F

Nexus at Alton

3523 WICKENHAUSER, ALTON, IL 62002
Score: 0 / 100

With a score of 0/100, Nexus At Alton ranks in the bottom tier of Illinois nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels at Nexus At Alton exceed national averages, with 4.86 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.54 hours per resident per day is near the national average of 0.7 hours.

Recent CMS inspections identified 94 deficiencies at Nexus At Alton, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.86 3.8 Above Average
Registered Nurses (RN) 0.54 0.7 Below Average
Licensed Practical Nurses (LPN) 1.32 0.7 Above Average
Certified Nursing Assistants (CNA) 3.00 2.4 Above Average
Weekend Total Nursing 4.12 3.8 Average
Weekend RN Hours 0.27 0.7 Below Average

🔍 Inspection & Deficiency History

94
Total Deficiencies
Dec 28, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 92 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Dec 28, 2025 · Resident Rights Deficiencies
  • Tag 0908 Severity E
    Keep all essential equipment working safely.
    Dec 28, 2025 · Environmental Deficiencies
  • Tag 0755 Severity G
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Nov 18, 2025 · Pharmacy Service Deficiencies
  • Tag 0755 Severity G
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Sep 29, 2025 · Pharmacy Service Deficiencies
  • Tag 0808 Severity E
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed b
    Sep 29, 2025 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.3% 4.5% Worse
Falls with major injury 2.6% 3.0% Better
On antipsychotic medication 25.0% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 6.1% 14.0% Better
Excessive weight loss 6.6% 7.5% Better
New/worsened incontinence 13.8% 45.0% Better

⚠️ Penalties & Fines

5 penalties recorded by CMS

Total fines: $507,317

How This Grade Was Calculated

This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
181
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 9, 2024
Deficiencies (Cycle 1)
35