Nexus at Alton

CMS abuse icon · Madison · IL · For profit - Limited Liability company · 181 certified beds · CCN 145427


Nexus at Alton operates 181 certified beds in ALTON, Illinois. Its Medicare and Medicaid certification dates to 1981-08-28. It averages 75.3 residents a day.

What harm was found in the violations cited at Nexus at Alton?

CMS lists 98 health-inspection deficiencies for Nexus at Alton since 2022-01-11, 80 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-29.

Survey dateTagDeficiencySeverity
2026-06-29F0695, F0880Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program.D
2026-06-21F0550, F0697Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide safe, appropriate pain management for a resident who requires such services.G
2026-06-21F0725, F0727, F0804Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F
2026-06-21F0584, F0755, F0919Honor 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2026-06-21F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-05-29F0600, F0686Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2026-05-29F0559, F0677Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Provide care and assistance to perform activities of daily living for any resident who is unable.E
2026-05-29F0607, F0609, F0919Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2026-02-20F0584Honor 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
2026-02-20F0759, F0804Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2025-12-29F0584, F0908Honor 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. / Keep all essential equipment working safely.E
2025-11-19F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G
2025-09-30F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G
2025-09-30F0808Ensure 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.E
2025-09-30F0584, F0690, F0695, F0880Honor 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program.D
2025-07-25F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-07-25F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-07-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2025-06-17F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-06-02F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-05-30F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-05-30F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E
2025-05-30F0610Respond appropriately to all alleged violations.D
2025-05-08F0658, F0684, F0760Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors.G
2025-05-08F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D
2025-03-26F0600, F0684, F0697, F0755Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G
2025-03-26F0809Ensure 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.E
2025-03-26F0580, F0609, F0610, F0758Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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.D
2025-01-16F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-11-14F0609, F0610, F0684, F0686, F0694Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide for the safe, appropriate administration of IV fluids for a resident when needed.D
2024-10-15F0573, F0624Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Prepare residents for a safe transfer or discharge from the nursing home.D
2024-09-24F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G
2024-09-24F0552, F0695Ensure that residents are fully informed and understand their health status, care and treatments. / Provide safe and appropriate respiratory care for a resident when needed.D
2024-09-10F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.G
2024-09-10F0803Ensure 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.E
2024-05-10F0578, F0804, F0806, F0880Honor 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program.E
2024-05-10F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-04-24F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D
2024-02-28F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-02-09F0580, F0684, F0689Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-11-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-11-14F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-10-03F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2023-10-03F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2023-10-03F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2023-10-03F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-04-06F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.F
2023-04-06F0677, F0689, F0690, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program.E
2023-04-06F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D
2022-01-11F0727, F0812, F0880Have 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2022-01-11F0695, F0761, F0803, F0804Provide safe and appropriate respiratory care for a resident when needed. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2022-01-11F0689, F0698, F0759, F0842Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2022-01-11F0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.C

Why was Nexus at Alton fined 5 times?

DateTypeAmount
2025-11-19Fine$14,505
2025-09-30Fine$18,915
2025-03-26Fine$189,280
2024-09-10Fine$53,768
2023-10-03Fine$115,643

Has Nexus at Alton had payment denied by Medicare more than once?

Payment denial startLength in days
2025-04-24102
2024-10-0922
2023-11-02127

How is Nexus at Alton staffed?

MeasureThis facilityIL average
Total nurse staffing hours per resident per day4.278123.44603
Total nursing staff turnover (%)81.544.5
Average number of residents per day75.395.4

Who owns Nexus at Alton?

Nexus at Alton is registered with CMS as For profit - Limited Liability company.

Were you or a family member harmed at Nexus at Alton?