Home›Illinois›Madison County›Nexus at Alton
C
Below Standard

Nexus at Alton

3523 WICKENHAUSER · ALTON, IL 62002

6184658887 · For profit - Limited Liability company

181 beds77.3 residents380 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Nexus at Alton receives an overall staffing grade of C (Below Standard). With 4.8657 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5405 HPRD, below the recommended 0.75. It is 0.97 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.05% compared to weekdays. The facility relies heavily on temporary agency staff (52.53% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.5405 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️52.53% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.8657hrs/resident/day▲ 0.97
CMS benchmark: 3.48
RN HPRD
0.5405hrs/resident/day▼ 0.14
Recommended: 0.75
Weekend Drop-off
20.05%
5.1581 weekday → 4.1237 weekend
⚠ Significant weekend reduction
Agency Staff
52.53%
38.32% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.0088hrs/resident/day
Direct care aides
LPN HPRD
1.3164hrs/resident/day
Licensed practical nurses
Consistency
0.618std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Madison County Average+1.37 HPRD
3.49
04.87 HPRD
vs. Illinois State Average+1.36 HPRD
3.51
04.87 HPRD
vs. National Average+0.97 HPRD
3.90
04.87 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Nexus at Alton ★
ALTON · This facility
—
C
4.86570.5405★☆☆☆☆
ALTON MEMORIAL REHAB & THERAPY
ALTON
1.9 mi
A
4.66410.9371★★★☆☆
EVERCARE AT EDWARDSVILLE
EDWARDSVILLE
12.1 mi
F
2.69410.2113★☆☆☆☆
EDEN VILLAGE CARE CENTER
GLEN CARBON
12.6 mi
A
4.34360.8926★★★★★
EVERCARE OF COLLINSVILLE
COLLINSVILLE
16.5 mi
D
2.75210.2733★☆☆☆☆
JERSEYVILLE NSG & REHAB CENTER
JERSEYVILLE
18.3 mi
D
2.63550.4676★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

28
Inspections
96
Total Deficiencies
$578,267
Fines Assessed
Dec 29, 2025Health
2 deficiencies cited
▼
Nov 19, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 30, 2025Health
6 deficiencies cited· Includes actual harm
▼
Jul 25, 2025Health
2 deficiencies cited
▼
Jul 3, 2025Health
1 deficiency cited· Includes actual harm
▼
Jun 17, 2025Health
1 deficiency cited
▼
Jun 2, 2025Health
1 deficiency cited
▼
May 30, 2025Health
3 deficiencies cited· Includes actual harm
▼
May 8, 2025Health
4 deficiencies cited· Includes actual harm
▼
Mar 26, 2025Health
9 deficiencies cited· Includes actual harm
▼
Jan 16, 2025Health
1 deficiency cited
▼
Nov 14, 2024Health
5 deficiencies cited
▼
Oct 15, 2024Health
2 deficiencies cited
▼
Sep 24, 2024Health
3 deficiencies cited· Includes actual harm
▼
Sep 10, 2024Health
2 deficiencies cited· Includes actual harm
▼
May 10, 2024Health
5 deficiencies cited
▼
Apr 24, 2024Health
1 deficiency cited
▼
Feb 28, 2024Health
1 deficiency cited
▼
Feb 9, 2024Health
3 deficiencies cited· Includes actual harm
▼
Nov 14, 2023Health
2 deficiencies cited· Includes actual harm
▼
Oct 3, 2023Health
4 deficiencies cited· Includes actual harm
▼
Jun 30, 2023Health
7 deficiencies cited· Includes actual harm
▼
Jun 6, 2023Health
5 deficiencies cited· Includes actual harm
▼
Apr 20, 2023Health
2 deficiencies cited· Includes actual harm
▼
Apr 6, 2023Health
6 deficiencies cited
▼
Mar 1, 2023Health
3 deficiencies cited· Includes actual harm
▼
Feb 3, 2023Health
2 deficiencies cited· Includes actual harm
▼
Jan 11, 2022Health
12 deficiencies cited
▼

Penalty History

Mar 26, 2025Fine
$291,200
Mar 26, 2025Payment Denial
Sep 10, 2024Payment Denial
Sep 10, 2024Fine
$53,768
Oct 3, 2023Fine
$115,643
Oct 3, 2023Payment Denial
Jun 6, 2023Payment Denial
Jun 6, 2023Fine
$39,998
Apr 20, 2023Fine
$6,708
Mar 1, 2023Fine
$70,950
Mar 1, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.