35 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Alton, IL
1-star overall rating with 1-star inspections with abuse icon flag with $507,317 in total fines with 35 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
3523 Wickenhauser, Alton, IL
(618) 465-8887
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
181
Certified beds
Average residents
77
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Bria Health Services
Operator or chain grouping
Approved since
1981-08-28
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.54
Registered nurse staffing
LPN hours / resident day
1.32
Licensed practical nurse staffing
Aide hours / resident day
3.00
Nurse aide staffing
Weekend hours
4.12
Weekend nurse staffing
RN turnover
69%
Annual RN turnover
Total nurse turnover
70%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.0
0.5 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.8 |
2.3
3.5 pts worse
|
1.8
4 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 64.2% |
89.6%
25.4 pts worse
|
93.4%
29.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 67.4% |
91.6%
24.2 pts worse
|
95.5%
28.1 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.3%
0.7 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 86.3% |
50.3%
36 pts worse
|
11.4%
74.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 6.6% |
6.5%
0.1 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.3% |
18.5%
4.8 pts worse
|
19.6%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 25.0% |
22.8%
2.2 pts worse
|
16.7%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.5% |
17.2%
12.7 pts better
|
16.3%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.1% |
15.0%
8.9 pts better
|
14.9%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.1%
0.4 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.8% |
21.3%
7.5 pts better
|
19.8%
6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 7.3% |
5.2%
2.1 pts worse
|
5.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 16.1% |
68.8%
52.7 pts worse
|
81.7%
65.6 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.3% |
14.0%
4.3 pts worse
|
12.0%
6.3 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
2.3%
0.3 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 5.1% |
63.0%
57.9 pts worse
|
79.7%
74.6 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.1% |
26.2%
0.1 pts better
|
23.9%
2.2 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (10 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (9 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (13 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-20
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-05-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-03
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-03-07
Inspection history
Health
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.
Corrected 2025-12-30
Health
Keep all essential equipment working safely.
Corrected 2025-12-30
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-11-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-10-01
Health
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.
Corrected 2025-10-01
Health
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.
Corrected 2025-12-30
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-10-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-18
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-05-31
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-09
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2025-05-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-01
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-01
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-05-01
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-01
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-01
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-05-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-19
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-19
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-11-19
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-10-16
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-10-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-08
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-10-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-08
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-09-26
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-09-26
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-05-17
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-17
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-05-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-17
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-05-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-08
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-10-06
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-10-10
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-10
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-07-10
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-07-10
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-07-10
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-10
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-07-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-07-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-06
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-07-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-06
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-07-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-03
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-04-24
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-04-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-13
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-04-13
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-13
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-04-13
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-03-18
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2023-03-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-03-18
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-01-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-28
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-01-28
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-01-28
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2022-01-28
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-01-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-01-28
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-01-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-01-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-01-28
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2022-01-28
Penalties and ownership
Fine · fine $291,200
Fine
Payment Denial · denial start 2025-04-24 · 102 days
102 day denial
Fine · fine $53,768
Fine
Payment Denial · denial start 2024-10-09 · 22 days
22 day denial
Fine · fine $115,643
Fine
Payment Denial · denial start 2023-11-02 · 127 days
127 day denial
Fine · fine $39,998
Fine
Payment Denial · denial start 2023-07-08 · 2 days
2 day denial
Fine · fine $6,708
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Alton, IL
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Wood River, IL
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $133,325 in total fines with 18 recent health deficiencies
Alton, IL
1-star overall rating with 2-star inspections with $125,544 in total fines with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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