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Data / Nursing homes / Illinois / Nexus at Alton

Nexus at Alton, Alton, IL: 1 star rating, fined $277,040 across 4 fines and had 2 payment denials

Nexus at Alton in Alton, IL is run by Legal Business Name Not Available, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $277,040 across 4 fines and had 2 payment denials in the three years to October 1, 2026. CMS lists 83 health citations from inspections in that time, the latest survey on August 14, 2026, and 24 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Illinois
Address
3523 Wickenhauser, Alton, IL 62002
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
181
Residents per day
76 on average
Ownership type
For profit, limited liability company
Legal business name
Legal Business Name Not Available
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$277,040 across 4 fines, three years to October 1, 2026
Payment denials
2
Health citations
83, of which 24 with actual harm or immediate jeopardy
Latest survey
August 14, 2026
CMS Certification Number
145427
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 19, 2025Fine$14,753Not listeddata.cms.gov
September 30, 2025Fine$19,239Not listeddata.cms.gov
March 26, 2025Fine$189,280Not listeddata.cms.gov
March 26, 2025Payment denialNot listedApril 24, 2025102data.cms.gov
September 10, 2024Fine$53,768Not listeddata.cms.gov
September 10, 2024Payment denialNot listedOctober 9, 202422data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 14, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceAugust 11, 2026data.cms.gov
August 14, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G: isolated, actual harmCorrectedAugust 15, 2026data.cms.gov
July 10, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2026data.cms.gov
June 29, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2026data.cms.gov
June 29, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2026data.cms.gov
June 21, 2026F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedJuly 18, 2026data.cms.gov
June 21, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G: isolated, actual harmCorrectedAugust 15, 2026data.cms.gov
June 21, 2026F919Make sure that a working call system is available in each resident's bathroom and bathing area.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 21, 2026data.cms.gov
June 21, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2026data.cms.gov
June 21, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
June 21, 2026F727Have 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: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2026data.cms.gov
June 21, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 21, 2026data.cms.gov
June 21, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
June 21, 2026F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 28, 2026data.cms.gov
May 29, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedJuly 11, 2026data.cms.gov
May 29, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedJuly 11, 2026data.cms.gov
May 29, 2026F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 21, 2026data.cms.gov
May 29, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 23, 2026data.cms.gov
May 29, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 23, 2026data.cms.gov
May 29, 2026F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 23, 2026data.cms.gov
May 29, 2026F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 23, 2026data.cms.gov
February 20, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 25, 2026data.cms.gov
February 20, 2026F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 20, 2026F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
December 29, 2025F908Keep all essential equipment working safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2025data.cms.gov
December 29, 2025F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2025data.cms.gov
November 19, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G: isolated, actual harmCorrectedNovember 20, 2025data.cms.gov
September 30, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G: isolated, actual harmCorrectedOctober 1, 2025data.cms.gov
September 30, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 1, 2025data.cms.gov
September 30, 2025F808Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 1, 2025data.cms.gov
September 30, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 1, 2025data.cms.gov
September 30, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 1, 2025data.cms.gov
September 30, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2025data.cms.gov
July 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2025data.cms.gov
July 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2025data.cms.gov
July 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedAugust 4, 2025data.cms.gov
June 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2025data.cms.gov
June 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 2, 2025data.cms.gov
May 30, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedJune 18, 2025data.cms.gov
May 30, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 31, 2025data.cms.gov
May 30, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 31, 2025data.cms.gov
May 8, 2025F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedMay 9, 2025data.cms.gov
May 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedMay 9, 2025data.cms.gov
May 8, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.G: isolated, actual harmCorrectedMay 9, 2025data.cms.gov
May 8, 2025F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
March 26, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G: isolated, actual harmCorrectedMay 1, 2025data.cms.gov
March 26, 2025F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedMay 1, 2025data.cms.gov
March 26, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedMay 1, 2025data.cms.gov
March 26, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedMay 1, 2025data.cms.gov
March 26, 2025F809Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
March 26, 2025F758Implement 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: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
March 26, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
March 26, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
March 26, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 2, 2025data.cms.gov
January 16, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2025data.cms.gov
November 14, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
November 14, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
November 14, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
November 14, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
November 14, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 19, 2024data.cms.gov
October 15, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 31, 2024data.cms.gov
October 15, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 16, 2024data.cms.gov
September 24, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G: isolated, actual harmCorrectedOctober 8, 2024data.cms.gov
September 24, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 8, 2024data.cms.gov
September 24, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 8, 2024data.cms.gov
September 10, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.G: isolated, actual harmCorrectedSeptember 26, 2024data.cms.gov
September 10, 2024F803Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2024data.cms.gov
May 10, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
May 10, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
May 10, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
May 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
May 10, 2024F578Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 17, 2024data.cms.gov
April 24, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
February 28, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
February 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedFebruary 10, 2024data.cms.gov
February 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedFebruary 10, 2024data.cms.gov
February 9, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G: isolated, actual harmCorrectedFebruary 10, 2024data.cms.gov
November 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedDecember 17, 2023data.cms.gov
November 14, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov
October 3, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedMarch 8, 2024data.cms.gov
October 3, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2023data.cms.gov
October 3, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedOctober 6, 2023data.cms.gov
October 3, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 19, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.