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Nexus at Alton

Nursing Home Facility

3523 Wickenhauser, Alton, IL 62002

Nursing Home Care Senior Living
Nexus at Alton

Nexus at Alton is a senior care community located in Alton, IL. It provides nursing home care and senior living for older adults in the Alton area. To learn more or schedule a tour, call (618) 465-8887.

With 181 beds, Nexus at Alton is one of the larger communities in the area, senior care communities in Alton average about 96 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 42% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Alton average of roughly 67%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Alton average about 2.0 stars. Its most recent standard health inspection was in May 2024 and recorded 35 deficiencies.

Residents receive about 4.3 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Alton average about 3.9 hours. Nursing staff turnover over the past year was about 82%, which is high and can affect continuity of care.

The community is located in Madison County, IL.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 98 problems at Nexus at Alton. 22 findings involved harm to a resident, including 1 that put residents in immediate danger. 75 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 4 times, a total of $276,468. Medicare also stopped paying for new admissions twice in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected June 2026, after a complaint.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide safe, appropriate pain management for a resident who requires such services.

    Inspected June 2026, after a complaint.

  • Caused harm to a resident, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected May 2026, after a complaint. Corrected by June 23, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected May 2026, after a complaint. Corrected by June 23, 2026.

  • Caused harm to a resident, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected November 2025, after a complaint. Corrected by November 20, 2025.

  • Caused harm to a resident, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected September 2025, after a complaint. Corrected by October 1, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2026, after a complaint.

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  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    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.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, a pattern Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Inspected May 2026, after a complaint. Corrected by June 23, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected May 2026, after a complaint. Corrected by June 23, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Inspected May 2026, after a complaint. Corrected by June 23, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected May 2026, after a complaint. Corrected by June 23, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected May 2026, after a complaint. Corrected by June 23, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected February 2026, after a complaint. Corrected by February 24, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected February 2026, after a complaint. Corrected by February 24, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected February 2026, after a complaint. Corrected by February 25, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected December 2025, after a complaint. Corrected by December 30, 2025.

  • Could cause more than minimal harm, a pattern Environmental

    Keep all essential equipment working safely.

    Inspected December 2025, after a complaint. Corrected by December 30, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    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.

    Inspected September 2025, after a complaint. Corrected by October 1, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected September 2025, after a complaint. Corrected by December 30, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected September 2025, after a complaint. Corrected by October 1, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2025, after a complaint. Corrected by October 1, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected September 2025, after a complaint. Corrected by October 1, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected May 2024. Corrected by May 17, 2024.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Inspected May 2024. Corrected by May 17, 2024.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Inspected May 2024. Corrected by May 17, 2024.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2024. Corrected by May 17, 2024.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected May 2024. Corrected by May 17, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Nexus at Alton offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 181
  • Occupancy 42%
  • Nursing hours per resident/day 4.3
  • Annual staff turnover 82%
  • Last health inspection May 2024

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