Alton Memorial Rehab & Therapy
1251 College Avenue, Alton, IL 62002 · Madison County · 64 certified beds · avg 46 residents/day · certified since Jan 24, 1967
Part of chain: BJC HEALTHCARE (4 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 6, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 12, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 10, 2024 · F-0677
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Why it matters: Residents who don't get this help can suffer poor hygiene, skin breakdown, weight loss, and a loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 24, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 10, 2024 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 24, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 10, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 14, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (24)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 6, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 6, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Dec 5, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Jan 10, 2025 | D · Potential for harm, one-off | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Oct 10, 2024 | ▲ G · Actual harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 10, 2024 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Oct 10, 2024 | F · Potential for harm, facility-wide | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Oct 10, 2024 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| May 10, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 6, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Nov 30, 2023 | F · Potential for harm, facility-wide | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 30, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Nov 30, 2023 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Nov 30, 2023 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Nov 30, 2023 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 30, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 8 | 3 | G ▲ |
| 2025 | 8 | 0 | E |
| 2026 | 2 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $15,626.
| Date | Type | Amount / length |
|---|---|---|
| Oct 10, 2024 | Fine | $15,626 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.29 | 2.99 | 3.95 | top 13% in Illinois; top 29% in the U.S. |
| Registered Nurse hours | 0.78 | 0.63 | 0.69 | top 23% in Illinois; top 29% in the U.S. |
| Weekend total nurse staffing | 3.91 | 2.67 | 3.50 | top 13% in Illinois; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.56 | 0.48 | top 50% in Illinois; top 38% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 44.5 | 45.8 | bottom 34% in Illinois; bottom 38% in the U.S. |
| RN turnover (%) | 66.7 | 41.8 | 42.9 | bottom 14% in Illinois; bottom 15% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.57, RN 0.83, weekend 4.17. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alton Memorial Hospital | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Ayres, Gary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2010 |
| Ayres, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2010 |
| Bethesda Health Group INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Bethesda Health Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| BJC Health System | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/11/2016 |
| Braasch, David | Individual | Corporate Director | NOT APPLICABLE | 04/01/2006 |
| Braasch, David | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2007 |
| Byrne, Roger | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Byrne, Roger | Individual | Corporate Officer | NOT APPLICABLE | 04/02/2026 |
| Byrne, Roger | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Childers, Timothy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Christian Health Services Development Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Dianati, Behfar | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Dianati, Behfar | Individual | ADP of the SNF | NOT APPLICABLE | 10/02/2025 |
| Erker, Melissa | Individual | Corporate Director | NOT APPLICABLE | 01/01/2010 |
| Goins, Sheila | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Harms, Craig | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Huddleston, Ebony | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Liszewski, Kathryn | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/05/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Who oversees residents' therapeutic diets, and how do the doctor and dietitian work together on them?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| La Bella of Alton | 1.6 mi | Alton, IL | ★☆☆☆☆ | 2/5 | |
| Nexus at Alton | 1.9 mi | Alton, IL | ★☆☆☆☆ | 1/5 | abuse |
| Bria of Woodriver | 4.4 mi | Wood River, IL | ★☆☆☆☆ | 1/5 | abuseSFF |
| Bria of Godfrey | 5.2 mi | Godfrey, IL | ★★☆☆☆ | 3/5 | |
| Stonebridge Florissant | 7.2 mi | Florissant, MO | ★★☆☆☆ | 3/5 | |
| Estates of Spanish Lake, the | 8.8 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | |
| Hidden Lake Health Care Center | 9.0 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | |
| Pillars of North County Health & Rehab Center, the | 9.2 mi | Florissant, MO | ★★☆☆☆ | 2/5 | |
| Lakeview Post Acute | 9.9 mi | Florissant, MO | ★☆☆☆☆ | 1/5 | |
| Atrium Place Health and Rehabilitation | 9.9 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | |
| Delmar Gardens North | 9.9 mi | Black Jack, MO | ★★☆☆☆ | 3/5 | |
| Christian Extended Care & Rehabilitation | 10.0 mi | Saint Louis, MO | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145121.