Nexus at Alton
State inspectors recorded 18 citation(s) in the last three years where CMS determined a resident was actually harmed.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-05-29 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2026-05-29 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-11-19 — ACTUAL HARM (tag F0755, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2025-09-30 — ACTUAL HARM (tag F0755, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2025-07-03 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-05-30 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-05-08 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2025-05-08 — ACTUAL HARM (tag F0658, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Ensure services provided by the nursing facility meet professional standards of quality.
Staffing, from payroll records
Nursing hours / resident / day
4.01
state median 3.09
Weekend staffing gap
−19%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.46
registered nurses only
Contract (agency) staff
38%
share of all nursing hours
Nursing staff turnover
82%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
8 enforcement action(s), totaling $392,111 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-11-19 | Fine | $14,505 |
| 2025-09-30 | Fine | $18,915 |
| 2025-03-26 | Fine | $189,280 |
| 2025-03-26 | Payment Denial | payment denial |
| 2024-09-10 | Fine | $53,768 |
| 2024-09-10 | Payment Denial | payment denial |
| 2023-10-03 | Fine | $115,643 |
| 2023-10-03 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the BRIA HEALTH SERVICES chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Nexus Pavilion at Belleville (BELLEVILLE, IL) —
- BRIA OF WESTMONT (WESTMONT, IL) —
- BRIA OF ELMWOOD PARK (ELMWOOD PARK, IL) —
- BRIA OF CAHOKIA (CAHOKIA, IL) —
- Nexus at Palos (PALOS HILLS, IL) —
- BRIA OF WOODRIVER (WOOD RIVER, IL) —
- BRIA OF GODFREY (GODFREY, IL) —
- BRIA OF BELLEVILLE (BELLEVILLE, IL) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-29 | F0559 | Resident Rights Deficiencies | E | not recorded |
| 2026-05-29 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2026-05-29 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-05-29 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-05-29 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-05-29 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-05-29 | F0919 | Environmental Deficiencies | D | not recorded |
| 2026-02-20 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2026-02-20 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-20 | F0804 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-12-29 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-12-29 | F0908 | Environmental Deficiencies | E | not recorded |
| 2025-11-19 | F0755 | Pharmacy Service Deficiencies | G | not recorded |
| 2025-09-30 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-09-30 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-30 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-30 | F0755 | Pharmacy Service Deficiencies | G | not recorded |
| 2025-09-30 | F0808 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-09-30 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-07-25 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-25 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-07-03 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-06-17 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-02 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-30 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-05-30 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-30 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-05-08 | F0635 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-08 | F0658 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2025-05-08 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-05-08 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2025-03-26 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-26 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-03-26 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-26 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-26 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-03-26 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-03-26 | F0755 | Pharmacy Service Deficiencies | G | not recorded |
| 2025-03-26 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-26 | F0809 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-01-16 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-11-14 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-11-14 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-11-14 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-14 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-14 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-15 | F0573 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-15 | F0624 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-24 | F0550 | Resident Rights Deficiencies | G | not recorded |
| 2024-09-24 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-24 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-10 | F0745 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-09-10 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-10 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-10 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-10 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-10 | F0806 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-10 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-04-24 | F0573 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-28 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-09 | F0580 | Resident Rights Deficiencies | G | not recorded |
| 2024-02-09 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-09 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-11-14 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-14 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-10-03 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2023-10-03 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-03 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-10-03 | F0921 | Environmental Deficiencies | E | not recorded |
| 2023-04-06 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-04-06 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-04-06 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-04-06 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-04-06 | F0761 | Pharmacy Service Deficiencies | F | not recorded |
| 2023-04-06 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2022-01-11 | F0575 | Resident Rights Deficiencies | C | not recorded |
| 2022-01-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-01-11 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-01-11 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-01-11 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2022-01-11 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-01-11 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-01-11 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2022-01-11 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2022-01-11 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2022-01-11 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-01-11 | F0880 | Infection Control Deficiencies | F | not recorded |