All 3 Medicare-certified nursing homes in Alton,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Alton Memorial Rehab & Therapy sits at 64 certified beds under nonprofit ownership, and its nurse staffing runs about 18% above the national average at 4.57 hours per resident day. That's a real cushion, though weekend coverage dips roughly 9% below its own weekday level, and turnover lands at 50% against a national 45.8%, so the people providing that care change fairly often. The inspection record is where things get harder to square: 24 deficiencies currently on file, four of them at the harm or jeopardy level and two tied to abuse, plus one fine of $15,626. The most recent inspection closed in December 2025, so the picture is current.
La Bella Of Alton runs on thin staffing: 2.75 nurse hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday levels. That shows up in the numbers, a one-star CMS staffing rating and 49.6% annual turnover, slightly worse than the 45.8% national figure. The 180-bed for-profit home carries 53 deficiencies on its current record, including five at the harm or jeopardy level and three tied to abuse, plus five fines totaling $85,546. Its last inspection was March 25, 2024. A four-star quality measure rating doesn't offset what the inspection and staffing data show, so ask hard questions before considering this one.
Nexus At Alton runs 181 beds under for-profit LLC ownership, and the staffing picture is stranger than the headline number suggests. Total nurse hours come in around 4.28 per resident day, roughly 11% above the national average, but weekends drop about 20% below the home's own weekday level, so coverage depends heavily on when you visit. Annual turnover sits at 81.5% against a national average near 45.8%, meaning most of the people caring for residents are new to the building. The inspection record is the harder problem: 87 deficiencies on file, 20 at harm or jeopardy level and 14 abuse-related, with five fines totaling $392,111 and a last inspection in May 2024.