Nexus At Alton

Name: Nexus At Alton: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Alton, Madison County, Illinois · CCN 145427 · For-profit (LLC) · not part of a chain

CMS rates Nexus At Alton 1 of 5 overall as of August 2026. 181 certified beds, 75 residents a day on average. 98 citations on record from the current inspection cycles, 1 at immediate jeopardy; 5 fines totalling $392,111 and 3 payment denials.

On record

Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
No health inspection in more than two years, by CMS’s own flag.

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	★☆☆☆☆ 1 of 5
Health inspections	★☆☆☆☆ 1 of 5
Staffing	★☆☆☆☆ 1 of 5
Quality measures	★★☆☆☆ 2 of 5
Quality: long-stay / short-stay	4 / 1 of 5

Staffing

Total nurse staffing	4.27812 hours per resident per day
Registered nurses	0.58238 hours per resident per day
Weekend total	3.43419 hours per resident per day
Nursing staff turnover	81.5% (registered nurses 66.7%)
Administrators who left	2

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
2026-06-29 complaint survey	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has no plan of correction
2026-06-29 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has no plan of correction
2026-06-21 complaint survey	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has no plan of correction
2026-06-21 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has no plan of correction
2026-06-21 complaint survey	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	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has no plan of correction
2026-06-21 complaint survey	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. Nursing and Physician Services Deficiencies · tag F0727	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has no plan of correction
2026-06-21 complaint survey	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has no plan of correction
2026-06-21 complaint survey	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. Resident Rights Deficiencies · tag F0584	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has no plan of correction
2026-06-21 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has no plan of correction
2026-06-21 complaint survey	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has no plan of correction
2026-06-21 complaint survey	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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has no plan of correction
2026-05-29 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has plan of correction 2026-06-23
2026-05-29 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has plan of correction 2026-06-23
2026-05-29 complaint survey	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · tag F0559	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has plan of correction 2026-06-23
2026-05-29 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has plan of correction 2026-06-23
2026-05-29 complaint survey	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has plan of correction 2026-06-23
2026-05-29 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 plan of correction 2026-06-23
2026-05-29 complaint survey	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has plan of correction 2026-06-23
2026-02-20 complaint survey	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. Resident Rights Deficiencies · tag F0584	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-02-24
2026-02-20 complaint survey	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-02-24
2026-02-20 complaint survey	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-02-25
2025-12-29 complaint survey	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. Resident Rights Deficiencies · tag F0584	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-12-30
2025-12-29 complaint survey	Keep all essential equipment working safely. Environmental Deficiencies · tag F0908	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-12-30
2025-11-19 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-11-20
2025-09-30 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-10-01
2025-09-30 complaint survey	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	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-10-01
2025-09-30 complaint survey	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. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-12-30
2025-09-30 complaint survey	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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-10-01
2025-09-30 complaint survey	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-10-01
2025-09-30 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-10-01
2025-07-25 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-08-04
2025-07-25 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-04
2025-07-03 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-08-04
2025-06-17 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-18
2025-06-02 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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-02
2025-05-30 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-06-18
2025-05-30 complaint survey	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-05-31
2025-05-30 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 2025-05-31
2025-05-08 complaint survey	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-05-09
2025-05-08 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-05-09
2025-05-08 complaint survey	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 2025-05-09
2025-05-08 complaint survey	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · tag F0635	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-09
2025-03-26 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-05-01
2025-03-26 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-05-01
2025-03-26 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-05-01
2025-03-26 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-05-01
2025-03-26 complaint survey	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. Nutrition and Dietary Deficiencies · tag F0809	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-05-01
2025-03-26 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 2025-05-02
2025-03-26 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 2025-05-01
2025-03-26 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 2025-05-01
2025-03-26 complaint survey	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. Pharmacy Service Deficiencies · tag F0758	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-01
2025-01-16 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-28
2024-11-14 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 2024-11-19
2024-11-14 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 2024-11-19
2024-11-14 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-11-19
2024-11-14 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-11-19
2024-11-14 complaint survey	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-11-19
2024-10-15 complaint survey	Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · tag F0573	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-16
2024-10-15 complaint survey	Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · tag F0624	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-31
2024-09-24 complaint survey	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-10-08
2024-09-24 complaint survey	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-08
2024-09-24 complaint survey	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-08
2024-09-10 complaint survey	Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · tag F0745	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-09-26
2024-09-10 complaint survey	Ensure 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. Nutrition and Dietary Deficiencies · tag F0803	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-09-26
2024-05-10	Honor 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. Resident Rights Deficiencies · tag F0578	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-05-17
2024-05-10	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 2024-05-17
2024-05-10	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-05-17
2024-05-10	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 2024-05-17
2024-05-10	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-17
2024-04-24 complaint survey	Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · tag F0573	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-05
2024-02-28 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-03-08
2024-02-09 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	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-02-10
2024-02-09 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-02-10
2024-02-09 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 2024-02-10
2023-11-14 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	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2023-12-17
2023-11-14 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-22
2023-10-03 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-03-08
2023-10-03 complaint survey	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	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2023-10-06
2023-10-03 complaint survey	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-10-10
2023-10-03 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 2024-01-19
2023-04-06	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 2023-04-13
2023-04-06	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-04-13
2023-04-06	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	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-04-13
2023-04-06	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 2023-04-13
2023-04-06	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 2023-04-13
2023-04-06	Ensure 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. Quality of Life and Care Deficiencies · tag F0693	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-04-13
2022-01-11	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. Nursing and Physician Services Deficiencies · tag F0727	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2022-01-28
2022-01-11	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 2022-01-28
2022-01-11	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2022-01-28
2022-01-11	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 2022-01-28
2022-01-11	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	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-01-28
2022-01-11	Ensure 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. Nutrition and Dietary Deficiencies · tag F0803	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2022-01-28
2022-01-11	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 2022-01-28
2022-01-11	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 2022-01-28
2022-01-11	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-01-28
2022-01-11	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-01-28
2022-01-11	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2022-01-28
2022-01-11	Post 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. Resident Rights Deficiencies · tag F0575	C No actual harm, with potential for minimal harm; widespread	Deficient, Provider has date of correction 2022-01-28

Fines and payment denials

Date	Penalty	Amount
2025-11-19	Fine	$14,505
2025-09-30	Fine	$18,915
2025-03-26	Payment denial for 102 days from 2025-04-24	—
2025-03-26	Fine	$189,280
2024-09-10	Payment denial for 22 days from 2024-10-09	—
2024-09-10	Fine	$53,768
2023-10-03	Payment denial for 127 days from 2023-11-02	—
2023-10-03	Fine	$115,643

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.

CMS lists no ownership for this facility.

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 Nexus At Alton.

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.