Federal inspection record · CMS data as of October 1, 2026
Axiom Gardens of Nashville
485 South Friendship Drive, Nashville, IL · (618) 327-3041
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 120
- Residents per day
- 58
- Ownership
- For-Profit
- Chain
- Axiom Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 4, 2003
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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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 Nashville carries 845.5 inspection points. That is fewer than 0% 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
56 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 (14)
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Keep all essential equipment working safely.
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J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Provide enough food/fluids to maintain a resident's health.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Infection Control10F
- F
Provide and implement an infection prevention and control program.
- F
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.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Implement a program that monitors antibiotic use.
Nursing and Physician Services6F
- F
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.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F
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.
- F
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
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.
Quality of Life and Care6E
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights6E
- D
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
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Pharmacy Service3F
- F
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.
- E
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.
- F
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.
Administration2F
- F
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.
- F
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.
Inspection history
2026-03-20
23 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-12-20
21 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-01-09
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 37 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
3 h 37 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
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
$369,968 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-24 | Fine | $169,975 |
| 2025-06-18 | Payment Denial · 17 day denial | $0 |
| 2024-12-20 | Fine | $186,176 |
| 2024-12-20 | Payment Denial · 113 day denial | $0 |
| 2024-10-29 | Fine | $13,817 |
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 days0.1 pts worse | 2.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.2 pts worse | 4.3 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine21.1 pts worse | 69.4% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineAbout the same | 91.7% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts worse | 6.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms31.3 pts better | 24.6% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.4 pts worse | 11.5% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.2 pts better | 17.2% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts better | 20.0% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.8 pts worse | 0.9% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened14.9 pts worse | 27.7% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased27 pts worse | 40.0% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.6% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.3 pts worse | 24.1% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts worse | 6.8% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine35.3 pts worse | 34.7% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts better | 7.4% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts worse | 4.1% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.8 pts worse | 41.4% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.8 pts better | 17.8% | 25.6% | 23.4% |
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Who owns and runs it
31 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 |
|---|---|---|---|
| 485 South Friendship Drive, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| 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 | Corporate Officer · 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 |
| Davidson, Robert | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Davidson, Robert | Adp Of The SNF · Individual | 0% | 3 facilities |
| Goldfarb, Brian | Direct Ownership Interest · Individual | 0% | 39 facilities |
| Heiman, Shana | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Heiman, Shana | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Heiman, Shana | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hoffman, Joshua | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 21 facilities |
| Joshua Hoffman Trust | Adp Of The SNF · Organization | 0% | 27 facilities |
| Meystel, Yosef | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 85 facilities |
| Scharlemann, Mary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spector, Jennifer | Direct Ownership Interest · Individual | 0% | 105 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 | Adp Of The SNF · Individual | 0% | 102 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 |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Address patient/client population and determine types of services needed.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
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Other homes nearby
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Coulterville Rehab & Hcc
Coulterville, IL · Tutera Senior Living & Health Care · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 11 min
- Fines
- $113,818
-
Pinckneyville Nursing And Rehab
Pinckneyville, IL · Wlc Management Firm
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 6 min
- Fines
- $100,864
-
Carlyle Healthcare & Sr Living
Carlyle, IL · Pointe Management · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0