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Nursing home report

Axiom Gardens of Flora

FLORA, IL · Medicare-certified · 97 beds

Needs attention
Abuse citationFor-profitChain member
1 of 5 overall

Axiom Gardens of Flora has a 1-out-of-5 overall rating, with 1-star staffing and quality measures and 2-star health inspections. Reported nurse staffing is 2.83 hours per resident day versus the 4.1-hour federal benchmark, and the facility has $104,959 in fines in the last 24 months plus a recent abuse citation.

Facility ratings

Health inspections

Staffing

2.8304 hrs/resident/day

Quality measures

Last inspection: March 19, 2026Penalties, last 24 months: $104,959recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8304.

Staffing detail

Registered nurses
0.74
Licensed practical nurses
0.45
Nurse aides
1.65
Weekend nursing
2.59

Hours per resident per day.

Total staff turnover: 69%
Registered nurse turnover: 57%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

36.3%Improving

Residents with a fall causing major injury

8%Improving

Residents with pressure ulcers (bedsores)

8.6%Improving

Residents with a urinary tract infection

3.3%Improving

Residents who lost too much weight

2.3%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

23.6%Worsening

Residents whose ability to walk got worse

18.2%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

16.3%Improving

Short-stay residents newly given an antipsychotic

2.8%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

13%Improving

Residents with depressive symptoms

55.2%Worsening

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

96.7%Steady

Short-stay residents given the pneumonia vaccine

96.4%Improving

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited January 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited July 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: G

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited November 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. PENALTY

    A federal fine of $70,315 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $10,358 was recorded.

  7. PENALTY

    A federal fine of $24,286 was recorded.

Penalties & enforcement

On record with Medicare: 4 fines · $184,358 in total fines.

  • Federal fine

    Jan 14, 2026

    $70,315
  • Federal fine

    Jul 1, 2025

    $10,358
  • Federal fine

    Mar 11, 2025

    $24,286
  • Federal fine

    Oct 11, 2023

    $79,399

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of AXIOM HEALTHCARE · 7 homes · 1.3 stars avg
Occupancy
67.8 residents on an average day (70% of 97 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 37 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.