Axiom Gardens of Nashville, Nashville, Illinois
- 59
- Citations from health inspectionsIllinois average: 38 a home
- 14
- Residents harmed or put in dangerIllinois average: 4.6 a home
- $369,968
- Fines from the federal governmentIllinois average: $111,013 a home
- 1 out of 5
- Overall rating in starsIllinois average: 2.5
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
14 inspection visits produced 59 citations. Residents were in immediate danger in six findings. Residents were found hurt in eight cases. Federal fines came to $369,968 (three fines). Two times, Medicare stopped paying for new admissions.
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
Are you worried about the way someone was treated at this home?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 1 out of 5
- Nurse time for each resident
- 3.46 hours each dayThe Illinois average is 3.45 hours
- Time from registered nurses
- 0.23 hours each dayThe Illinois average is 0.72 hours
- Nursing staff who left during one year
- 63.6%against the Illinois average of 44.5%
- Beds that are certified
- 120
- Ownership
- Corporation (for profit)
- Chain
- Axiom Healthcare, with eight homes
- Street address
- 485 South Friendship Drive, Nashville, Illinois 62263
- County
- Washington
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated June 1, 2026
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated April 29, 2026
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
13 citations dated March 20, 2026
- F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, widespread.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
Eight citations dated Dec. 24, 2025
- F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F908 Keep Essential Equipment Working Safely: residents were harmed, one or a few residents, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated July 17, 2025
- F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated June 18, 2025
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Feb. 11, 2025
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Three citations dated Jan. 10, 2025
- F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
13 citations dated Dec. 20, 2024
- F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F811 Trained and Supervised Feeding Assistants: risk of harm, no one found hurt, one or a few residents.
- F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, widespread.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F692 Enough Food and Fluids: residents were harmed, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Two citations dated Oct. 29, 2024
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated June 7, 2024
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
10 citations dated Jan. 9, 2024
- F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, widespread.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, a pattern, several residents.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents.
- F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated Oct. 31, 2023
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Three citations dated Sept. 21, 2023
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Dec. 24, 2025 | Fine | $169,975 |
| June 18, 2025 | Payment denial for new admissions | 17 days |
| Dec. 20, 2024 | Fine | $186,176 |
| Dec. 20, 2024 | Payment denial for new admissions | 113 days |
| Oct. 29, 2024 | Fine | $13,817 |
Ownership and Management of the Home
- The home is run by Axiom Care, LLC (operational or managerial control).
Two people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 146043. Other homes in Illinois.