Axiom Healthcare of Harrisburg
1000 West Sloan Street, Harrisburg, IL 62946
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Follow this homeAxiom Healthcare of Harrisburg is a nursing home in Harrisburg, Illinois. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionJune 3, 2026 (5 months ago)
- Health citations since October 27, 202339 (Illinois average 38)
- Fines in the past three years1, $92,920 in total
- CMS flagsCMS abuse icon
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CMS flags
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on August 7, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on August 24, 2026.
CMS has cited this home for F0584 3 times since 2024.
Health inspection on June 3, 2026
17 citationsCMS lists this as a standard inspection.
Show the 17 citations
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on June 18, 2026.
CMS has cited this home for F0727 7 times since 2023.
Citation F0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on June 18, 2026.
Citation F0558. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on June 18, 2026.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 18, 2026.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on June 18, 2026.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 18, 2026.
CMS has cited this home for F0880 2 times since 2023.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on June 18, 2026.
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on June 18, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 18, 2026.
Citation F0678. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS lists it as corrected on June 18, 2026.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 18, 2026.
CMS has cited this home for F0684 2 times since 2025.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on June 18, 2026.
CMS has cited this home for F0686 3 times since 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 18, 2026.
CMS has cited this home for F0689 2 times since 2025.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 18, 2026.
Citation F0806. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on June 18, 2026.
Citation F0808. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 18, 2026.
Citation F0912. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS lists it as corrected on June 17, 2026.
CMS has cited this home for F0912 3 times since 2024.
Fire safety inspection on June 3, 2026
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on June 25, 2026.
CMS has cited this home for E0004 3 times since 2024.
Citation E0007. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Address patient/client population and determine types of services needed.
CMS lists it as corrected on June 18, 2026.
CMS has cited this home for E0007 2 times since 2025.
Citation E0015. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Address subsistence needs for staff and patients.
CMS lists it as corrected on June 25, 2026.
Citation E0018. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish procedures for tracking staff and patients during an emergency.
CMS lists it as corrected on June 25, 2026.
Citation E0025. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Create arrangements with other facilities to receive patients.
CMS lists it as corrected on June 25, 2026.
CMS has cited this home for E0025 2 times since 2025.
Citation E0037. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on June 26, 2026.
CMS has cited this home for E0037 3 times since 2024.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on June 26, 2026.
CMS has cited this home for E0039 2 times since 2025.
CMS update of April 29, 2026
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of February 25, 2026
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
Health inspection on February 10, 2026
3 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
285 of 664 Illinois homes (43%) got a citation at the actual harm level in 2026.
CMS fine of $92,920 on February 10, 2026.
Show the 3 citations
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on February 27, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on February 27, 2026.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on February 27, 2026.
Health inspection on December 16, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on December 22, 2025.
CMS update of November 20, 2025
Fire safety citation
CMS removed citation K0293 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0321 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0324 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0341 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0345 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0346 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0351 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0354 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0355 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0363 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0374 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0712 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0741 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0914 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0920 from the fire safety inspection on March 24, 2025.
Fire safety citation
CMS removed citation K0211 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0291 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0293 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0345 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0346 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0354 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0355 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0374 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0712 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0914 from the fire safety inspection on April 10, 2024.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on April 10, 2024.
Health inspection on August 29, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on September 17, 2025.
CMS update of July 30, 2025
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
CMS update of June 25, 2025
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
CMS update of May 28, 2025
Name
CMS lists a new legal business name for this home.
CMS update of April 30, 2025
Staffing
Total nurse staffing reported to CMS went from 3.5 to 3.1 hours per resident per day.
April 18, 2025
Payment stoppedCMS stopped payment for new admissions from April 18, 2025, for 24 days.
Health inspection on March 20, 2025
4 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
362 of 664 Illinois homes (55%) got a citation at the actual harm level in 2025.
Show the 4 citations
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on April 13, 2025.
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on April 28, 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 13, 2025.
Citation F0912. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS lists it as corrected on April 13, 2025.
Fire safety inspection on March 20, 2025
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on April 13, 2025.
Citation E0007. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Address patient/client population and determine types of services needed.
CMS lists it as corrected on April 13, 2025.
Citation E0025. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Create arrangements with other facilities to receive patients.
CMS lists it as corrected on April 13, 2025.
Citation E0037. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on April 13, 2025.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on April 13, 2025.
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on April 13, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
Name
CMS lists a new name for this home. It was SHAWNEE ROSE CARE CENTER.
Staffing
Total nurse staffing reported to CMS went from 4.0 to 3.5 hours per resident per day.
Health inspection on January 23, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on February 3, 2025.
Health inspection on March 28, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0868. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS lists it as corrected on April 10, 2024.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on April 10, 2024.
Citation F0912. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS lists it as corrected on April 10, 2024.
Fire safety inspection on March 28, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on April 26, 2024.
Citation E0026. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on April 26, 2024.
Citation E0036. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish emergency prep training and testing.
CMS lists it as corrected on April 26, 2024.
Citation E0037. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on April 26, 2024.
February 28, 2024
Payment stoppedCMS stopped payment for new admissions from February 28, 2024, for 42 days.
Health inspection on February 13, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on February 26, 2024.
Health inspection on January 31, 2024
2 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
383 of 664 Illinois homes (58%) got a citation at the actual harm level in 2024.
Show the 2 citations
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on February 20, 2024.
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on March 5, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on December 29, 2023
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on February 20, 2024.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 20, 2024.
Health inspection on December 14, 2023
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0925. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on December 27, 2023.
Health inspection on October 27, 2023
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on November 7, 2023.
Citation F0802. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS lists it as corrected on November 7, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 1 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (618) 252-0351
- Last standard health inspection
- June 3, 2026 (5 months ago)
- Certified beds
- 68
- Residents per day, on average
- 33.2
- Ownership type
- For profit - Corporation
- Legal business name
- Axiom Healthcare of Harrisburg LLC
- Chain
- Axiom Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Illinois average (39 vs 38).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- DAVID A BERKOWITZ DELTA TRUSTDirect ownership interest · not applicable · since 12/01/2024
- YOSEF MEYSTEL DELTA TRUSTDirect ownership interest · not applicable · since 12/01/2024
- DAUBER, JONATHANDirect ownership interest · not applicable · since 12/01/2024
- DAUBER, ELIANAIndirect ownership interest · not applicable · since 12/01/2024
- AXIOM CARE, LLCOperational/managerial control · not applicable · since 12/01/2024
Show 7 more
- DAUBER, JONATHANOperational/managerial control · not applicable · since 12/01/2024
- HOEHN, CRYSTALOperational/managerial control · not applicable · since 12/01/2024
- JACKSON, TAMMYOperational/managerial control · not applicable · since 12/01/2024
- RIDER, SHANNONOperational/managerial control · not applicable · since 12/01/2024
- SPECTOR, JENNIFEROperational/managerial control · not applicable · since 12/01/2024
- TUROFSKY, STEVENOperational/managerial control · not applicable · since 12/01/2024
- WILHELM, NAFTALIOperational/managerial control · not applicable · since 12/01/2024
Questions
When was Axiom Healthcare of Harrisburg last inspected?
CMS lists June 3, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Axiom Healthcare of Harrisburg have?
CMS lists 39 health citations since October 27, 2023. CMS also calls these deficiencies.
Has Axiom Healthcare of Harrisburg been fined?
CMS lists 1 fine in the past three years, $92,920 in total.
What is the CMS star rating of Axiom Healthcare of Harrisburg?
Its CMS overall star rating is 1 of 5.
Is Axiom Healthcare of Harrisburg a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.