CareSentinel

Federal Nursing-Home Survey Record

Nexus at Alton

CCN 145427 · 3523 WICKENHAUSER, ALTON, IL, 62002 · Operated within the BRIA HEALTH SERVICES chain

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does Nexus at Alton have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Nexus at Alton (CCN 145427), in ALTON, IL, has federal inspection findings on its record. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related). In its current inspection cycle, CMS cited the facility for 29 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2024-05-10. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $427,789 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS has flagged this facility with its federal abuse icon.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Federal Abuse Icon

Federal abuse icon on file

CMS displays its abuse icon for facilities it has cited for resident abuse under its own published methodology (deficiency tag F600 and related). This is the government's own flag, restated here.

F600 — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$427,789

CMS has $427,789 in civil money penalties on file against this facility. CMS also records 253 day(s) of payment denial.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 2.5

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-02-20
CURRENT CYCLE
F584S/S E

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.

2026-02-20
CURRENT CYCLE
F804S/S D

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2026-02-20
CURRENT CYCLE
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2025-12-29
CURRENT CYCLE
F908S/S E

Keep all essential equipment working safely.

2025-12-29
CURRENT CYCLE
F584S/S E

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.

2025-11-19
CURRENT CYCLE
F755S/S G

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-09-30
CURRENT CYCLE
F755S/S G

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-09-30
CURRENT CYCLE
F808S/S E

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.

2025-09-30
CURRENT CYCLE
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2025-09-30
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-09-30
CURRENT CYCLE
F584S/S D

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.

2025-09-30
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2025-07-25
CURRENT CYCLE
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-07-25
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-07-03
CURRENT CYCLE
F684S/S G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-06-17
CURRENT CYCLE
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-06-02
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-05-30
CURRENT CYCLE
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-05-30
CURRENT CYCLE
F805S/S E

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

2025-05-30
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-05-08
CURRENT CYCLE
F684S/S G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-05-08
CURRENT CYCLE
F760S/S G

Ensure that residents are free from significant medication errors.

2025-05-08
CURRENT CYCLE
F658S/S G

Ensure services provided by the nursing facility meet professional standards of quality.

2025-05-08
CURRENT CYCLE
F635S/S D

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

2025-03-26
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-03-26
HISTORICAL
F684S/S G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-03-26
HISTORICAL
F697S/S G

Provide safe, appropriate pain management for a resident who requires such services.

2025-03-26
HISTORICAL
F755S/S G

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-03-26
HISTORICAL
F809S/S E

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.

2025-03-26
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-03-26
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2025-03-26
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-03-26
HISTORICAL
F758S/S D

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.

2025-01-16
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-11-14
HISTORICAL
F694S/S D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

2024-11-14
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2024-11-14
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-11-14
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-11-14
HISTORICAL
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2024-10-15
HISTORICAL
F573S/S D

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

2024-10-15
HISTORICAL
F624S/S D

Prepare residents for a safe transfer or discharge from the nursing home.

2024-09-24
HISTORICAL
F550S/S G

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-09-24
HISTORICAL
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2024-09-24
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-09-10
HISTORICAL
F745S/S G

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2024-09-10
HISTORICAL
F803S/S E

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.

2024-05-10
CURRENT CYCLE
F578S/S E

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.

2024-05-10
CURRENT CYCLE
F806S/S E

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2024-05-10
CURRENT CYCLE
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2024-05-10
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2024-05-10
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-04-24
HISTORICAL
F573S/S D

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

2024-02-28
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-02-09
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-02-09
HISTORICAL
F580S/S G

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-02-09
HISTORICAL
F684S/S G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-11-14
HISTORICAL
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-11-14
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2023-10-03
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-10-03
HISTORICAL
F725S/S F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Nexus at Alton?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…