Starfile / Illinois

Nexus at Alton

3523 WICKENHAUSER, ALTON, IL 62002 · CCN 145427

Abuse icon

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$507,317

Number of fines

5

Number of penalties

9

Payment denials

4

Chain

Chain

BRIA HEALTH SERVICES

Facilities in chain

15

Chain avg overall

1.20 / 5

Inspection citations (94)1 immediate jeopardy24 actual harm

1. EF0584Honor 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.2025-12-29 · Health · corrected 2025-12-30

   Potential for more than minimal harm

2. EF0908Keep all essential equipment working safely.2025-12-29 · Health · corrected 2025-12-30

   Potential for more than minimal harm

3. GF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-19 · Health · corrected 2025-11-20

   Actual harm

4. DF0584Honor 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 · Health · corrected 2025-12-30

   Potential for more than minimal harm

5. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-09-30 · Health · corrected 2025-10-01

   Potential for more than minimal harm

6. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-30 · Health · corrected 2025-10-01

   Potential for more than minimal harm

7. GF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-30 · Health · corrected 2025-10-01

   Actual harm

8. EF0808Ensure 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 · Health · corrected 2025-10-01

   Potential for more than minimal harm

9. DF0880Provide and implement an infection prevention and control program.2025-09-30 · Health · corrected 2025-10-01

   Potential for more than minimal harm

10. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-25 · Health · corrected 2025-08-04

    Potential for more than minimal harm

11. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-25 · Health · corrected 2025-08-04

    Potential for more than minimal harm

12. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-03 · Health · corrected 2025-08-04

    Actual harm

13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-17 · Health · corrected 2025-06-18

    Potential for more than minimal harm

14. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-02 · Health · corrected 2025-06-02

    Potential for more than minimal harm

15. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-30 · Health · corrected 2025-06-18

    Actual harm

16. DF0610Respond appropriately to all alleged violations.2025-05-30 · Health · corrected 2025-05-31

    Potential for more than minimal harm

17. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-05-30 · Health · corrected 2025-05-31

    Potential for more than minimal harm

18. DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2025-05-08 · Health · corrected 2025-05-09

    Potential for more than minimal harm

19. GF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-08 · Health · corrected 2025-05-09

    Actual harm

20. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-08 · Health · corrected 2025-05-09

    Actual harm

21. GF0760Ensure that residents are free from significant medication errors.2025-05-08 · Health · corrected 2025-05-09

    Actual harm

22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-26 · Health · corrected 2025-05-02

    Potential for more than minimal harm

23. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-26 · Health · corrected 2025-05-01

    Actual harm

24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-26 · Health · corrected 2025-05-01

    Potential for more than minimal harm

25. DF0610Respond appropriately to all alleged violations.2025-03-26 · Health · corrected 2025-05-01

    Potential for more than minimal harm

26. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-26 · Health · corrected 2025-05-01

    Actual harm

27. GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-26 · Health · corrected 2025-05-01

    Actual harm

28. GF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-26 · Health · corrected 2025-05-01

    Actual harm

29. DF0758Implement 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.2025-03-26 · Health · corrected 2025-05-01

    Potential for more than minimal harm

30. EF0809Ensure 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 · Health · corrected 2025-05-01

    Potential for more than minimal harm

31. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-16 · Health · corrected 2025-01-28

    Potential for more than minimal harm

32. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-14 · Health · corrected 2024-11-19

    Potential for more than minimal harm

33. DF0610Respond appropriately to all alleged violations.2024-11-14 · Health · corrected 2024-11-19

    Potential for more than minimal harm

34. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-14 · Health · corrected 2024-11-19

    Potential for more than minimal harm

35. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-14 · Health · corrected 2024-11-19

    Potential for more than minimal harm

36. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-11-14 · Health · corrected 2024-11-19

    Potential for more than minimal harm

37. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-10-15 · Health · corrected 2024-10-16

    Potential for more than minimal harm

38. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-10-15 · Health · corrected 2024-10-31

    Potential for more than minimal harm

39. GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-24 · Health · corrected 2024-10-08

    Actual harm

40. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-09-24 · Health · corrected 2024-10-08

    Potential for more than minimal harm

41. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-24 · Health · corrected 2024-10-08

    Potential for more than minimal harm

42. GF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-09-10 · Health · corrected 2024-09-26

    Actual harm

43. EF0803Ensure 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.2024-09-10 · Health · corrected 2024-09-26

    Potential for more than minimal harm

44. EF0578Honor 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 · Health · corrected 2024-05-17

    Potential for more than minimal harm

45. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-10 · Health · corrected 2024-05-17

    Potential for more than minimal harm

46. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-05-10 · Health · corrected 2024-05-17

    Potential for more than minimal harm

47. EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-05-10 · Health · corrected 2024-05-17

    Potential for more than minimal harm

48. EF0880Provide and implement an infection prevention and control program.2024-05-10 · Health · corrected 2024-05-17

    Potential for more than minimal harm

49. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-04-24 · Health · corrected 2024-05-05

    Potential for more than minimal harm

50. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-28 · Health · corrected 2024-03-08

    Potential for more than minimal harm

51. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-09 · Health · corrected 2024-02-10

    Actual harm

52. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-09 · Health · corrected 2024-02-10

    Actual harm

53. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-09 · Health · corrected 2024-02-10

    Actual harm

54. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-14 · Health · corrected 2023-11-22

    Potential for more than minimal harm

55. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-14 · Health · corrected 2023-12-17

    Immediate jeopardy

56. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-03 · Health · corrected 2024-03-08

    Actual harm

57. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-03 · Health · corrected 2024-01-19

    Potential for more than minimal harm

58. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-03 · Health · corrected 2023-10-06

    Potential for more than minimal harm

59. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-03 · Health · corrected 2023-10-10

    Potential for more than minimal harm

60. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-30 · Health · corrected 2023-07-10

    Actual harm

61. DF0610Respond appropriately to all alleged violations.2023-06-30 · Health · corrected 2023-07-10

    Potential for more than minimal harm

62. GF0660Plan the resident's discharge to meet the resident's goals and needs.2023-06-30 · Health · corrected 2023-07-10

    Actual harm

63. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-06-30 · Health · corrected 2023-07-10

    Potential for more than minimal harm

64. FF0727Have 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.2023-06-30 · Health · corrected 2023-07-10

    Potential for more than minimal harm

65. GF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-06-30 · Health · corrected 2023-07-10

    Actual harm

66. DF0760Ensure that residents are free from significant medication errors.2023-06-30 · Health · corrected 2023-07-10

    Potential for more than minimal harm

67. GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-06 · Health · corrected 2023-07-06

    Actual harm

68. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-06 · Health · corrected 2023-07-06

    Potential for more than minimal harm

69. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-06 · Health · corrected 2023-07-06

    Potential for more than minimal harm

70. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-06 · Health · corrected 2023-07-06

    Potential for more than minimal harm

71. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-06-06 · Health · corrected 2023-07-06

    Potential for more than minimal harm

72. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-20 · Health · corrected 2023-05-03

    Actual harm

73. FF0727Have 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.2023-04-20 · Health · corrected 2023-04-24

    Potential for more than minimal harm

74. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-06 · Health · corrected 2023-04-13

    Potential for more than minimal harm

75. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-06 · Health · corrected 2023-04-13

    Potential for more than minimal harm

76. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-06 · Health · corrected 2023-04-13

    Potential for more than minimal harm

77. DF0693Ensure 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.2023-04-06 · Health · corrected 2023-04-13

    Potential for more than minimal harm

78. FF0761Ensure 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.2023-04-06 · Health · corrected 2023-04-13

    Potential for more than minimal harm

79. EF0880Provide and implement an infection prevention and control program.2023-04-06 · Health · corrected 2023-04-13

    Potential for more than minimal harm

80. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-01 · Health · corrected 2023-03-18

    Actual harm

81. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-01 · Health · corrected 2023-03-18

    Potential for more than minimal harm

82. GF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2023-03-01 · Health · corrected 2023-03-18

    Actual harm

83. CF0575Post 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.2022-01-11 · Health · corrected 2022-01-28

    Potential for minimal harm

84. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

85. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

86. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

87. FF0727Have 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.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

88. DF0759Ensure medication error rates are not 5 percent or greater.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

89. EF0761Ensure 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.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

90. EF0803Ensure 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.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

91. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

92. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

93. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

94. FF0880Provide and implement an infection prevention and control program.2022-01-11 · Health · corrected 2022-01-28

    Potential for more than minimal harm

Ownership

Other facilities in ALTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.