Axiom Healthcare of West Frankfort, West Frankfort, Illinois
- 66
- Citations from health inspectionsIllinois average: 38 a home
- 7
- Residents harmed or put in dangerIllinois average: 4.6 a home
- $327,248
- 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
10 inspection visits produced 66 citations. Residents were in immediate danger in two findings. Residents were found hurt in five cases. Federal fines came to $327,248 (four 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.
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- 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
- 3 out of 5
- Nurse time for each resident
- 2.83 hours each dayThe Illinois average is 3.45 hours
- Time from registered nurses
- 0.29 hours each dayThe Illinois average is 0.72 hours
- Nursing staff who left during one year
- 38.5%against the Illinois average of 44.5%
- Beds that are certified
- 96
- Ownership
- Corporation (for profit)
- Chain
- Axiom Healthcare, with eight homes
- Street address
- 601 North Columbia, West Frankfort, Illinois 62896
- County
- Franklin
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Eight citations dated May 12, 2026
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F725 Enough Nursing Staff: 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, a pattern, several residents, found on a complaint visit.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F627 Safe Transfer or Discharge Meeting Resident Needs: residents were harmed, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
15 citations dated April 16, 2026
- F925 Pest Control Program: risk of harm, no one found hurt, widespread.
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
- F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F565 Right to Resident and Family Groups: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.
Two citations dated Jan. 9, 2026
13 citations dated Sept. 16, 2025
- F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F807 Drinks to Keep Residents Hydrated: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few 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.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Three citations dated Aug. 19, 2025
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated June 2, 2025
- F698 Dialysis Care: residents were harmed, one or a few residents, found on a complaint visit.
Seven citations dated March 14, 2025
- F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, widespread.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
Two citations dated Dec. 20, 2024
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: immediate danger to residents, one or a few residents, found on a complaint visit.
Five citations dated May 21, 2024
- F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F610 Investigating Abuse Allegations: residents were harmed, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
- F559 Right to Choose Roommate and Notice Before Changes: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
10 citations dated March 22, 2024
- F925 Pest Control Program: risk of harm, no one found hurt, widespread.
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
- F638 Update Assessments Every Three Months: risk of harm, no one found hurt, a pattern, several residents.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| April 16, 2026 | Fine | $154,800 |
| April 16, 2026 | Payment denial for new admissions | 38 days |
| Aug. 19, 2025 | Fine | $12,438 |
| Dec. 20, 2024 | Fine | $92,647 |
| March 22, 2024 | Fine | $67,363 |
| March 22, 2024 | Payment denial for new admissions | 19 days |
Ownership and Management of the Home
- The home is run by Axiom Care, LLC (operational or managerial control).
- The direct owner is David a Berkowitz Delta Trust.
- The direct owner is Yosef Meystel Delta Trust.
One person with an ownership stake is 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 145664. Other homes in Illinois.