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.
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.
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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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $70,315 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
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PENALTY
A federal fine of $10,358 was recorded.
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.