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Nursing home report

Axiom Gardens of Nashville

NASHVILLE, IL · Medicare-certified · 120 beds

Needs attention
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).

Facility ratings

Health inspections

Staffing

3.5846 hrs/resident/day

Quality measures

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

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal payment denial was recorded.

  7. PENALTY

    A federal fine of $265,965 was recorded.

  8. 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.