Axiom Gardens of NashvilleCMS ratings, inspections and fines
- Address
- 485 South Friendship Drive, Nashville, IL 62263
- CCN
- 146043
- Ownership type
- For-profit, partnership
- Certified beds
- 120
- Chain
- Axiom Healthcare
- Residents per day
- 56
- CMS flags
- Special Focus Facility candidate
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Axiom Gardens of Nashville an overall rating of 1 of 5 stars. The last standard survey was on 20 Dec 2024. The latest survey cycle has 26 health citations. The median for nursing homes in Illinois is 11. CMS lists 3 fines with a total of $541,045 for this home in its penalties file. CMS also lists 2 payment denials.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Illinois median | US average (CMS) |
|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.9 |
| Quality measure rating | 1 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 666 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Illinois median |
|---|---|---|---|
| Cycle 1 (latest) | 20 Dec 2024 | 26 | 11 |
| Cycle 2 | 9 Jan 2024 | 18 | 11 |
| Cycle 3 | No date | 10 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 26 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 7 Jul 2026 |
| 29 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 6 May 2026 |
| 20 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 May 2026 |
| 20 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 30 Mar 2026 |
| 20 Mar 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 30 Mar 2026 |
| 24 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Jan 2026 |
| 24 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 15 Jan 2026 |
| 24 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 25 Dec 2025 |
| 24 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 25 Dec 2025 |
| 24 Dec 2025 | F0838 | 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. | F | Complaint investigation | 14 Jan 2026 |
| 24 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Jan 2026 |
| 24 Dec 2025 | F0908 | Keep all essential equipment working safely. | G | Complaint investigation | 25 Dec 2025 |
| 24 Dec 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint investigation | 14 Jan 2026 |
| 20 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 18 Jan 2025 |
| 20 Dec 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 18 Jan 2025 |
| 20 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 11 Mar 2025 |
| 20 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 10 Feb 2025 |
| 20 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 7 Feb 2025 |
| 20 Dec 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 19 Apr 2025 |
| 20 Dec 2024 | F0727 | 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. | F | Standard survey | 29 Apr 2025 |
| 20 Dec 2024 | F0732 | Post nurse staffing information every day. | F | Standard survey | 18 Jan 2025 |
| 20 Dec 2024 | F0811 | 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. | D | Standard survey | 21 Jan 2025 |
| 20 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Apr 2025 |
| 20 Dec 2024 | F0838 | 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. | F | Standard survey | 21 Jan 2025 |
| 20 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 24 Apr 2025 |
| 20 Dec 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 15 May 2025 |
Survey cycle 2: 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 6 Aug 2025 |
| 18 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Aug 2025 |
| 11 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 11 Mar 2025 |
| 10 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Feb 2025 |
| 10 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 24 Apr 2025 |
| 10 Jan 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint investigation | 15 May 2025 |
| 29 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 22 Nov 2024 |
| 29 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 22 Nov 2024 |
| 9 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 9 Feb 2024 |
| 9 Jan 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 9 Feb 2024 |
| 9 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 9 Feb 2024 |
| 9 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 9 Feb 2024 |
| 9 Jan 2024 | F0727 | 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. | F | Standard survey | 9 Feb 2024 |
| 9 Jan 2024 | F0761 | 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. | F | Standard survey | 9 Feb 2024 |
| 9 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Feb 2024 |
| 9 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 9 Feb 2024 |
| 9 Jan 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 9 Feb 2024 |
| 9 Jan 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 19 Mar 2024 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Jun 2024 | F0761 | 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. | E | Complaint investigation | 8 Jul 2024 |
| 31 Oct 2023 | F0584 | 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. | E | Complaint investigation | 22 Nov 2023 |
| 21 Sep 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 13 Oct 2023 |
| 21 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Oct 2023 |
| 21 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 13 Oct 2023 |
| 14 Aug 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 22 Sep 2023 |
| 14 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 22 Sep 2023 |
| 8 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 8 Sep 2023 |
| 8 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 8 Sep 2023 |
| 8 Aug 2023 | F0727 | 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. | F | Complaint investigation | 8 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 24 Dec 2025 | Fine | $261,500 | |
| 18 Jun 2025 | Payment denial | 17 | |
| 20 Dec 2024 | Fine | $265,965 | |
| 20 Dec 2024 | Payment denial | 113 | |
| 29 Oct 2024 | Fine | $13,580 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Illinois median | Illinois average (CMS) |
|---|---|---|---|
| All nurse staff | 3.46 | 3.30 | 3.45 |
| Registered nurses (RN) | 0.23 | 0.60 | 0.72 |
| Licensed practical nurses (LPN) | 0.96 | 0.64 | |
| Nurse aides | 2.27 | 2.09 | |
| All nurse staff, weekends | 3.01 | 2.90 | 3.08 |
- Nurse staff turnover in a year
- 63.6%
- Nurse staff turnover, Illinois median
- 43.4%
- RN turnover in a year
- No data
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 33.0% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.5% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.4% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.3% | 17.8% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, partnership
- Legal business name
- Friendship Manor Group LLC
- Chain
- Axiom Healthcare (8 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Legacy Health Services Inc | Operational/managerial control | 1 Nov 2008 | |
| Calhoun & Company PLLC | Adp of the snf | 1 Nov 2008 | |
| Hargis & Associates, LLC | Adp of the snf | 1 Nov 2008 | |
| Legacy Health Services Inc | Adp of the snf | 19 Dec 2025 | |
| Proactive Medical Review and Consultants LLC | Adp of the snf | 1 Jan 2022 |
The site shows organisations only. It does not show the names of persons.
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Illinois Department of Public Health: file a health care complaintThe complaint page of the State Survey Agency for Illinois, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Axiom Gardens of Nashville (CCN 146043). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/axiom-gardens-of-nashville-nashville-il-146043/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Axiom Gardens of Nashville last inspected?
- The latest inspection with a citation in the CMS record was on 1 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 9 Jan 2024.
- Who operates Axiom Gardens of Nashville?
- The CMS record gives the ownership type as for-profit, partnership. CMS lists the home in the chain Axiom Healthcare. The CMS ownership file names Legacy Health Services Inc for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Axiom Gardens of Nashville?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 4 homes in Illinois as Special Focus Facilities and 20 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.