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    Nursing home · ALTON, IL

    Nexus at Alton

    3523 WICKENHAUSER, ALTON, IL 62002

    CMS certification number: 145427 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    Request care assistance6184658887Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    181

    Residents / day

    76.5

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Madison
    Certified beds
    181
    Average residents per day
    76.5
    First certified
    August 28, 1981

    CMS quality ratings

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

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Madison, Illinois. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    2.31
    n=16
    State peers
    2.58

    Nurse hours / resident / day

    This home
    3.90
    County peers
    3.49
    n=16
    State peers
    3.47
    n=646

    Weekend nurse hours / resident / day

    This home
    2.98
    County peers
    3.06
    n=16
    State peers
    3.08
    n=646

    Nursing staff turnover (%)

    This home
    82.10
    County peers
    58.05
    n=16
    State peers
    43.67
    n=627

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 23.7% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 82.1% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    4
    Health citations
    101
    Resident measures
    17
    Ownership records
    1
    Penalties
    6
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.90488
    Reported RN Staffing Hours per Resident per Day
    0.54048
    Reported LPN Staffing Hours per Resident per Day
    0.98922
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.37518
    Total number of nurse staff hours per resident per day on the weekend
    2.97899
    Registered Nurse hours per resident per day on the weekend
    0.29918
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03126
    Total nursing staff turnover
    82.1
    Registered Nurse turnover
    76.9
    Number of administrators who have left the nursing home
    1
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    IL
    Urban
    Y
    Chain ID
    Not reported
    Latitude
    38.8892
    Location
    3523 WICKENHAUSER,ALTON,IL,62002
    ZIP Code
    62002
    City/Town
    ALTON
    Longitude
    -90.128
    QM Rating
    2
    Abuse Icon
    Y
    Chain Name
    Not reported
    County/Parish
    Madison
    Provider Name
    Nexus at Alton
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    4
    Processing Date
    2026-10-01
    Staffing Rating
    1
    Provider Address
    3523 WICKENHAUSER
    Telephone Number
    6184658887
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    Legal Business Name Not Available
    Long-Stay QM Rating
    4
    High Performing Icon
    N
    Short-Stay QM Rating
    1
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.87232
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    181
    Provider SSA County Code
    680
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    2
    Registered Nurse turnover
    76.9
    Total Number of Penalties
    6
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.32765
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    82.1
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    145427
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    277040.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    324
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    397.750
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    76.5
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    619
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    324
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    619
    Rating Cycle 1 Standard Survey Health Date
    2024-05-10
    Rating Cycle 2 Standard Health Survey Date
    2023-04-06
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.40390
    Case-Mix RN Staffing Hours per Resident per Day
    0.91825
    Reported RN Staffing Hours per Resident per Day
    0.54048
    Adjusted LPN Staffing Hours per Resident per Day
    0.73924
    Case-Mix LPN Staffing Hours per Resident per Day
    1.14425
    Reported LPN Staffing Hours per Resident per Day
    0.98922
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    32
    Most Recent Health Inspection More Than 2 Years Ago
    Y
    Rating Cycle 2/3 Total Number of Health Deficiencies
    57
    Rating Cycle 1 Number of Standard Health Deficiencies
    5
    Rating Cycle 2 Number of Standard Health Deficiencies
    6
    Reported Licensed Staffing Hours per Resident per Day
    1.52970
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    27
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.77497
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    3.11646
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.37518
    Adjusted Total Nurse Staffing Hours per Resident per Day
    2.91812
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    5.17896
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    51
    Reported Total Nurse Staffing Hours per Resident per Day
    3.90488
    Registered Nurse hours per resident per day on the weekend
    0.29918
    Date First Approved to Provide Medicare and Medicaid Services
    1981-08-28
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03126
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.22620
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    4.55786
    Total number of nurse staff hours per resident per day on the weekend
    2.97899

    COMMUNITY EXPERIENCE

    Reviews of Nexus at Alton

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026