Nursing homes › Illinois › Axiom Gardens of Nashville
485 South Friendship Drive, Nashville, IL 62263 · (618) 327-3041 · 120 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 661 providers with a published value in the same state and provider category: 2/5.
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Per CMS filings, this facility is affiliated with Axiom Healthcare, a group operating 8 facilities in 1 state. Group record: average rating 1.4/5, 5 abuse citation icons, 2 facilities on the Special Focus list, $1,525,840 in federal fines. This facility rates below its group average (1.4/5).
Total nurse staffing: 3.46 (Illinois median: 3.29). RN hours: 0.23. Weekend total: 3.01. Nursing staff turnover: 64%.
In the downloaded CMS dataset: 54 deficiency citations, including 6 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2026-07-07 |
| 2026-04-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2026-05-06 |
| 2026-03-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-03-30 |
| 2026-03-20 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | complaint | corrected 2026-03-30 |
| 2026-03-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-05-06 |
| 2025-12-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2026-01-15 |
| 2025-12-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2025-12-25 |
| 2025-12-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-12-25 |
| 2025-12-24 | Keep all essential equipment working safely. | G | complaint | corrected 2025-12-25 |
| 2025-12-24 | 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 | complaint | corrected 2026-01-14 |
| 2025-12-24 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | complaint | corrected 2026-01-14 |
| 2025-12-24 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-01-15 |
| 2025-12-24 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-01-14 |
| 2025-07-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2025-08-06 |
| 2025-06-18 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-08-06 |
| 2025-02-11 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-03-11 |
| 2025-01-10 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2025-04-24 |
| 2025-01-10 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | complaint | corrected 2025-05-15 |
| 2025-01-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-02-10 |
| 2024-12-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2025-02-10 |
| 2024-12-20 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2025-02-07 |
| 2024-12-20 | 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 | Health | corrected 2025-04-29 |
| 2024-12-20 | Post nurse staffing information every day. | F | Health | corrected 2025-01-18 |
| 2024-12-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-04-24 |
| 2024-12-20 | 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 | Health | corrected 2025-01-21 |
| 2024-12-20 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-04-24 |
| 2024-12-20 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2025-05-15 |
| 2024-12-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-01-18 |
| 2024-12-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-01-18 |
| 2024-12-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2025-03-11 |
| 2024-12-20 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-04-19 |
| 2024-12-20 | 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. | D | Health | corrected 2025-01-21 |
| 2024-10-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-11-22 |
| 2024-10-29 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2024-11-22 |
| 2024-06-07 | 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 | complaint | corrected 2024-07-08 |
| 2024-01-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-02-09 |
| 2024-01-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2024-02-09 |
| 2024-01-09 | 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 | Health | corrected 2024-02-09 |
| 2024-01-09 | 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 | Health | corrected 2024-02-09 |
| 2024-01-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-02-09 |
| Date | Type | Amount |
|---|---|---|
| 2025-12-24 | Fine | $261,500 |
| 2025-06-18 | Payment Denial | 17 days payment denial |
| 2024-12-20 | Fine | $265,965 |
| 2024-12-20 | Payment Denial | 113 days payment denial |
| 2024-10-29 | Fine | $13,580 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FRANCES, DANNY | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 11/01/2008 |
| FRANCES, JAY | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 11/01/2008 |
| SMITH, KIMBERLY | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/01/2011 |
| LEGACY HEALTH SERVICES INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2008 |
| DAVIDSON, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2018 |
| FRANCES, DANNY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2016 |
| SCHARLEMANN, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
How to cite this page: CareRecords, “Axiom Gardens of Nashville — compliance, penalty and ownership record” (CCN 146043), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/axiom-gardens-of-nashville-nashville-il/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 146043. Corrections: data@carerecords.org.