Axiom Gardens of Nashville

485 South Friendship Drive, Nashville, IL 62263 · (618) 327-3041
For profit - Corporation · 120 certified beds

Axiom Gardens of Nashville has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 13 citations, 2 for actual harm or immediate jeopardy (the Illinois average is 12.6). It was fined 3 times in the last three years, $369,968 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on March 20, 2026 found 13 citations. What an inspection citation means

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 20, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 20, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.March 20, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.March 20, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 20, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.March 20, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.March 20, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 20, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.March 20, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.March 20, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 20, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.March 20, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.March 20, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 24 citations.

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 1, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 29, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 20, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 20, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 20, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 24, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 24, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 24, 2025 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 24, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.December 24, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.December 24, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep all essential equipment working safely.December 24, 2025 · F0908 · Level of harm: Actual harm · Residents affected: Few
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.December 24, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 17, 2025 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 18, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 11, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 10, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 10, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.January 10, 2025 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 29, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 29, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.June 7, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 9, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.October 31, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $169,975December 24, 2025
• Fine of $186,176December 20, 2024
• Fine of $13,817October 29, 2024
• Medicare payment denial for 17 daysStarting July 20, 2025
• Medicare payment denial for 113 daysStarting January 22, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home