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Axiom Gardens of Nashville

Open-data reference.

Axiom Gardens of Nashville is a for profit - partnership facility in NASHVILLE, IL with 120 certified beds and a 1-star overall CMS rating. The facility has 49 deficiency records on file. Total penalties: $280K.

485 SOUTH FRIENDSHIP DRIVE, NASHVILLE, IL 62263

Phone: 6183273041

Overall Rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
146043
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
Beds
120
Residents
59
In Hospital
No
County
Washington
Last Inspection
Dec 20, 2024
Special Focus
SFF Candidate
Abuse citation on record

Staffing Data

RN Hours
0.20 (nat'l avg: 0.68)
LPN Hours
0.85
CNA Hours
2.39
Total Nursing Hours
3.44 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
76.7%

What the CMS Record Reveals About Axiom Gardens of Nashville

Axiom Gardens of Nashville operates 120 certified beds in NASHVILLE, IL with approximately 59 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (2★). 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.

The inspection file contains 49 deficiency records from recent surveys, of which 11 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $280K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.44 total nursing hours per resident day (national average 3.89), with RN coverage at 0.20 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature. This facility is currently designated "SFF Candidate" under the CMS Special Focus Facility program, reserved for providers with a persistent pattern of serious quality problems.

Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, Axiom Gardens of Nashville falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 76.7%, above the level where continuity of care typically begins to suffer. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (49 most recent)

F — Widespread - Minimal harm Dec 24, 2025 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

G — Isolated - Actual harm Dec 24, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

D — Isolated - Minimal harm Dec 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

F — Widespread - Minimal harm Dec 24, 2025 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

J — Isolated - Jeopardy Dec 24, 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

J — Isolated - Jeopardy Dec 24, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

J — Isolated - Jeopardy Dec 24, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Dec 24, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

J — Isolated - Jeopardy Jul 17, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2025

D — Isolated - Minimal harm Jun 18, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 6, 2025

G — Isolated - Actual harm Feb 11, 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: Mar 11, 2025

F — Widespread - Minimal harm Jan 10, 2025 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: May 15, 2025

F — Widespread - Minimal harm Jan 10, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 24, 2025

D — Isolated - Minimal harm Jan 10, 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: Feb 10, 2025

F — Widespread - Minimal harm Dec 20, 2024 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: May 15, 2025

F — Widespread - Minimal harm Dec 20, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 24, 2025

F — Widespread - Minimal harm Dec 20, 2024 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Jan 21, 2025

F — Widespread - Minimal harm Dec 20, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 24, 2025

D — Isolated - Minimal harm Dec 20, 2024 Tag: 0811

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 21, 2025

F — Widespread - Minimal harm Dec 20, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 18, 2025

F — Widespread - Minimal harm Dec 20, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 29, 2025

D — Isolated - Minimal harm Dec 20, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2025

G — Isolated - Actual harm Dec 20, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 7, 2025

G — Isolated - Actual harm Dec 20, 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: Feb 10, 2025

D — Isolated - Minimal harm Dec 20, 2024 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: Mar 11, 2025

D — Isolated - Minimal harm Dec 20, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jan 18, 2025

D — Isolated - Minimal harm Dec 20, 2024 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: Jan 18, 2025

E — Pattern - Minimal harm Oct 29, 2024 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: Nov 22, 2024

J — Isolated - Jeopardy Oct 29, 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: Nov 22, 2024

E — Pattern - Minimal harm Jun 7, 2024 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: Jul 8, 2024

G — Isolated - Actual harm Jan 9, 2024 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: Feb 9, 2024

F — Widespread - Minimal harm Jan 9, 2024 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Mar 19, 2024

E — Pattern - Minimal harm Jan 9, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Feb 9, 2024

F — Widespread - Minimal harm Jan 9, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 9, 2024

F — Widespread - Minimal harm Jan 9, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 9, 2024

F — Widespread - Minimal harm Jan 9, 2024 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: Feb 9, 2024

F — Widespread - Minimal harm Jan 9, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 9, 2024

E — Pattern - Minimal harm Jan 9, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 9, 2024

G — Isolated - Actual harm Jan 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: Feb 9, 2024

D — Isolated - Minimal harm Jan 9, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 9, 2024

E — Pattern - Minimal harm Oct 31, 2023 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: Nov 22, 2023

E — Pattern - Minimal harm Sep 21, 2023 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: Oct 13, 2023

D — Isolated - Minimal harm Sep 21, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 13, 2023

E — Pattern - Minimal harm Sep 21, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 13, 2023

E — Pattern - Minimal harm Aug 14, 2023 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: Sep 22, 2023

D — Isolated - Minimal harm Aug 14, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 22, 2023

F — Widespread - Minimal harm Aug 8, 2023 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 8, 2023

E — Pattern - Minimal harm Aug 8, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 8, 2023

E — Pattern - Minimal harm Aug 8, 2023 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: Sep 8, 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 25.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 2.3% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 54.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 14.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 86.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 11.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 11.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.5% Yes

Penalty History 2 penalties totaling $280K

Date Type Amount
Dec 20, 2024 Fine $266K
Dec 20, 2024 Payment Denial -
Oct 29, 2024 Fine $14K

Frequently Asked Questions

What is the overall CMS rating for Axiom Gardens of Nashville?
Axiom Gardens of Nashville has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (2★).
What are the staffing levels at Axiom Gardens of Nashville?
Axiom Gardens of Nashville reports 3.44 total nursing hours per resident day (national average: 3.89). RN hours are 0.20 per resident day (national average: 0.68). Nursing staff turnover is 76.7%.
How many beds does Axiom Gardens of Nashville have?
Axiom Gardens of Nashville has 120 certified beds with approximately 59 residents. The facility is located at 485 SOUTH FRIENDSHIP DRIVE, NASHVILLE, IL 62263.
Does Axiom Gardens of Nashville have any deficiencies on record?
Yes, Axiom Gardens of Nashville has 49 deficiencies on record from recent inspections. Of these, 11 are classified as causing actual harm or jeopardy.
Has Axiom Gardens of Nashville received any fines or penalties?
Yes, Axiom Gardens of Nashville has received 2 penalties totaling $280K.
Who owns Axiom Gardens of Nashville?
Axiom Gardens of Nashville is classified as "For profit - Partnership" ownership. The facility type is "Medicare and Medicaid".
When was Axiom Gardens of Nashville last inspected?
The most recent health inspection for Axiom Gardens of Nashville was on Dec 20, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Axiom Gardens of Nashville?
Axiom Gardens of Nashville 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial