The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
AXIOM GARDENS OF MOUNT VERNON
MOUNT VERNON, IL · Medicare-certified · 106 beds
Needs attention
Abuse citationFor-profit
1 of 5 overall
Overall rating: 1 out of 5 stars. Axiom Gardens of Mount Vernon has very low staffing and quality ratings (1 star each), below-benchmark nurse staffing at 2.97 hours per resident per day versus the 4.1-hour federal benchmark, $17,000 in fines in the last 24 months, and a recent abuse citation; health inspections are rated 2 stars.
Facility ratings
Health inspections
Staffing
2.9663 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $17,000recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9663.
Staffing detail
- Registered nurses
- 0.31
- Licensed practical nurses
- 0.65
- Nurse aides
- 2.01
- Weekend nursing
- 2.68
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 57%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
69.2%46.9%Improving
Residents with a fall causing major injury
4.4%3.4%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
2.2%0%Improving
Residents who lost too much weight
0%13.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
28.9%23.5%Improving
Residents whose ability to walk got worse
15.4%13.3%Improving
Long-stay residents on antianxiety or sleep medication
28.2%30.8%Worsening
Short-stay residents newly given an antipsychotic
—24%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
81.4%20.9%Improving
Residents with depressive symptoms
0%32.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—50%—
Long-stay residents given the pneumonia vaccine
66.7%39.7%Worsening
Short-stay residents given the pneumonia vaccine
4.3%10%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 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 March 2026 — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $7,000 was recorded.
- PENALTY
A federal fine of $10,000 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $37,500 in total fines.
- $7,000
Federal fine
Oct 3, 2024
- $10,000
Federal fine
Jun 27, 2024
- $20,500
Federal fine
Mar 11, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 63.5 residents on an average day (60% of 106 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 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.