Alton Memorial Hospital
An acute care hospital in Alton, Illinois 62002
One Memorial Drive, Alton, Illinois 62002. (314) 286-2227.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 222 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Apr 17, 2025: a complaint inspection.
2 deficiencies cited in the last three years, 2 of them under EMTALA, the law requiring an emergency department to examine and stabilise anyone who comes to it.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Apr 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Apr 17, 2025: complaint inspection2 deficiencies
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Emergency Room Log
The inspectors’ words, 286 words
“EMERGENCY ROOM LOG CFR(s): 489.20(r)(3) [The provider agrees,] in the case of a hospital as defined in §489.24(b) (including both the transferring and receiving hospitals), to maintain a central log on each individual who comes to the emergency department, as defined in §489.24(b), seeking assistance and whether he or she refused treatment, was refused treatment, or whether he or she was transferred, admitted and treated, stabilized and transferred, or discharged. §489.24 The provisions of this regulation apply to all hospitals that participate in Medicare and provide emergency services. This Standard is not met as evidenced by: 49741 Based on a document review and interview, it was determined for 1 of 20 patients (Pt #1) presenting to the Emergency Department (ED), the Hospital failed to ensure the patient was documented in the Emergency Department Log. Findings include: 1. The Emergency Department log from 9/1/24 through 4/14/25 was reviewed on 4/14/25 with Regulatory Compliance & Accreditation Manager (E#3). Pt#1 was not included on the log. A request was made for Pt#1’s record at Hospital A. No record was provided as Pt#1 was not included on the ED log and was not registered at Hospital A. There was no medical screening exam (MSE) done, no lab work completed, or any other testing done for Pt#1. 2. On 4/17/25 at 9:30 AM, an interview was conducted with Regulatory Compliance & Accreditation Manager (E#3). When asked if E#3 could provide a policy on documenting patients on the ED Log, E#3 stated, “We do not have a particular policy on documenting patients on the ED log. The patient should have been entered into the ED log upon arrival!” E#3 verbally agreed that Hospital A did not document Pt#1 on the ED log.”
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Medical Screening Exam
The inspectors’ words, 1,033 words
“MEDICAL SCREENING EXAM CFR(s): 489.24(a) & 489.24(c) (a) Applicability of provisions of this section. (1) In the case of a hospital that has an emergency department, if an individual (whether or not eligible for Medicare benefits and regardless of ability to pay) “comes to the emergency department”, as defined in paragraph (b) of this section, the hospital must- (i) Provide an appropriate medical screening examination within the capability of the hospital’s emergency department, including ancillary services routinely available to the emergency department, to determine whether or not an emergency medical condition exists. The examination must be conducted by an individual(s) who is determined qualified by hospital bylaws or rules and regulations and who meets the requirements of §482.55 of this chapter concerning emergency services personnel and direction; and (ii) If an emergency medical condition is determined to exist, provide any necessary stabilizing treatment, as defined in paragraph (d) of this section, or an appropriate transfer as defined in paragraph (e) of this section. If the hospital admits the individual as an inpatient for further treatment, the hospital’s obligation under this section ends, as specified in paragraph (d)(2) of this section. (2)(i) When a waiver has been issued in accordance with section 1135 of the Act that includes a waiver under section 1135(b)(3) of the Act, sanctions under this section for an inappropriate transfer or for the direction or relocation of an individual to receive medical screening at an alternate location do not apply to a hospital with a dedicated emergency department if the following conditions are met: (A) The transfer is necessitated by the circumstances of the declared emergency in the emergency area during the emergency period. (B) The direction or relocation of an individual to receive medical screening at an alternate location is pursuant to an appropriate State emergency preparedness plan or, in the case of a public health emergency that involves a pandemic infectious disease, pursuant to a State pandemic preparedness plan. (C) The hospital does not discriminate on the basis of an individual’s source of payment or ability to pay. (D) The hospital is located in an emergency area during an emergency period, as those terms are defined in section 1135(g)(1) of the Act. (E) There has been a determination that a waiver of sanctions is necessary. (ii) A waiver of these sanctions is limited to a 72-hour period beginning upon the implementation of a hospital disaster protocol, except that, if a public health emergency involves a pandemic infectious disease (such as pandemic influenza), the waiver will continue in effect until the termination of the applicable declaration of a public health emergency, as provided under section 1135(e)(1)(B) of the Act. (c) Use of dedicated emergency department for nonemergency services. If an individual comes to a hospital’s dedicated emergency department and a request is made on his or her behalf for examination or treatment for a medical condition, but the nature of the request makes it clear that the medical condition is not of an emergency nature, the hospital is required only to perform such screening as would be appropriate for any individual presenting in that manner, to determine that the individual does not have an emergency medical condition. This Standard is not met as evidenced by: 49741 Based on document review and interview, it was determined that in 1 of 20 (Pt #1) Emergency Department (ED) records reviewed, the Hospital failed to ensure that all patients who came to the Emergency Department (ED) were provided an appropriate medical screening examination (MSE). Findings include: 1. The policy titled, “Emergency Medical Treatment and Active Labor Act (EMTALA) (Published 10/1/24) was reviewed. The policy noted, “ ... A. Initial Medical Screening. 1. When an individual comes to the Emergency Department and requests emergency care or treatment, the hospital must provide an appropriate Medical Screening Examination (beyond medical triage) by qualified medical personnel (physicians, non-physician advanced providers and registered nurses) as determined by the medical staff and hospital board of directors. 2. The Medical Screening Examination must be within the hospital’s capacity and capability and include ancillary services routinely available to determine if an emergency medical condition exists. The hospital must follow these guidelines: ... d. No patient will be discharge or transferred without a medical screening examination. 3. The Medical Screening Examination shall be documented in the electronic medical record (EMR).” 2. The policy titled, “Basic Emergency Department Protocol (Reviewed 2/24)” was reviewed. The policy noted, “ ...C. Implementation: ...iv. Obstetrical patients: a. All patients of childbearing years will be asked if they are currently pregnant or if they have delivered in the past six weeks. The patient’s pregnancy status will be documented in the electronic medical record. b. Pregnant patients presenting with complaints of labor will be sent directly to the OB Department if they are greater than twenty weeks gestation ... d. Fetal heart tones will be taken and documented on pregnant patients. f. Obstetrical consults will be done in a timely fashion.” 3. ED Log dated 9/1/24 through 4/14/25 was reviewed with Regulatory Compliance & Accreditation Manager (E#3) on 4/14/25. Pt#1 was not included on the on the log. A request was made for Pt#1’s record at Hospital A. No record provided as Pt#1 was not included on the ED log and was not registered at Hospital A. E #2 verbally agreed there was no medical screening exam (MSE), no lab work completed, or any other testing/stabilization completed for Pt#1. 4. On 4/14/25 at 2:30 PM, an interview was conducted with OB Manager (E#9). E#9 was asked if E#9 recalled Pt#1. E#9 stated was made aware of Pt#1 on 2/7/25 at 5:00 AM. E#9 referred to an email on 2/7/25 sent by E#9 to OB staff regarding Pt#1 not getting an MSE. The email stated, “In this instance, we must accept and evaluate the patient... Once the patient is at our doorstep, we are responsible and must medically screen them. We also cannot decline an ambulance that is inbound, the OB staff or OB physicians do not have the authority to do that. When you are in doubt in a situation like this, call the Nursing Supervisor.” E#9 verbally agreed that Hospital A did not complete a MSE on Pt#1.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 17, 2025 | Complaint inspection | 2 deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 6; safety of care, 1 better and 0 worse of 7; readmission, 0 better and 2 worse of 10.
- Patients rate it 4 of 5 in CMS’s patient survey (990 surveys completed, Oct 1, 2024 to Sep 30, 2025): 73% rated it 9 or 10 out of 10, and 76% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 10.6%, heart failure 11.6%, pneumonia 13.2%, COPD 6%, stroke 12.1%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.3%, heart failure 21.4%, pneumonia 16.4%, COPD 20.3%, hip or knee replacement 6.6%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 196 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 3% left before being seen.
- 42% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.93 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 5 of 5.
- 93% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Christian Health Services Development Corporation runs it.
- 36 owners or officers are people: Geoffrey L Turner (corporate director); Geoffrey L Turner (runs it (operational or managerial control)); Michele Mckee (corporate officer); Michele Mckee (runs it (operational or managerial control), 0%); Sheila Goins (corporate director); Sheila Goins (runs it (operational or managerial control)); Debra Turpin (corporate officer, 0%); Stephen J Thompson (corporate officer); Stephen J Thompson (corporate director); Stephen J Thompson (runs it (operational or managerial control)); Timothy Childers (corporate director); Timothy Childers (runs it (operational or managerial control)); Gary L Ayres (corporate officer); Gary L Ayres (corporate director); Gary L Ayres (runs it (operational or managerial control)); Ebony Huddleston (corporate director); Ebony Huddleston (runs it (operational or managerial control)); David Braasch (corporate officer); David Braasch (corporate director); David Braasch (managing employee (on the payroll)); David Braasch (runs it (operational or managerial control)); Trisha M Lollo (corporate director, 0%); Edward Ryrie (corporate director); Edward Ryrie (runs it (operational or managerial control)); Craig K Harms (corporate director, 0%); Scott Hawig (corporate officer, 0%); Kenneth Trzaska (corporate director, 0%); Matthew Schrimpf (corporate director, 0%); Michael Tchoukaleff (corporate director); Michael Tchoukaleff (runs it (operational or managerial control)); Joan Magruder (corporate director); Joan Magruder (runs it (operational or managerial control)); Melissa A Erker (corporate director); Melissa A Erker (runs it (operational or managerial control)); Tanya Patton (corporate director); Tanya Patton (runs it (operational or managerial control)).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Bjc Health System | Other role (CMS gives no detail) | Jun 1, 1993 | |
| Christian Health Services Development Corporation | Runs it (operational or managerial control) | Jun 1, 1993 |
How does it compare nearby?
- Of the 6 hospitals CMS lists in Madison County, 5 have an overall star rating from CMS: 2 rated 4 of 5, 2 rated 3 of 5, 1 rated 2 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| OSF Saint Anthony’s Health Center | 4 |
| Alton Mental Health Center | Not given |
| Gateway Regional Medical Center | 2 |
| Anderson Hospital | 3 |
| St Joseph’s Hospital | 3 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.