Nexus at Alton: Staffing, Turnover, and Inspection Record
Nexus at Alton is a 181-bed for-profit nursing home in Alton, Illinois. In the CMS August 2026 release it reported 2.52 nurse aide hours per resident per day, 21% above the Illinois average of 2.09, and 81.5% nursing staff turnover (Illinois average 44.5%).
Nexus at Alton
3523 WickenhauserAlton, IL 62002
Madison County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Nexus at Alton, nurse aides logged 2.52 hours per resident per day, 21% above the Illinois average. With about 75 residents a day, that works out to roughly 190 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 20% below the all-days figure.
| Hours per resident per day | This home | Illinois avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.52 | 2.09 | 2.32 |
| Licensed practical nurses | 1.18 | 0.64 | 0.86 |
| Registered nurses | 0.58 | 0.72 | 0.69 |
| All nursing staff | 4.28 | 3.45 | 3.86 |
| All nursing staff, weekends | 3.43 | 3.08 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
81.5% of nursing staff at Nexus at Alton left over the year CMS measured, against a Illinois average of 44.5% and a US average of 45.8%. Registered nurse turnover was 66.7%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 10, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 35 health deficiencies (Illinois average 12.5). CMS lists 5 fines totaling $392,111 and 3 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 19, 2025 | Fine | $14,505 |
| Sep 30, 2025 | Fine | $18,915 |
| Mar 26, 2025 | Fine | $189,280 |
| Mar 26, 2025 | Payment Denial | 102 days from Apr 24, 2025 |
| Sep 10, 2024 | Fine | $53,768 |
| Sep 10, 2024 | Payment Denial | 22 days from Oct 9, 2024 |
| Oct 3, 2023 | Payment Denial | 127 days from Nov 2, 2023 |
| Oct 3, 2023 | Fine | $115,643 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Nexus at Alton holds 1 of 5 overall; the Illinois average is 2.5.
About Nexus at Alton
- Ownership: For profit - Limited Liability company
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Aug 28, 1981
- Councils: resident council
- Area: urban
Nursing homes near Nexus at Alton
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Alton Memorial Rehab & Therapy Alton | 1.9 | 64 | 2.45 | 4.57 | 50.0% | 4 | $15,626 |
| Bria of Woodriver Wood River · SFF candidate · abuse citation | 2.5 | 106 | 2.48 | 3.86 | 78.5% | 1 | $468,820 |
| La Bella of Alton Alton | 2.8 | 180 | 1.76 | 2.75 | 49.6% | 1 | $85,546 |
| Bria of Godfrey Godfrey | 7.0 | 68 | 2.05 | 3.25 | 77.4% | 2 | $209,961 |
| Stonebridge Florissant Florissant | 7.6 | 120 | 2.30 | 3.28 | 75.9% | 2 | None |
| The Estates of Spanish Lake Saint Louis · many days without an RN | 8.2 | 150 | 1.81 | 2.30 | 68.8% | 1 | $57,868 |
| Hidden Lake Health Care Center Saint Louis | 9.0 | 67 | 1.65 | 2.52 | — | 1 | $123,610 |
| The Pillars of North County Health & Rehab Center Florissant | 9.8 | 120 | 1.59 | 2.39 | 48.1% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.