23 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Nashville, IL
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $279,545 in total fines with 23 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
485 South Friendship Drive, Nashville, IL
(618) 327-3041
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
59
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Axiom Healthcare
Operator or chain grouping
Approved since
2003-02-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 1 overall / 2 health / 1 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.20
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.39
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.44
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.05
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.24
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.22
CMS adjusted RN staffing hours
Adjusted total hours
3.86
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
77%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
12,855
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.02
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.72
Performance 19.71% · Measure score 3.72 · Achievement 3.72 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Baseline 5.86% · Performance 8.44% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 43.75% · Performance 64.10% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.29
Baseline 2.79 hours · Performance 3.02 hours · Measure score 0.29 · Achievement 0 · Improvement 0.29
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.01% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 11.67% · Lower 95% interval 7.49% |
| Discharge to community | 39.61% |
50.57%
11 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 30.77% · Lower 95% interval 30.46% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 95.65% |
95.27%
0.4 pts better
|
Numerator 44 · Denominator 46 |
| Falls with major injury | 2.17% |
0.77%
1.4 pts worse
|
Numerator 1 · Denominator 46 |
| Discharge self-care score | 53.13% |
53.69%
0.6 pts worse
|
Numerator 17 · Denominator 32 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 16 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 6.52% |
2.29%
4.2 pts worse
|
Numerator 3 · Denominator 46 · Adjusted rate 6.54% |
| Healthcare-associated infections requiring hospitalization | 8.44% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 34 · Observed rate 14.71% · Lower 95% interval 4.62% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 71 |
| Staff flu vaccination coverage | 20.59% |
42%
21.4 pts worse
|
Numerator 14 · Denominator 68 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 16 · Denominator 32 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 22 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
2.0
0.9 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
2.3
0.3 pts better
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 54.4% |
89.6%
35.2 pts worse
|
93.4%
39 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 60.0% · Q2 53.6% · Q3 57.7% · Q4 47.4% · 4Q avg 54.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.2% |
91.6%
5.4 pts worse
|
95.5%
9.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.5% |
3.3%
3.2 pts worse
|
3.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 5.4% · Q3 5.8% · Q4 8.8% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
50.3%
50.3 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
6.5%
1.7 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 13.2% · Q3 4.0% · Q4 4.1% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.7% |
18.5%
2.8 pts better
|
19.6%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 13.2% · Q3 15.7% · Q4 16.7% · 4Q avg 15.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.5% |
22.8%
6.3 pts better
|
16.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 21.4% · Q3 17.5% · Q4 15.0% · 4Q avg 16.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 2.3% |
0.1%
2.2 pts worse
|
0.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.8% · Q3 1.9% · Q4 3.5% · 4Q avg 2.3% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.6% |
17.2%
3.4 pts worse
|
16.3%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 20.9% · Q3 17.8% · Q4 14.2% · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.5% |
15.0%
10.5 pts worse
|
14.9%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 23.5% · Q3 24.0% · Q4 35.3% · 4Q avg 25.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.0% |
1.1%
0.9 pts worse
|
1.0%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 2.1% · Q3 0.0% · Q4 1.4% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
1.7%
0.2 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.8% · Q3 0.0% · Q4 3.8% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.3% |
21.3%
6 pts better
|
19.8%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 17.6% · Q3 10.2% · Q4 20.2% · 4Q avg 15.3% |
| Percentage of long-stay residents with pressure ulcers | 11.3% |
5.2%
6.1 pts worse
|
5.1%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 16.3% · Q3 10.8% · Q4 4.3% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 14.5% |
68.8%
54.3 pts worse
|
81.7%
67.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 14.8% · Q3 10.0% · Q4 9.1% · 4Q avg 14.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
14.0%
6.5 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 8.0% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
2.3%
0.5 pts better
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 11.1% |
63.0%
51.9 pts worse
|
79.7%
68.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 11.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
26.2%
5.5 pts better
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 20.0% · Expected 23.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Infection Control (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-01-20
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-01-20
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-25
Health
Keep all essential equipment working safely.
Corrected 2025-12-25
Health
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.
Corrected 2026-01-14
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2026-01-14
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-15
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-14
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-11
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-24
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-05-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-07
Health
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.
Corrected 2025-04-29
Health
Post nurse staffing information every day.
Corrected 2025-01-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-24
Health
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.
Corrected 2025-01-21
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-24
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-05-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-18
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-18
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-11
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-19
Health
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.
Corrected 2025-01-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-22
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-11-22
Health
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.
Corrected 2024-07-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-09
Health
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.
Corrected 2024-02-09
Health
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.
Corrected 2024-02-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-09
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-03-19
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-09
Health
Implement a program that monitors antibiotic use.
Corrected 2024-02-09
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-02-09
Health
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.
Corrected 2023-11-22
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-13
Health
Respond appropriately to all alleged violations.
Corrected 2023-10-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-22
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-09-22
Health
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.
Corrected 2023-09-08
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-08
Health
Respond appropriately to all alleged violations.
Corrected 2023-09-08
Penalties and ownership
Payment Denial · denial start 2025-07-20 · 17 days
17 day denial
Fine · fine $265,965
Fine
Payment Denial · denial start 2025-01-22 · 113 days
113 day denial
Fine · fine $13,580
Fine
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
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