Federal inspection record · CMS data as of October 1, 2026
Axiom Healthcare Of West Frankfort
601 North Columbia, West Frankfort, IL · (618) 932-2109
- Certified beds
- 96
- Residents per day
- 47
- Ownership
- For-Profit
- Chain
- Axiom Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1990
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
★★★★★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.
-
Quality measures
★★★★★no change
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.
2
Where it sits among Illinois homes
Axiom Healthcare Of West Frankfort carries 390.5 inspection points. That is fewer than 4% 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
67 health citations on record since 2024. 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 (7)
-
G
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe, appropriate dialysis care/services for a resident who requires such services.
-
J
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Respond appropriately to all alleged violations.
Everything else, by area of care
Resident Rights16F
- E
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
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Reasonably accommodate the needs and preferences of each 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.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F
Keep residents' personal and medical records private and confidential.
- F
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Reasonably accommodate the needs and preferences of each 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.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Nutrition and Dietary11F
- 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.
- E
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.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- E
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.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services7F
- 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.
- 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 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
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
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
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
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Resident Assessment and Care Planning6E
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation5D
- 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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Environmental2F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Pharmacy Service2D
- 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.
Administration2F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspection history
2026-04-16
26 health deficiencies · 14 fire-safety deficiencies
Top issue: Resident Rights (9 deficiencies)
2025-03-14
26 health deficiencies · 28 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2024-03-22
15 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 57 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
2 h 57 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 0% 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
$327,248 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-16 | Fine | $154,800 |
| 2026-04-16 | Payment Denial · 38 day denial | $0 |
| 2025-08-19 | Fine | $12,438 |
| 2024-12-20 | Fine | $92,647 |
| 2024-03-22 | Fine | $67,363 |
| 2024-03-22 | Payment Denial · 19 day denial | $0 |
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 better | 1.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 3.1 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts worse | 83.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 94.4% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better | 2.7% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.4 pts better | 40.5% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts better | 3.0% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication17.6 pts worse | 36.0% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.6 pts worse | 27.3% | 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 worsened3 pts worse | 15.8% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts worse | 17.8% | 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 infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse | 22.0% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 3.2% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.5 pts worse | 48.5% | 70.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.6 pts worse | 4.8% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine29.9 pts worse | 33.3% | 63.2% | 80.1% |
·
Who owns and runs it
29 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 | Trustee Of The SNF · Individual | 0% | 85 facilities |
| Colp, Tzena | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Colp, Tzena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Colp, Tzena | Adp Of The SNF · Individual | 0% | 1 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 | Direct Ownership Interest · Individual | 0% | 8 facilities |
| Dauber, Jonathan | Managing Control - Governing Body · 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 | Direct Ownership Interest · Organization | 0% | 46 facilities |
| Fisher, Teresa | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Fisher, Teresa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fisher, Teresa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Meystel, Yosef | Trustee Of The SNF · Individual | 0% | 85 facilities |
| Petersen SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Rider, Shannon | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Rider, Shannon | Adp Of The SNF · Individual | 0% | 5 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 |
| Webb, Jessica | Corporate Officer · 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 | Direct Ownership Interest · Organization | 0% | 47 facilities |
·
Fire safety
52 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke22F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 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
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 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
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness16F
- F
Create arrangements with other facilities to receive patients.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures including evacuation.
- F
Create arrangements with other facilities to receive patients.
- F
Establish roles under a Waiver declared by secretary.
- F
List the names and contact information of those in the facility.
- F
Establish methods for sharing information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- 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 roles under a Waiver declared by secretary.
Egress6F
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- E
Install proper backup exit lighting.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous5F
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of highly flammable decorations.
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems3F
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
·
Other homes nearby
-
Stonebridge Nursing And Rehab
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 23 min
- Fines
- $0
-
Helia Healthcare Of Benton
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h
- Fines
- $0
-
Shawnee Senior Living
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 22 min
- Fines
- $293,446