Nexus at Columbia
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 61 Google reviews

Watch Nexus at Columbia
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
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)
- High staff turnover (56%)
- High RN turnover (82%)
Bottom 25% in IL · Critically understaffed (RN) · Above average staffing · Worst in BRIA HEALTH SERVICES chain · $178,827 in fines · Abuse citation
What this means for your family
While the facility has undergone renovations and offers a strong therapy program, the recurring reports of poor hygiene and inadequate staffing are significant red flags. We strongly advise families to visit during evening or weekend hours to observe staffing levels firsthand and to ask specific questions about how the facility manages clinical needs like dialysis or wound care.
Google Reviews
Google Reviews
61 reviews on Google“Nexus at Columbia (often referred to as Bria of Columbia) presents a deeply polarized experience for families. While some reviewers praise the facility for its recent renovations, friendly staff, and effective therapy programs, a significant number of families report severe issues including chronic understaffing, poor hygiene, and neglectful care. Potential residents and their families should be aware of the stark contrast between the facility's aesthetic improvements and the recurring reports of inadequate clinical oversight.”
Quality Themes
Tap a score for detailsStrengths
- Newly renovated rooms and common areas
- Effective and dedicated therapy team
- Warm, welcoming admissions process
- Some highly attentive and compassionate individual staff members
Concerns
- Chronic facility-wide odor of urine and feces (mentioned by 6 reviewers)
- Significant understaffing, particularly during evening and night shifts (mentioned by 7 reviewers)
- Neglect regarding basic hygiene, including infrequent bathing and laundry issues (mentioned by 5 reviewers)
- Medication errors and lack of clinical oversight (mentioned by 3 reviewers)
- Staff responsiveness and unprofessional behavior (e.g., phone usage, ignoring call lights) (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 64 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the recent renovations to the rooms and common areas; how do these updated spaces enhance the daily social life and activities for the residents?
- 2Since we want to ensure everything is handled precisely, could you walk us through your specific protocols for medication administration and clinical oversight?
- 3What steps are being taken to ensure that call lights are answered promptly and that staff are easily accessible to residents throughout the evening and night shifts?
- 4How does the facility manage routine cleaning and laundry schedules to ensure that all resident rooms and common areas remain fresh and well-maintained?
- 5In the event of a medical emergency during the night, what is the immediate process for notifying the family and providing care?
- 6It’s great to see that the admissions team is so welcoming; how do you work with families to maintain clear and consistent communication regarding a resident's daily care and well-being?
Personalized based on this facility's data
Key Review Excerpts
“Upon arrival, the entire facility smelled of urine and feces. My loved one was put into a dirty room. There were tiny gnats everywhere. Your shoes literally stuck to the tile floor.”
“They were unable to administer his peritoneal dialysis because their nursing staff was not educated on it even though administration reported that they were.”
“From the time the first connection was made to accept her at the facility to her final day before being released everything was perfect. She was welcomed with a welcome basket and Christmas items that made her feel at home.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
7
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 on antipsychotic medication
Residents whose walking got worse
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
Nexus at Columbia has serious concerns with multiple recent complaints from families resulting in 32 complaint-triggered deficiencies, including a concerning pattern of protection from abuse and neglect violations. The facility repeatedly struggles with resident safety and accident prevention, medication management, and care planning, with similar issues recurring across multiple surveys despite corrections. While the facility corrects most violations, the persistent nature of safety problems and the high volume of family complaints suggest ongoing quality issues that warrant careful consideration before placement.
Jul 8, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Apr 24, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Feb 20, 2025Complaint4
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Jan 13, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Oct 25, 2024Routine10
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Aug 14, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal Penalties
Fine
Jul 8, 2025
$37,570
Fine
Apr 24, 2025
$21,255
Fine
Dec 18, 2024
$32,220
Fine
Aug 14, 2024
$22,588
Fine
Dec 14, 2023
$11,180
Fine
Aug 14, 2023
$42,569
Payment Denial
Aug 14, 2023
1-day denial
Ownership & Operations
Who Operates This Facility
Nexus at Columbia
for profit
Chain Affiliation
Bria Health Services
15 facilities nationwide
Chain avg rating: 1.2/5 · Rank 10 of 15 (Worst)
Ownership & Management
Owners
Weinfeld, Dvorah
Owner
Weiss, Natan
Owner
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
61 reviews from families & visitors
Official Website
Visit briahs.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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.
Bethesda Southgate
4.7 miNursing Home · Saint Louis, MO
Nazareth Living Center
6.2 miNursing Home · Saint Louis, MO
Lemay Nursing
6.9 miNursing Home · Saint Louis, MO
Sherbrooke Village
7.5 miNursing Home · Saint Louis, MO
Bluebird Wellness and Rehabilitation
8.2 miNursing Home · Saint Louis, MO
Accolade Healthcare of Waterloo
8.3 miNursing Home · Waterloo, IL