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Nursing home report

Friendship Manor Health Care

Registered name: Axiom Gardens of Nashville

NASHVILLE, IL · Medicare-certified · 120 beds

Needs attention
Special Focus candidateAbuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall

Friendship Manor Health Care in Nashville, IL has a 1-star overall rating, with 1-star scores for health inspections, staffing, and quality measures. It is a Special Focus Facility candidate with $541,045 in fines in the last 24 months, and reported nurse staffing is 3.46 hours per resident per day versus the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

3.4564 hrs/resident/day

Quality measures

Last inspection: April 29, 2026Penalties, last 24 months: $541,045special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4564.

Staffing detail

Registered nurses
0.23
Licensed practical nurses
0.96
Nurse aides
2.27
Weekend nursing
3.01

Hours per resident per day.

Total staff turnover: 64%

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

18.4%22.5%Worsening

Residents with a fall causing major injury

5.8%3.8%Improving

Residents with pressure ulcers (bedsores)

10.8%10%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

4%12.8%Worsening

Residents who were physically restrained

1.9%0%Improving

Residents needing more help with daily activities

24%37%Worsening

Residents whose ability to walk got worse

17.8%17.8%No change

Long-stay residents on antianxiety or sleep medication

15.7%16.7%Worsening

Short-stay residents newly given an antipsychotic

1.9%

Residents with a long-term catheter

0%1.8%Worsening

Residents with new or worsening incontinence

10.2%24.8%Worsening

Residents with depressive symptoms

0%33.3%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

86.2%

Long-stay residents given the pneumonia vaccine

57.7%71.2%Improving

Short-stay residents given the seasonal flu vaccine

11.1%

Short-stay residents given the pneumonia vaccine

10%37%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 protect residents from abuse and neglect by others. Cited April 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

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

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. STAFFING

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

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $261,500 was recorded.

  6. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. PENALTY

    A federal payment denial was recorded.

  9. PENALTY

    A federal payment denial was recorded.

  10. PENALTY

    A federal fine of $265,965 was recorded.

  11. PENALTY

    A federal fine of $13,580 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $541,045 in total fines · 2 payment denials.

  • Federal fine

    Dec 24, 2025

    $261,500
  • 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 · 1.4 stars avg
Occupancy
55.8 residents on an average day (46% 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.