Nursing home
Nexus at Alton
3523 Wickenhauser, Alton, IL 62002 · Map
For profit - Limited Liability company · Part of Bria Health Services (15 facilities) · 181 certified beds
Nexus at Alton is a Medicare-certified nursing home in Alton, Illinois. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.86 hours per resident per day, above the Illinois average of 3.49. Its most recent inspection on May 10, 2024 cited 35 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 5 fines totaling $507,317In CMS records: 9 total penalties, 4 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Nexus at Alton compares
This facility vs. the Illinois and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Illinois avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.86 | 3.49 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.54 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.00 | 2.13 | 2.34 | above avg |
| Nursing staff turnover | 69.6% | 45.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 35.0 | 12.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 5 fines totaling $507,317, 9 total penalties, 4 Medicare payment denials.
What inspectors found at Nexus at Alton
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Feb 20, 2026 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Dec 29, 2025 · Full report (PDF) - Potential for harm
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 · Dec 29, 2025 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Nov 19, 2025 · Full report (PDF) - Actual harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Sep 30, 2025 · Full report (PDF) - Potential for harm
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 · Sep 30, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 30, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Sep 30, 2025 · Full report (PDF) - Potential for harm
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 · Sep 30, 2025 · Full report (PDF) - Potential for harm
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 · Sep 30, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3523 Wickenhauser
Alton, IL 62002 - CMS certification #
- 145427
- Ownership
- For profit - Limited Liability company
- Certified beds
- 181
- Avg residents/day
- 77.3
- Provider type
- Medicare and Medicaid
- First certified
- 1981-08-28
- Chain
- Bria Health Services (15 facilities)
- Setting
- Urban
Part of Bria Health Services
Bria Health Services operates 15 nursing facilities across the United States. View all Bria Health Services facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Nexus at Alton using Google Maps.
Other public records
- Workplace safety 2 OSHA workplace safety inspections since 2022, 2 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 5, 2026: complaint inspection, partial (health). Case open. 2 violations cited (2 serious). Penalties: $16,884 proposed, $16,884 now. OSHA record. OSHA recorded the employer as Nexus at Alton LLC DBA Bria of Alton LLC.
Details
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(i)). Penalty $8,442 proposed, $8,442 now. To be fixed by Aug 3, 2026.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(5)(i)). Penalty $8,442 proposed, $8,442 now. To be fixed by Aug 3, 2026.
- May 19, 2022: monitoring inspection, partial (health). Case closed Oct 21, 2022. No violations cited. OSHA record. OSHA recorded the employer as Bria of Alton LLC DBA Integrity Healthcare of Alton.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Alton Memorial Hospital, Alton. 1.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Alton Memorial Rehab & Therapy, Alton. 1.9 miles away, straight line.
- Nearest home health agency office
- Osf Saint Anthony'S Home Health, Alton. 3.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- The Medicine Shoppe. 3.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 62002 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Southwest Illinois, Alton, 1.1 miles away, straight line (CMS rating 2 of 5 stars)
Davita Alton Dialysis, Alton, 3.1 miles away, straight line (CMS rating 2 of 5 stars)
Quality Care Dialysis Centers - North County, Florissant, 8.5 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 62002.
Osf Saint Anthony'S Hospice, office in Alton, 3.6 miles away, straight line
Bjc Hospice, office in Glen Carbon, 10.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Unity Hospice Of Greater St Louis, office in Collinsville, 15.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mercy Clinic East Communities, Hazelwood. 14.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective May 1, 1984), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Nexus at Alton a good nursing home?
CMS gives Nexus at Alton an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Nexus at Alton staffed?
Nexus at Alton reports 4.86 total nurse hours per resident per day, compared with the Illinois average of 3.49.
Has Nexus at Alton had inspection problems?
Its most recent CMS inspection cited 35 deficiencies.
How many beds does Nexus at Alton have?
Nexus at Alton is certified for 181 beds.