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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 145427

Nexus At Alton

94 federal citations on record , including 1 at the Immediate Jeopardy level, and 9 federal enforcement actions totaling $507,317.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
94
Total citations
71
Last 3 years
25
Actual harm+
9
Federal penalties
$507,317
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care32 Abuse & Neglect15 Resident Rights12 Medication & Pharmacy10 Nutrition & Dietary9

Most common F-tags at this facility

F6847 F6897 F6007 F7554 F8804

Citation history

94 on record
SurveyF-TagViolationSeveritySource
Dec 29, 2025F908Keep all essential equipment working safely.EComplaint
Dec 29, 2025F584Honor 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.EComplaint
Nov 19, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.GComplaint
Sep 30, 2025F880Provide and implement an infection prevention and control program.DComplaint
Sep 30, 2025F808Ensure 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.EComplaint
Sep 30, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.GComplaint
Sep 30, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 30, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 30, 2025F584Honor 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.DComplaint
Jul 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jul 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jun 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 30, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EComplaint
May 30, 2025F610Respond appropriately to all alleged violations.DComplaint
May 30, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
May 8, 2025F760Ensure that residents are free from significant medication errors.GComplaint
May 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 8, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.GComplaint
May 8, 2025F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DComplaint
Mar 26, 2025F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EComplaint
Mar 26, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint
Mar 26, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.GComplaint
Mar 26, 2025F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Mar 26, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Mar 26, 2025F610Respond appropriately to all alleged violations.DComplaint
Mar 26, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 26, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Mar 26, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 16, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 14, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint
Nov 14, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Nov 14, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 14, 2024F610Respond appropriately to all alleged violations.DComplaint
Nov 14, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 15, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Oct 15, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Sep 24, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 24, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Sep 24, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GComplaint
Sep 10, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint
Sep 10, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.GComplaint
May 10, 2024F880Provide and implement an infection prevention and control program.EStandard
May 10, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
May 10, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
May 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 10, 2024F578Honor 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.EStandard
Apr 24, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Feb 28, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Feb 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Feb 9, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
Nov 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Nov 14, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 3, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Oct 3, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Oct 3, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 3, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jun 30, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Jun 30, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.GComplaint
Jun 30, 2023F727Have 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.FComplaint
Jun 30, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint
Jun 30, 2023F660Plan the resident's discharge to meet the resident's goals and needs.GComplaint
Jun 30, 2023F610Respond appropriately to all alleged violations.DComplaint
Jun 30, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jun 6, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Jun 6, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jun 6, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Jun 6, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jun 6, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GComplaint
Apr 20, 2023F727Have 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.FComplaint
Apr 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 6, 2023F880Provide and implement an infection prevention and control program.EStandard
Apr 6, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.FStandard
Apr 6, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Apr 6, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Apr 6, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Apr 6, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Mar 1, 2023F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.GComplaint
Mar 1, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 1, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jan 11, 2022F880Provide and implement an infection prevention and control program.FStandard
Jan 11, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Jan 11, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 11, 2022F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jan 11, 2022F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jan 11, 2022F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Jan 11, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Jan 11, 2022F727Have 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.FStandard
Jan 11, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 11, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jan 11, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 11, 2022F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.CStandard

Federal enforcement history

Federal regulators have imposed 9 enforcement actions against this facility, including 5 civil money penalties totaling $507,317 and 4 payment-denial actions spanning 253 days.

DateTypeFinePayment denial
Mar 26, 2025Fine$291,200—
Mar 26, 2025Payment Denial—Apr 24, 2025 · 102 days
Sep 10, 2024Payment Denial—Oct 9, 2024 · 22 days
Sep 10, 2024Fine$53,768—
Oct 3, 2023Payment Denial—Nov 2, 2023 · 127 days
Oct 3, 2023Fine$115,643—
Jun 6, 2023Payment Denial—Jul 8, 2023 · 2 days
Jun 6, 2023Fine$39,998—
Apr 20, 2023Fine$6,708—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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