Special Focus candidateAbuse citationFor-profitChain member
★★★★★1 of 5 overall
Axiom Gardens of Nashville (NASHVILLE, IL) has an overall rating of 1 out of 5 stars, with 1-star health inspection, staffing, and quality ratings. It is a special focus facility candidate with $279,545 in fines over the last 24 months, and reported nurse staffing is below the federal benchmark (3.58 vs. 4.1 hours per resident per day).
Last inspection: March 20, 2026Penalties, last 24 months: $279,545special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5846.
Staffing detail
Registered nurses
0.22
Licensed practical nurses
0.92
Nurse aides
2.45
Weekend nursing
3.20
Hours per resident per day.
Total staff turnover: 69%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.2%Improving
Residents with a fall causing major injury
6.8%Worsening
Residents with pressure ulcers (bedsores)
9.2%Improving
Residents with a urinary tract infection
1.4%Improving
Residents who lost too much weight
10.9%Worsening
Residents who were physically restrained
1.8%Improving
Residents needing more help with daily activities
29.6%Worsening
Residents whose ability to walk got worse
18.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.5%Worsening
Short-stay residents newly given an antipsychotic
1.8%Steady
Residents with a long-term catheter
1.6%Worsening
Residents with new or worsening incontinence
21.2%Worsening
Residents with depressive symptoms
4.2%Worsening
Long-stay residents given the seasonal flu vaccine
86.2%Steady
Long-stay residents given the pneumonia vaccine
59.5%Improving
Short-stay residents given the seasonal flu vaccine
11.1%Steady
Short-stay residents given the pneumonia vaccine
18.1%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — 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 provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to keep essential equipment working safely. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $265,965 was recorded.
PENALTY
A federal fine of $13,580 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $279,545 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Jun 18, 2025
17 days
Medicare/Medicaid payment denial
Dec 20, 2024
113 days
Federal fine
Dec 20, 2024
$265,965
Federal fine
Oct 29, 2024
$13,580
Operator & ownership
Ownership
For profit - Partnership
Chain
Part of AXIOM HEALTHCARE · 7 homes · 1.3 stars avg
Occupancy
57.3 residents on an average day (48% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 23 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.