Nexus at Alton
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 28 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (35 vs median 11.0)
- High staff turnover (70%)
- High RN turnover (69%)
Bottom 25% in IL · Below recommended RN staffing · Above recommended total nurse staffing · Worst in BRIA HEALTH SERVICES chain · $507,317 in fines · Abuse citation
What this means for your family
This facility has received multiple serious reports regarding patient safety, hygiene, and medication management. We strongly advise families to conduct unannounced visits and maintain a very active presence to ensure your loved one's needs are being met, as communication and responsiveness appear to be significant challenges.
Google Reviews
Google Reviews
28 reviews on Google“Nexus at Alton (often referred to as BRIA of Alton) faces severe and consistent criticism regarding patient safety, hygiene, and staff responsiveness. While a minority of reviews praise specific staff members or community outreach efforts, multiple families report alarming incidents of neglect, including unaddressed medical needs, missing medications, and poor sanitary conditions.”
Quality Themes
Tap a score for detailsStrengths
- Active community outreach and events
- Some dedicated individual staff members
- Convenient location in Alton neighborhood
Concerns
- Neglect and poor hygiene (soiled linens/lack of assistance) (mentioned by 4 reviewers)
- Medication management issues (mentioned by 3 reviewers)
- Poor communication and difficulty reaching staff/residents (mentioned by 3 reviewers)
- Facility cleanliness and maintenance issues (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 31 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the facility is very active with community outreach; could you walk me through what a typical day of activities looks like for a resident here?
- 2Given the recent focus on facility maintenance, what specific steps is the leadership team currently taking to ensure residents' living spaces remain clean and well-maintained?
- 3I see that you actively respond to feedback online; how does that process help you improve the daily communication between your staff and the families of residents?
- 4Could you explain your current protocol for medication management and how you ensure that residents receive their prescribed doses accurately and on time?
- 5What is your process for ensuring that residents receive timely assistance with personal hygiene and daily needs throughout the day and night?
- 6With the current staffing levels, how do you ensure that your team is able to provide consistent, attentive care to all 181 residents?
Personalized based on this facility's data
Key Review Excerpts
“My mother was dropped and I was not informed. A family member went to visit my mother, and my mother said she was in pain. A request was made to transfer her to the hospital and that's when we found out she had a fractured femur.”
“Nurses get angry is you question them. Let me sit in my own urin and poo for 2 hours because they were all handing out breakfast. Can overhear staff talking negatively about patients who need help.”
“I would like to thank Lisa Anderson from BRIA who came monthly to our East Alton Senior Citizen Breakfast Club. For running BINGO with prizes for our 60+ senior citizens.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
6
measures
2
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose walking got worse
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a troubling pattern of repeated family complaints, with 72% of deficiencies triggered by family reports about protection from abuse and neglect, medication management, and safety hazards. The same serious issues persist across multiple recent surveys, including ongoing problems with preventing abuse, ensuring proper medication administration, and maintaining safe environments. While the facility reports correcting issues after they're identified, the recurring nature of these fundamental safety and care problems suggests systemic challenges that families should carefully evaluate before choosing this facility.
Feb 20, 2026Complaint3
Resident Rights Deficiencies
Honor 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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Dec 29, 2025Complaint2
Resident Rights Deficiencies
Honor 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.
Environmental Deficiencies
Keep all essential equipment working safely.
Nov 19, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 30, 2025Complaint6
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Ensure 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.
Resident Rights Deficiencies
Honor 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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 25, 2025Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 3, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Nov 19, 2025
$22,315
Fine
Sep 30, 2025
$29,100
Fine
Mar 26, 2025
$189,280
Payment Denial
Mar 26, 2025
102-day denial
Fine
Sep 10, 2024
$53,768
Payment Denial
Sep 10, 2024
22-day denial
Payment Denial
Oct 3, 2023
127-day denial
Fine
Oct 3, 2023
$115,643
Ownership & Operations
Who Operates This Facility
Nexus at Alton
for profit
Chain Affiliation
Bria Health Services
15 facilities nationwide
Chain avg rating: 1.2/5 · Rank 5 of 15 (Worst)
Ownership & Management
Owners
Forge Investments Lp
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
28 reviews from families & visitors
Official Website
Visit briahs.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Stonebridge Florissant
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Estates of Spanish Lake, the
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