Flora, IL

Axiom Healthcare of Flora

3-star overall rating with 4-star inspections with $14,015 in total fines with 4 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

232 Given Street, Flora, IL

(618) 662-8381

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Axiom Healthcare

Operator or chain grouping

Approved since

1991-02-14

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

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.97

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.25

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.38

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.70

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.85

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.87

CMS adjusted RN staffing hours

Adjusted total hours

3.06

CMS adjusted total nurse staffing hours

Case-mix index

1.51

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

30%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,447

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

5.14

Composite VBP score used to determine payment impact.

Payment multiplier

0.9805

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Baseline 6.65% · Performance 7.82% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

1.03

Baseline 3.28 hours · Performance 3.37 hours · Measure score 1.03 · Achievement 1.03 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.07%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 53 · Observed rate 11.32% · Lower 95% interval 7.45%
Discharge to community	50.16%	50.57% 0.4 pts worse	No Different than the National Rate · Eligible stays 50 · Observed rate 46% · Lower 95% interval 36.59%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	93.1%	95.27% 2.2 pts worse	Numerator 27 · Denominator 29
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 29
Discharge self-care score	27.27%	53.69% 26.4 pts worse	Numerator 6 · Denominator 22
Discharge mobility score	36.36%	50.94% 14.6 pts worse	Numerator 8 · Denominator 22
Pressure ulcers or injuries, new or worsened	3.45%	2.29% 1.2 pts worse	Numerator 1 · Denominator 29 · Adjusted rate 2.96%
Healthcare-associated infections requiring hospitalization	7.82%	7.12% 0.7 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 10% · Lower 95% interval 4.01%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 53
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	31.82%	56.45% 24.6 pts worse	Numerator 7 · Denominator 22
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	5%	25.2% 20.2 pts worse	Numerator 1 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	2.0 0.1 pts better	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.3 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	2.3 0.2 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 3.1 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.6% 10.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	91.6% 8.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	3.3% 1 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.4% · Q3 2.9% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.2%	50.3% 47.1 pts better	11.4% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 9.1% · Q4 2.7% · 4Q avg 3.2%
Percentage of long-stay residents who lose too much weight	4.5%	6.5% 2 pts better	5.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 6.9% · Q4 5.9% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.4%	18.5% 8.9 pts worse	19.6% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 29.6% · Q3 23.3% · Q4 29.4% · 4Q avg 27.4%
Percentage of long-stay residents who received an antipsychotic medication	28.6%	22.8% 5.8 pts worse	16.7% 11.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.9% · Q2 34.8% · Q3 20.8% · Q4 20.7% · 4Q avg 28.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 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 whose ability to walk independently worsened	30.2%	17.2% 13 pts worse	16.3% 13.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 30.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	33.0%	15.0% 18 pts worse	14.9% 18.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 46.2% · Q3 53.6% · Q4 6.5% · 4Q avg 33.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0%	1.1% 0.1 pts better	1.0% About the same	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	1.7% 0.9 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.8%	21.3% 2.5 pts worse	19.8% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 13.7% · Q3 29.5% · Q4 31.8% · 4Q avg 23.8%
Percentage of long-stay residents with pressure ulcers	10.2%	5.2% 5 pts worse	5.1% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 17.8% · Q3 8.5% · Q4 10.3% · 4Q avg 10.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	87.9%	68.8% 19.1 pts better	81.7% 6.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 90.9% · Q3 83.7% · Q4 86.4% · 4Q avg 87.9%
Percentage of short-stay residents who had an outpatient emergency department visit	23.3%	14.0% 9.3 pts worse	12.0% 11.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 25.0% · Expected 12.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	2.3% 1.1 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 3.3% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.8%	63.0% 21.8 pts better	79.7% 5.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 84.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.4%	26.2% 7.8 pts better	23.9% 5.5 pts better	Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 18.8% · Expected 24.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-25 · Fire 2024-10-25

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

11 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2023-11-07 · Fire 2023-11-07

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2022-09-16 · Fire 2022-09-16

14 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-25

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-25

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-25

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-25

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-25

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-15

F · Potential for more than minimal harm 2024-10-25

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-11-22

F · Potential for more than minimal harm 2024-10-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-10-25

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-10-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-27

E · Potential for more than minimal harm 2024-10-25

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-11-22

F · Potential for more than minimal harm 2023-11-07

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-12-05

F · Potential for more than minimal harm 2023-11-07

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-12-05

F · Potential for more than minimal harm 2023-11-07

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-12-05

F · Potential for more than minimal harm 2023-11-07

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-12-05

F · Potential for more than minimal harm 2023-11-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-12-10

E · Potential for more than minimal harm 2023-11-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-12-05

E · Potential for more than minimal harm 2022-09-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-10-11

Inspection history

Recent health citations

G · Actual harm 2025-08-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-03

G · Actual harm 2025-05-27

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-07-01

D · Potential for more than minimal harm 2025-04-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-02-07

F761 · Pharmacy Service Deficiencies

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 2025-02-19

D · Potential for more than minimal harm 2024-10-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-10

F · Potential for more than minimal harm 2024-09-20

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2024-10-10

D · Potential for more than minimal harm 2023-11-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-10

D · Potential for more than minimal harm 2023-11-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-10

D · Potential for more than minimal harm 2023-11-07

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-12-10

F · Potential for more than minimal harm 2022-09-16

F727 · Nursing and Physician Services Deficiencies

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 2022-10-06

F · Potential for more than minimal harm 2022-09-16