Alton Memorial Rehab & Therapy
Alton, Madison County, Illinois · CCN 145121 · Non-profit (Corporation) · part of Bjc Healthcare (4 facilities, chain average 4.3 stars)
CMS rates Alton Memorial Rehab & Therapy 4 of 5 overall as of August 2026. 64 certified beds, 46 residents a day on average. 24 citations on record from the current inspection cycles, 4 involving actual harm; 1 fine totalling $15,626.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 1 / 3 of 5 |
Staffing
| Total nurse staffing | 4.57115 hours per resident per day |
|---|---|
| Registered nurses | 0.83047 hours per resident per day |
| Weekend total | 4.16824 hours per resident per day |
| Nursing staff turnover | 50% (registered nurses 66.7%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-06 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-01-12 |
| 2026-01-06 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-12 |
| 2025-12-05 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-19 |
| 2025-12-05 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · tag F0557 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-19 |
| 2025-12-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-19 |
| 2025-12-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-19 |
| 2025-12-05 | 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. Nutrition and Dietary Deficiencies · tag F0808 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-19 |
| 2025-01-10 complaint survey |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · tag F0802 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-21 |
| 2025-01-08 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-09 |
| 2025-01-08 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-09 |
| 2024-10-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-10-24 |
| 2024-10-10 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-10-24 |
| 2024-10-10 | 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. Pharmacy Service Deficiencies · tag F0761 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-10-24 |
| 2024-10-10 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-24 |
| 2024-10-10 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-24 |
| 2024-10-10 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-24 |
| 2024-05-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-05-14 |
| 2024-02-06 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-01 |
| 2023-11-30 | 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. Pharmacy Service Deficiencies · tag F0761 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-30 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-30 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-30 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-30 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
| 2023-11-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-15 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-10 | Fine | $15,626 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Bethesda Health Group Inc. Organization | adp of the snf | — | 2025-07-18 |
| Alton Memorial Hospital Organization | operational/managerial control | — | 2015-01-01 |
| Bethesda Health Group Inc. Organization | operational/managerial control | — | 2015-01-01 |
| Bjc Health System Organization | operational/managerial control | — | 2016-03-11 |
| Christian Health Services Development Corporation Organization | operational/managerial control | — | 2015-01-01 |
| Dianati, Behfar Individual | adp of the snf | — | 2025-10-02 |
| Liszewski, Kathryn Individual | adp of the snf | — | 2025-10-02 |
| Ayres, Gary Individual | corporate director | — | 2010-01-01 |
| Braasch, David Individual | corporate director | — | 2006-04-01 |
| Byrne, Roger Individual | corporate director | — | 2015-01-01 |
| Childers, Timothy Individual | corporate director | — | 2022-01-01 |
| Erker, Melissa Individual | corporate director | — | 2010-01-01 |
| Goins, Sheila Individual | corporate director | — | 2017-01-01 |
| Harms, Craig Individual | corporate director | — | 2025-01-01 |
| Huddleston, Ebony Individual | corporate director | — | 2022-01-01 |
| Loy, Kenneth Individual | corporate director | — | 2003-01-01 |
| Magruder, Joan Individual | corporate director | — | 2019-01-01 |
| Patton, Tanya Individual | corporate director | — | 2023-01-01 |
| Ryrie, Edward Individual | corporate director | — | 2011-01-01 |
| Tchoukaleff, Michael Individual | corporate director | — | 2023-01-01 |
| Thompson, Stephen Individual | corporate director | — | 2010-01-01 |
| Trzaska, Kenneth Individual | corporate director | — | 2025-01-01 |
| Turner, Geoffrey Individual | corporate director | — | 2019-01-01 |
| Turpin, Debra Individual | corporate director | — | 2025-01-01 |
| Braasch, David Individual | corporate officer | — | 2007-05-01 |
| Byrne, Roger Individual | corporate officer | — | 2026-04-02 |
| Ayres, Gary Individual | operational/managerial control | — | 2010-01-01 |
| Byrne, Roger Individual | operational/managerial control | — | 2015-01-01 |
| Dianati, Behfar Individual | operational/managerial control | — | 2025-01-01 |
| Liszewski, Kathryn Individual | operational/managerial control | — | 2024-09-05 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Alton Memorial Rehab & Therapy.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Madison County.