, 2026 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Jun 29, 2026 | Provide and implement an infection prevention and control program. | D |
| Jun 21, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Jun 21, 2026 | 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. | E |
| Jun 21, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| Jun 21, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| Jun 21, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| Jun 21, 2026 | 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. | F |
| Jun 21, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F |
| Jun 21, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G |
| Jun 21, 2026 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| May 29, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
Fines and payment denials
CMS records 5 fines totalling $392,111 and 3 denials of Medicare payment for new admissions in the last three years.
| Nov 19, 2025 | Fine: $14,505 |
| Sep 30, 2025 | Fine: $18,915 |
| Mar 26, 2025 | Fine: $189,280 |
| Mar 26, 2025 | Payment denial for 102 days from Apr 24, 2025 |
| Sep 10, 2024 | Fine: $53,768 |
| Sep 10, 2024 | Payment denial for 22 days from Oct 9, 2024 |
| Oct 3, 2023 | Fine: $115,643 |
| Oct 3, 2023 | Payment denial for 127 days from Nov 2, 2023 |
Staffing
- Total nurse staffing per resident per day
- 4.28 hours
- Registered nurse (RN) time per resident per day
- 0.58 hours
- Nurse aide time per resident per day
- 2.52 hours
- Total nurse staffing on weekends
- 3.43 hours
- Nursing staff turnover (yearly)
- 82%
- RN turnover (yearly)
- 67%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.