Federal inspection record · CMS data as of October 1, 2026
Axiom Gardens of Flora
701 Shadwell Avenue, Flora, IL · (618) 662-8361
- Cited for abuse (CMS abuse icon)
- Certified beds
- 97
- Residents per day
- 64
- Ownership
- For-Profit
- Chain
- Axiom Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1989
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Illinois homes
Axiom Gardens of Flora carries 146.75 inspection points. That is fewer than 34% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care10D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Freedom from Abuse, Neglect, and Exploitation6D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nursing and Physician Services5F
- F
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights4E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary3E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-03-02
16 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2025-03-11
17 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2023-12-21
7 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h of nursing staff time a day, 45 min of it from a registered nurse.
This home
3 h
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 67% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$80,349 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-14 | Fine | $45,705 |
| 2025-07-01 | Fine | $10,358 |
| 2025-03-11 | Fine | $24,286 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 3.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.1 pts worse | 4.2 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 100.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.8 pts better | 98.5% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.7 pts worse | 7.7% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms21.9 pts worse | 77.8% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.2 pts better | 0.9% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts better | 14.7% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.6 pts worse | 33.3% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.4 pts worse | 20.2% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15.3 pts worse | 28.3% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 1.7% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.8 pts better | 10.0% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts worse | 7.3% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.2 pts better | 99.2% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts worse | 16.2% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.5 pts worse | 5.7% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine28.5 pts better | 91.7% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.2 pts worse | 31.8% | 25.6% | 23.4% |
·
Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Axiom Care, LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Axiom Care, LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Berkowitz, David | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 85 facilities |
| Curis Services LLC | Adp Of The SNF · Organization | 0% | 98 facilities |
| Dauber, Eliana | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 8 facilities |
| Dauber, Jonathan | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Dauber, Jonathan | Adp Of The SNF · Individual | 0% | 8 facilities |
| David A Berkowitz Delta Trust | Adp Of The SNF · Organization | 0% | 46 facilities |
| Goldfarb, Brian | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 39 facilities |
| Greene, J'ne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Greene, J'ne | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kaplan, Mordechai | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Kaplan, Mordechai | Adp Of The SNF · Individual | 0% | 42 facilities |
| Meystel, Yosef | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 85 facilities |
| Petersen SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Rajchenbach, Chaim | Managing Control - Governing Body · Individual | 0% | 55 facilities |
| Rajchenbach, Chaim | Adp Of The SNF · Individual | 0% | 55 facilities |
| Seitler, Dovid | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 37 facilities |
| Spector, Jennifer | Corporate Officer · Individual | 0% | 105 facilities |
| Spector, Jennifer | Operational/Managerial Control · Individual | 0% | 105 facilities |
| Spector, Jennifer | Adp Of The SNF · Individual | 0% | 105 facilities |
| Turofsky, Steven | Operational/Managerial Control · Individual | 0% | 102 facilities |
| Turofsky, Steven | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 102 facilities |
| Turofsky, Steven | Adp Of The SNF · Individual | 0% | 102 facilities |
| Vaughn, Latosha | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Vaughn, Latosha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vaughn, Latosha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Webb, Jessica | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Webb, Jessica | Adp Of The SNF · Individual | 0% | 8 facilities |
| Wilhelm, Naftali | Operational/Managerial Control · Individual | 0% | 97 facilities |
| Wilhelm, Naftali | Adp Of The SNF · Individual | 0% | 97 facilities |
| Yosef Meystel Delta Trust | Adp Of The SNF · Organization | 0% | 47 facilities |
| Zaman, Asad | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Zaman, Asad | Adp Of The SNF · Individual | 0% | 22 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Egress2E
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness2F
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
·
Other homes nearby
-
Axiom Healthcare of Flora
Flora, IL · Axiom Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 17 min
- Fines
- $9,269
-
★★★★★
- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 45 min
- Fines
- $122,972
-
Fairfield Senior Living & Rehabilitation LLC
Fairfield, IL · Wlc Management Firm
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 1 min
- Fines
- $109,031