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Medicare-certifiedSkilled Nursing

Nexus at Alton

(618) 465-8887

About Nexus at Alton

Nexus at Alton brings specialized skilled nursing and rehabilitation care to families in Alton, Illinois who need medical oversight and recovery support. Our team focuses on helping residents regain independence through personalized treatment plans and compassionate daily care.

Community at a glance

Capacity

181 residents

Location

Alton, IL

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

3523 WICKENHAUSER, Alton, Illinois 62002

(618) 465-8887

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags Nexus at Alton for a citation related to abuse of residents in its recent inspections.
  • The most recent standard inspection is more than two years old, so these results may not reflect the home today.

At its most recent standard inspection, on May 10, 2024, state inspectors cited 36 health deficiencies (the Illinois average is 12.5).

Nurses and nurse aides spend 4 hours 17 minutes with each resident a day, above the Illinois average of 3 hours 27 minutes.

Medicare fined Nexus at Alton 4 times in the last three years, $277,040 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 17 minutesAbove the Illinois average
Registered nurse time per resident, per day35 minutesBelow the Illinois average
Nursing staff who left in the past year82%Above the Illinois average

2 administrators have left the home in the past year.

Inspections

77 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 10, 2026 · Complaint investigation · 1 citation

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

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it accepted

June 29, 2026 · Complaint investigation · 2 citations

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

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it accepted
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintPlan to fix it accepted
June 21, 2026 · Complaint investigation · 9 citations+
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Residents were harmed, a few residents (level G)Resident RightsFrom a complaintPlan to fix it accepted
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintPlan to fix it accepted
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintPlan to fix it accepted
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintPlan to fix it accepted
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintPlan to fix it accepted
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintPlan to fix it accepted
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it accepted
May 29, 2026 · Complaint investigation · 7 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it accepted
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintPlan to fix it accepted
  • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintPlan to fix it accepted
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintPlan to fix it accepted
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it accepted
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it accepted
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintPlan to fix it accepted
February 20, 2026 · Complaint investigation · 3 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 24, 2026
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 24, 2026
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Feb 25, 2026
December 29, 2025 · Complaint investigation · 2 citations+
  • Keep all essential equipment working safely.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Dec 30, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Dec 30, 2025
November 19, 2025 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Nov 20, 2025
September 30, 2025 · Complaint investigation · 6 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Oct 1, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Oct 1, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Oct 1, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 1, 2025
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 1, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 30, 2025
July 25, 2025 · Complaint investigation · 2 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Aug 4, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 4, 2025
July 3, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Aug 4, 2025
June 17, 2025 · Complaint investigation · 1 citation+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 18, 2025
June 2, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 2, 2025
May 30, 2025 · Complaint investigation · 3 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 18, 2025
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected May 31, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 31, 2025
May 8, 2025 · Complaint investigation · 4 citations+
  • Ensure that residents are free from significant medication errors.

    Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected May 9, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Residents were harmed, a few residents (level G)Resident Assessment and Care PlanningFrom a complaintCorrected May 9, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 9, 2025
  • Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 9, 2025
March 26, 2025 · Complaint investigation · 9 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 1, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 1, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected May 1, 2025
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 1, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected May 1, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 2, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 1, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 1, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 1, 2025
January 16, 2025 · Complaint investigation · 1 citation+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 28, 2025
November 14, 2024 · Complaint investigation · 5 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 19, 2024
  • Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 19, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 19, 2024
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 19, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 19, 2024
October 15, 2024 · Complaint investigation · 2 citations+
  • Prepare residents for a safe transfer or discharge from the nursing home.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 31, 2024
  • Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 16, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

4 fines totaling $277,040 and 2 Medicare payment denials in the last three years.

  • November 19, 2025Fine: $14,753
  • September 30, 2025Fine: $19,239
  • March 26, 2025Payment denial, 102 days
  • March 26, 2025Fine: $189,280
  • September 10, 2024Fine: $53,768
  • September 10, 2024Payment denial, 22 days

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Legal Business Name Not Available
Medicare-certified beds
181
Average residents per day
75
Accepts
Medicare and Medicaid
First certified
August 28, 1981
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
145427

Location

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3523 WICKENHAUSERAlton, IL 62002

12 other communities within 10 miles

Senior living near Alton

Questions about Nexus at Alton

How did Nexus at Alton do on its last inspection?+

State inspectors visited on May 10, 2024 and cited 36 health deficiencies, 31 of them from complaint investigations. The Illinois average is 12.5.

How much nursing care does each resident get at Nexus at Alton?+

Nurses and aides spend 4 hours 17 minutes with each resident per day, including 35 minutes from registered nurses. 82% of nursing staff left over the past year.

Has Nexus at Alton been fined by Medicare?+

Yes. Medicare fined Nexus at Alton 4 times in the last three years, totaling $277,040.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Alton Skilled Nursing in Illinois Skilled Nursing guide Information last updated October 2026