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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIllinoisAxiom Gardens of Nashville

Axiom Gardens of Nashville

485 South Friendship Drive, Nashville, IL 622636183273041
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
2/5
Beds
120
certified
This facility has been flagged for abuse.
Special Focus Facility: SFF Candidate
2 fine(s) totaling $279,545

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 59 residents per day (49% occupancy)

• Last health inspection found 24 deficiencies (inspected Dec 20, 2024)

• Has been fined a total of $279,545 across 2 fine(s)

• Total nursing staff: 3.44 hours per resident per day

• Staff turnover rate: 76.7% (high)

Axiom Gardens of Nashville is a 1-star Medicare and Medicaid certified nursing home in Nashville, Illinois with 120 certified beds. It has been operating since 2003. The facility scored below average compared to Illinois facilities.

Beds
120
Avg Residents/Day
59
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 4, 2003
Sprinklers
Yes
Council
Resident
County
Washington
Last Inspection
Dec 20, 2024
Deficiencies (Cycle 1)
24
Weighted Score
815.8
Infection Citations
0

Deficiency Citations (49)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0686Immediate Jeopardy

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0838Potential for Harm

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.

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0908Actual Harm

Keep all essential equipment working safely.

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Dec 24, 2025Corrected: NoCycle: 1
F0686Immediate Jeopardy

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jul 17, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jun 18, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Feb 11, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0689Actual Harm

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

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0692Actual Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0811Potential for Harm

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.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0838Potential for Harm

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.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: Dec 20, 2024Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Oct 29, 2024Corrected: NoCycle: 2
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Oct 29, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jun 7, 2024Corrected: NoCycle: 2

+ 19 more deficiencies

Total Fines
$279,545
Number of Fines
2
Payment Denials
1
Total Penalties
3

Penalty History

FineOct 29, 2024
$13,580
FineDec 20, 2024
$265,965
Payment DenialDec 20, 2024
113 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.39 hrs
National avg: 2.35 hrs
LPN0.85 hrs
National avg: 0.86 hrs
RN0.20 hrs
National avg: 0.68 hrs
Total Nursing3.44 hrs
National avg: 3.89 hrs
Weekend Total3.24 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
76.7%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Partnership
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
FRANCES, DANNY5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/ANov 1, 2008
FRANCES, JAY5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/ANov 1, 2008
SMITH, KIMBERLY5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/AMar 1, 2011
LEGACY HEALTH SERVICES INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 1, 2008
DAVIDSON, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2018
FRANCES, DANNYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2016
SCHARLEMANN, MARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 15, 2024

Frequently Asked Questions

What is the CMS rating for Axiom Gardens of Nashville?▾
Axiom Gardens of Nashville has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
Has Axiom Gardens of Nashville had any health inspection violations?▾
Axiom Gardens of Nashville had 24 deficiency citations in its most recent health inspection (Dec 20, 2024). The facility has been fined a total of $279,545 across 2 fine(s).
What are the staffing levels at Axiom Gardens of Nashville?▾
Axiom Gardens of Nashville provides 3.44 total nursing staff hours per resident per day, including 0.20 RN hours, 0.85 LPN hours, and 2.39 nurse aide hours. The total staff turnover rate is 76.7%.
How many beds does Axiom Gardens of Nashville have?▾
Axiom Gardens of Nashville has 120 certified beds with an average of 59 residents per day, resulting in approximately 49% occupancy. The facility is For profit - Partnership owned.