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Complaint Investigation

Nexus At Alton

February 20, 2026 · Alton, IL · 3523 Wickenhauser
Citations 3
CMS Rating 1/5
Beds 181
Provider ID 145427
Healthcare Facility
Nexus At Alton
Alton, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Nexus at Alton in ALTON, IL — inspection on February 20, 2026.

Found 3 citations. Severity: Standard violations.

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

Inspection Findings

FF0584
Resident Rights Deficiencies

when they only have 1 washer.On 2/18/26 at 3:11 PM, V1, Administrator, asked how many people we

because apparently the previous administration let it drop.

Someone is printing history orders, and

Laundry Aide, stated they are always short on washcloths and towels, and she isn't sure if they have ordered any. V12 stated the last order that they got was about a month or so ago and it was a small order. On 2/19/26 At 10:02 AM, V1, Administrator, stated she made a massive linen order last night and that should bring us up to what we need.The Purchase Orders, document on 2/18/26 13 dozen bath towels and 19 dozen washcloths were ordered. On 2/9/26 4 dozen bath towels and 20 dozen washcloths were ordered.

The Facility Assessment, dated 4/24/25, documents the facility will provide resources, including bed and bath linens necessary to care for our residents competently during both day-to-day operations (including nights and weekends) and in emergencies.

145427 02/20/2026

Nexus at Alton 3523 Wickenhauser Alton, IL 62002

9:00 AM; Dapagliflozin Propanediol 10mg PO Qd at 9:00 AM; Furosemide 40mg PO Qd at 9:00 AM;

therefore was not administered.

The other above medications were not given until 12:04 PM.R9's

Nodule, Polyosteoarthritis, Anemia, Thyrotoxicosis, Muscle Spasm, Hyperlipidemia, Post Traumatic Stress Disorder, Congestive Heart Failure, Low Back Pain, Hypokalemia, Deficiency of Vitamins, Anxiety Disorder, and Bipolar Disorder.R9's MDS, dated [DATE], documents R9 is cognitively intact.R9's Care Plan, dated 8/6/24, documents the following: R9 has the potential for altered cardiac function secondary to Chronic Systolic Heart Failure; R9 requires the use of statin medications with potential for complications; R9 requires the use of psychotropic medication to assist with managing mood and behavior.

All have an intervention to administer medications as ordered.On 2/19/26 at 11:30 AM, V11, RN, appeared flustered and stated today they only have 3 nurses, normally they have 4 so she is running behind and having to administer the residents morning and 11:00 AM medications together. V11 stated with only 3 nurses it is affecting the quality of care.On 2/20/26 at 7:30 AM, V1, Administrator was notified of the medications that were given late and acknowledged the concern.

The Medication Administration Policy, with a review date of 4/2025, documents the following: All medications are administered safely and appropriately to aid residents to overcome illness, relieve and prevent symptoms and help in diagnosis.

Verify that the medication is being administered at the proper time, in the prescribed dose, and by the correct date. If the medication is not given as ordered, document the reason on the MAR and notify the Health Care Provider if required. If a medication is ordered, but not present, check to see if it was misplaced and then call the pharmacy to obtain the medication. If available, obtain from the contingency or convenience box. If the physician's order cannot be followed for any reason, the physician should be notified in a timely manner (depending on the situation), and a note should reflect the situation in the resident's medical record.

145427 02/20/2026

Nexus at Alton 3523 Wickenhauser Alton, IL 62002

temperatures for 2 of 4 residents (R2, R3) reviewed for food and nutrition services in the sample of

diagnoses including dementia and weakness. R2's Minimum Data Set (MDS) dated [DATE] documented R2 was cognitively intact, ambulated via wheelchair, and was on a therapeutic diet. R2's Diet Order dated 8/7/25 documents R2 has a regular diet. On 2/18/26 at 12:30 PM, R2 stated the food is horrible and is always cold. 2-R3's Face Sheet documents R3 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus, cerebral infarction, and chronic obstructive pulmonary disease (COPD). R3's MDS dated [DATE] documented R3 was cognitively intact, ambulated via wheelchair, and was on a therapeutic diet. R3's Diet Order dated 7/5/25 documents R3 has a carbohydrate-controlled diet. On 2/18/2026 at 11:57, AM R3 stated some of the food in the Facility is terrible and would not even give that food to a dog. On 2/19/26 at. At 12:50 PM, food temperatures were obtained using a metal calibrated thermometer after the last resident tray was served.

The chicken measured 118 Fahrenheit (F), and the broccoli casserole measured 114 F. V16, Cook, stated the temperature should be around 170 F. On 2/19/26 at 4:30 PM, V23, Dietary Manager, stated the temperatures may have been lower because they were taken at the end of service. On 2/19/26 at 10:45 AM, V13, Licensed Practical Nurse (LPN), stated the nurse aids always have to rewarm residents' food in the microwave because it always comes out cold. On 2/19/26 at 10:46 AM, V6, LPN, stated the food is always cold, and the nurse aids always have to rewarm it. On 2/20/26 at 11:47 AM, V1, Administrator, stated she expects dietary staff to follow the Facility's policy regarding food serving temperatures.

The Facility's Undated Food Temperatures Policy documents food should be held at 135 F or greater throughout the service process.

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.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.