Nursing homes › Illinois › Axiom Gardens of Flora
701 Shadwell Avenue, Flora, IL 62839 · 6186628361 · 97 certified beds
Per CMS filings, this facility is affiliated with Axiom Healthcare, a group operating 7 facilities in 1 states. Group record: average rating 1.4/5, 4 abuse citation icons, 1 facilities on the Special Focus list, $1,492,463 in federal fines. This facility rates below its group average (1.4/5).
Total nurse staffing: 3.13 (Illinois median: 3.29). RN hours: 0.81. Weekend total: 2.90. Nursing staff turnover: 69%.
All-time on record: 40 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-29 | 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 | complaint | corrected 2026-05-01 |
| 2026-04-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-01 |
| 2026-03-19 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-03-28 |
| 2026-03-02 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Health | corrected 2026-03-10 |
| 2026-03-02 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-03-11 |
| 2026-03-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-03-10 |
| 2026-03-02 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2026-03-10 |
| 2026-03-02 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2026-03-10 |
| 2026-03-02 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-03-28 |
| 2026-01-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2026-01-29 |
| 2025-11-20 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2025-12-15 |
| 2025-11-20 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2025-12-17 |
| 2025-11-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-12-05 |
| 2025-11-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-12-15 |
| 2025-11-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-12-04 |
| 2025-11-20 | 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 | complaint | corrected 2025-12-17 |
| 2025-07-01 | 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 | complaint | corrected 2025-07-02 |
| 2025-04-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-04-30 |
| 2025-04-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-04-30 |
| 2025-04-04 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-04-30 |
| 2025-04-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-04-09 |
| 2025-04-04 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-04-30 |
| 2025-04-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-23 |
| 2025-03-11 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | F | Health | corrected 2025-04-25 |
| 2025-03-11 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2025-03-31 |
| 2025-03-11 | 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. | E | Health | corrected 2025-03-17 |
| 2025-03-11 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-03-28 |
| 2025-03-11 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2025-03-29 |
| 2025-03-11 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-03-24 |
| 2025-03-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-03-24 |
| 2025-03-11 | 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. | D | Health | corrected 2025-03-24 |
| 2025-03-11 | 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. | D | Health | corrected 2025-03-25 |
| 2025-03-11 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-14 |
| 2024-08-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-08-22 |
| 2023-12-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-01-10 |
| 2023-10-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2023-10-25 |
| 2023-10-11 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2023-10-25 |
| 2023-10-11 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-10-25 |
| 2023-10-11 | Respond appropriately to all alleged violations. | D | complaint | corrected 2023-10-25 |
| 2023-10-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2023-10-25 |
| Date | Type | Amount |
|---|---|---|
| 2026-01-14 | Fine | $70,315 |
| 2025-07-01 | Fine | $10,358 |
| 2025-03-11 | Fine | $24,286 |
| 2023-10-11 | Fine | $79,399 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| KAPLAN, MORDECHAI | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2024 |
| RAJCHENBACH, CHAIM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2024 |
| VAUGHN, LATOSHA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2024 |
| WEBB, JESSICA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/01/2024 |
| SPECTOR, JENNIFER | Corporate Officer | Individual | NOT APPLICABLE | since 12/01/2024 |
| AXIOM CARE, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2024 |
| DAUBER, JONATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| GREENE, J'NE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| SPECTOR, JENNIFER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| TUROFSKY, STEVEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| VAUGHN, LATOSHA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| WILHELM, NAFTALI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| ZAMAN, ASAD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145624. Corrections: data@carerecords.org.