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Complaint Investigation

Nexus At Alton

Inspection Date: December 29, 2025
Total Violations 2
Facility ID 145427
Location ALTON, IL
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

this month, they had to do a wet wipe bath or cold showers until it was repaired.On 12/29/25 at 2:19 PM, V19 (Regional Maintenance Director) stated he was notified that the facility was having intermittent problems with hot water and found that one of the two hot water tanks was not working. V19 stated under normal operating conditions, the facility was not able to keep up with the hot water and would out of it. V19 stated he was notified on a Thursday and to his knowledge it started that day, had it access on Friday and repaired the following Monday. V19 stated his recommendations were to limit the amount of hot water usage and spread out the timing of showers to maintain the hot water but he was not sure what the facility actually did with the information he provided that weekend. An E-mail dated 12/24/25 at 10:57 AM, documented V19 stated, On December 5, 2025, at 7 am I received a call from V8 that the facility was having problems keeping a sufficient supply of hot water. Upon arrival, I found the on-demand water heaters were not functioning properly. They were putting out hot water but there was not enough for the demand. I scheduled profession services to come out and replace the products. Because of supply issues,

they were not able to receive and install the product until Monday December 8, 2025. The product was installed first am Monday morning and there was sufficient hot water for the entire building. Please see attached invoice for reference.The facility's Invoice documented on 12/8/25, two new tankless water heaters were installed. On 12/29/25 at 2:14 PM, V1 (Administrator) stated she expects the residents to have access to hot water at all times.The facility's Resident Rights policy dated 9/2024, documented the facility will provide a safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/29/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Nexus at Alton

3523 Wickenhauser Alton, IL 62002

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0908

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0908 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

facility was having problems keeping a sufficient supply of hot water. Upon arrival, I found the on-demand water heaters were not functioning properly. They were putting out hot water but there was not enough for

the demand. I scheduled profession services to come out and replace the products. Because of supply issues, they were not able to receive and install the product until Monday December 8, 2025. The product was installed first am Monday morning and there was sufficient hot water for the entire building. Please see attached invoice for reference.The facility's Invoice documented on 12/8/25, two new tankless water heaters were installed. On 12/29/25 at 2:14 PM, V1 (Administrator) stated she expects the residents to have access to hot water at all times.The facility's Resident Rights policy dated 9/2024, documented the facility will provide a safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible.

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

Nexus at Alton in ALTON, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ALTON, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Nexus at Alton or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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