PlainNursing
CMS Nursing Home Compare · August 2026

Axiom Gardens of Flora

701 Shadwell Avenue, Flora, IL 62839

Axiom Gardens of Flora, a 97-bed for profit - corporation nursing facility in Flora, IL, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #601 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6186628361

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1 / 5
Much below average · CMS overall · nat'l 3.0
#601 of 661
In-state rank among rated IL homes
3.13
Well below average · nurse hrs/day · nat'l 3.86
40
Inspection findings · 5 serious

The verdict

Axiom Gardens of Flora, a 97-bed for profit - corporation nursing facility in Flora, IL, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #601 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#601 of 661
In-state rank among rated IL homes
3.13
Nurse hrs/resident-day · national 3.86
40
Inspection findings · 5 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 666 IL nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
145624
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
97
Residents
62
In Hospital
No
County
Clay
Last Inspection
Mar 2, 2026
Abuse citation on record

Staffing Data

How the 3.13 total nursing hours per resident-day are staffed:

RN Hours
0.81 (nat'l avg: 0.69)
LPN Hours
0.49
CNA Hours
1.84
Total Nursing Hours
3.13 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
69.2%
RN Turnover
62.5%

What the CMS Record Reveals About Axiom Gardens of Flora

According to CMS Nursing Home Compare, Axiom Gardens of Flora ranks #601 of 661 rated nursing homes in IL on overall stars (tie-broken by health+staffing+quality, then fewer fines). Axiom Gardens of Flora operates 97 certified beds in Flora, IL with approximately 62 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 1★ · quality 1★).

The inspection file contains 40 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 4 penalties totaling $160K levied against this facility. Per resident day, this facility reports 3.13 total nursing hours (national average 3.86) and 0.81 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Axiom Gardens of Flora falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 69.2% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (40 most recent)

D - Isolated - Minimal harm Apr 29, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 1, 2026

F - Widespread - Minimal harm Apr 29, 2026 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: May 1, 2026

D - Isolated - Minimal harm Mar 19, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Mar 2, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 28, 2026

D - Isolated - Minimal harm Mar 2, 2026 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Mar 2, 2026 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Mar 2, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2026

D - Isolated - Minimal harm Mar 2, 2026 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 11, 2026

E - Pattern - Minimal harm Mar 2, 2026 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Mar 10, 2026

G - Isolated - Actual harm Jan 14, 2026 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 29, 2026

D - Isolated - Minimal harm Nov 20, 2025 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 17, 2025

D - Isolated - Minimal harm Nov 20, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 4, 2025

D - Isolated - Minimal harm Nov 20, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2025

D - Isolated - Minimal harm Nov 20, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 5, 2025

E - Pattern - Minimal harm Nov 20, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 17, 2025

F - Widespread - Minimal harm Nov 20, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 15, 2025

G - Isolated - Actual harm Jul 1, 2025 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 2, 2025

D - Isolated - Minimal harm Apr 17, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 30, 2025

G - Isolated - Actual harm Apr 17, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm Apr 4, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 23, 2025

D - Isolated - Minimal harm Apr 4, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm Apr 4, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 9, 2025

D - Isolated - Minimal harm Apr 4, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 30, 2025

D - Isolated - Minimal harm Mar 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 14, 2025

D - Isolated - Minimal harm Mar 11, 2025 Tag: 0808

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 25, 2025

D - Isolated - Minimal harm Mar 11, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 24, 2025

D - Isolated - Minimal harm Mar 11, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 24, 2025

D - Isolated - Minimal harm Mar 11, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 24, 2025

D - Isolated - Minimal harm Mar 11, 2025 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Mar 29, 2025

D - Isolated - Minimal harm Mar 11, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 28, 2025

E - Pattern - Minimal harm Mar 11, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Mar 17, 2025

F - Widespread - Minimal harm Mar 11, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 31, 2025

F - Widespread - Minimal harm Mar 11, 2025 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 25, 2025

G - Isolated - Actual harm Aug 9, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 22, 2024

D - Isolated - Minimal harm Dec 21, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2024

D - Isolated - Minimal harm Oct 11, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 25, 2023

D - Isolated - Minimal harm Oct 11, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 25, 2023

D - Isolated - Minimal harm Oct 11, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 25, 2023

F - Widespread - Minimal harm Oct 11, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 25, 2023

J - Isolated - Jeopardy Oct 11, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 25, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 34.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 68.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.7% No

Penalty History 4 penalties totaling $160K

Date Type Amount
Jan 14, 2026 Fine $46K
Jul 1, 2025 Fine $10K
Mar 11, 2025 Fine $24K
Oct 11, 2023 Fine $79K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Axiom Gardens of Flora, both outside IL so the neighborhoods are not the same-state geography list below.

What the CMS records show for Axiom Gardens of Flora

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IL registry aggregates state averages and the highest-rated homes in this cohort. View IL registry
  • Peer homes near 97 beds show how CMS stars vary at a similar scale in IL. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Axiom Gardens of Flora?
Axiom Gardens of Flora has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (1★).
Where does Axiom Gardens of Flora rank among nursing homes in IL?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Axiom Gardens of Flora ranks 601st among 661 rated nursing homes in IL (#601 of 661). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Axiom Gardens of Flora?
Axiom Gardens of Flora reports 3.13 total nursing hours per resident day (national average: 3.86). RN hours are 0.81 per resident day (national average: 0.69). Nursing staff turnover is 69.2%.
How many beds does Axiom Gardens of Flora have?
Axiom Gardens of Flora has 97 certified beds with approximately 62 residents. The facility is located at 701 Shadwell Avenue, Flora, IL 62839.
Does Axiom Gardens of Flora have any deficiencies on record?
Yes, Axiom Gardens of Flora has 40 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Axiom Gardens of Flora received any fines or penalties?
Yes, Axiom Gardens of Flora has received 4 penalties totaling $160K.
Who owns Axiom Gardens of Flora?
Axiom Gardens of Flora is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Axiom Gardens of Flora last inspected?
The most recent health inspection for Axiom Gardens of Flora was on Mar 2, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Axiom Gardens of Flora?
Axiom Gardens of Flora is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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