Axiom Gardens of Nashville
485 South Friendship Drive, Nashville, IL 62263
Axiom Gardens of Nashville is a nursing home in Nashville, 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 inspectionMarch 20, 2026 (7 months ago)
- Health citations since October 31, 202356 (Illinois average 38)
- Fines in the past three years3, $369,968 in total
- CMS flagsSpecial Focus Facility candidate, CMS abuse icon
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CMS flags
Special Focus Facility candidate
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
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.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of October 8, 2026
Name
CMS lists a new legal business name for this home.
Health citation
CMS changed citation F0689 from severity G to D. It is from the health inspection on December 20, 2024. Severity D: potential for more than minimal harm, isolated.
Fine
CMS changed the fine from October 29, 2024 from $13,580 to $13,817.
Fine
CMS changed the fine from December 20, 2024 from $265,965 to $186,176.
Fine
CMS changed the fine from December 24, 2025 from $261,500 to $169,975.
Health inspection on June 1, 2026
1 citationCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
80 of 664 Illinois homes (12%) got a citation at the immediate jeopardy level in 2026.
Show the 1 citation
Citation F0689. Severity J: immediate jeopardy, 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 July 7, 2026.
CMS has cited this home for F0689 7 times since 2024.
Health inspection on April 29, 2026
1 citationCMS 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.
Show the 1 citation
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 May 6, 2026.
CMS has cited this home for F0600 5 times since 2024.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of March 25, 2026
Ownership
CMS lists this home under a new chain.
Health inspection on March 20, 2026
13 citationsCMS lists this as a standard inspection and 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.
Show the 13 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 July 14, 2026.
CMS has cited this home for F0686 4 times since 2025.
Citation F0689. Severity G: actual 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 March 30, 2026.
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 August 17, 2026.
CMS has cited this home for F0727 3 times since 2024.
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 July 14, 2026.
CMS has cited this home for F0761 3 times since 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0812 3 times since 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 July 14, 2026.
CMS has cited this home for F0880 5 times since 2024.
Citation F0887. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS lists it as corrected on March 30, 2026.
Citation F0690. Severity E: potential for more than minimal harm, pattern.
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 July 14, 2026.
CMS has cited this home for F0690 2 times since 2024.
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on March 30, 2026.
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 March 30, 2026.
CMS has cited this home for F0584 2 times since 2023.
Citation F0600. Severity D: potential for more than minimal 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 May 6, 2026.
Citation F0605. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on March 30, 2026.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on March 30, 2026.
Fire safety inspection on March 20, 2026
5 citationsCMS lists this as a standard inspection.
Show the 5 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 May 19, 2026.
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 May 19, 2026.
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 May 19, 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 May 29, 2026.
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 May 29, 2026.
CMS has cited this home for E0039 2 times since 2024.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Name
CMS lists a new name for this home. It was FRIENDSHIP MANOR HEALTH CARE.
Health inspection on December 24, 2025
8 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
97 of 664 Illinois homes (15%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $169,975 on December 24, 2025.
Show the 8 citations
Citation F0684. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 15, 2026.
Citation F0686. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on December 25, 2025.
Citation F0689. Severity J: immediate jeopardy, 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 December 25, 2025.
Citation F0908. Severity G: actual harm, isolated.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on December 25, 2025.
Citation F0838. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on January 14, 2026.
CMS has cited this home for F0838 2 times since 2024.
Citation F0947. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS lists it as corrected on January 14, 2026.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on January 15, 2026.
CMS has cited this home for F0580 2 times since 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 14, 2026.
CMS update of November 20, 2025
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Fire safety citation
CMS removed citation K0211 from the fire safety inspection on December 30, 2024.
Fire safety citation
CMS removed citation K0293 from the fire safety inspection on December 30, 2024.
Fire safety citation
CMS removed citation K0345 from the fire safety inspection on December 30, 2024.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on December 30, 2024.
Fire safety citation
CMS removed citation K0355 from the fire safety inspection on December 30, 2024.
Fire safety citation
CMS removed citation K0363 from the fire safety inspection on December 30, 2024.
Fire safety citation
CMS removed citation K0712 from the fire safety inspection on December 30, 2024.
Fire safety citation
CMS removed citation K0914 from the fire safety inspection on December 30, 2024.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on December 30, 2024.
Fire safety citation
CMS removed citation K0920 from the fire safety inspection on December 30, 2024.
July 20, 2025
Payment stoppedCMS stopped payment for new admissions from July 20, 2025, for 17 days.
Health inspection on July 17, 2025
1 citationCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
97 of 664 Illinois homes (15%) got a citation at the immediate jeopardy level in 2025.
Show the 1 citation
Citation F0686. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on August 6, 2025.
Health inspection on June 18, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
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 August 6, 2025.
CMS update of February 26, 2025
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
Health inspection on February 11, 2025
1 citationCMS lists this as a complaint 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 1 citation
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 March 11, 2025.
January 22, 2025
Payment stoppedCMS stopped payment for new admissions from January 22, 2025, for 113 days.
Health inspection on January 10, 2025
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
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 April 24, 2025.
Citation F0882. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS lists it as corrected on May 15, 2025.
CMS has cited this home for F0882 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 February 10, 2025.
Health inspection on December 20, 2024
13 citationsCMS lists this as a standard 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.
CMS fine of $186,176 on December 20, 2024.
Show the 13 citations
Citation F0692. Severity G: actual harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on February 7, 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 29, 2025.
Citation F0732. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on January 18, 2025.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 24, 2025.
Citation F0838. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on January 21, 2025.
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 April 24, 2025.
Citation F0882. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS lists it as corrected on May 15, 2025.
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 January 18, 2025.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on January 18, 2025.
Citation F0600. Severity D: potential for more than minimal 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 March 11, 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 February 10, 2025.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on April 19, 2025.
Citation F0811. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 21, 2025.
Fire safety inspection on December 20, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
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 January 20, 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 January 20, 2025.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 1 of 5.
Health inspection on October 29, 2024
2 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 664 Illinois homes (19%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $13,817 on October 29, 2024.
Show the 2 citations
Citation F0689. Severity J: immediate jeopardy, 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 November 22, 2024.
Citation F0725. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on November 22, 2024.
Health inspection on June 7, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0761. Severity E: potential for more than minimal harm, pattern.
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 July 8, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of March 28, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Health inspection on January 9, 2024
10 citationsCMS lists this as a standard inspection and 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 10 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 9, 2024.
Citation F0689. Severity G: actual 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 February 9, 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 February 9, 2024.
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 February 9, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 9, 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 9, 2024.
Citation F0882. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS lists it as corrected on March 19, 2024.
Citation F0690. Severity E: potential for more than minimal harm, pattern.
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 February 9, 2024.
Citation F0881. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on February 9, 2024.
Citation F0604. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS lists it as corrected on February 9, 2024.
Health inspection on October 31, 2023
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 November 22, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (618) 327-3041
- Last standard health inspection
- March 20, 2026 (7 months ago)
- Certified beds
- 120
- Residents per day, on average
- 57.6
- Ownership type
- For profit - Corporation
- Legal business name
- Axiom Gardens of Nashville LLC
- Chain
- Axiom Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Illinois average (56 vs 38).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- GOLDFARB, BRIANDirect ownership interest · not applicable · since 11/01/2025
- SPECTOR, JENNIFERDirect ownership interest · not applicable · since 11/01/2025
- AXIOM CARE, LLCOperational/managerial control · not applicable · since 11/01/2025
- DAUBER, JONATHANOperational/managerial control · not applicable · since 11/01/2025
- DAVIDSON, ROBERTOperational/managerial control · not applicable · since 11/01/2025
Show 5 more
- HEIMAN, SHANAOperational/managerial control · not applicable · since 11/01/2025
- SCHARLEMANN, MARYOperational/managerial control · not applicable · since 11/01/2025
- SPECTOR, JENNIFEROperational/managerial control · not applicable · since 11/01/2025
- TUROFSKY, STEVENOperational/managerial control · not applicable · since 11/01/2025
- WILHELM, NAFTALIOperational/managerial control · not applicable · since 11/01/2025
Questions
When was Axiom Gardens of Nashville last inspected?
CMS lists March 20, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Axiom Gardens of Nashville have?
CMS lists 56 health citations since October 31, 2023. CMS also calls these deficiencies.
Has Axiom Gardens of Nashville been fined?
CMS lists 3 fines in the past three years, $369,968 in total.
What is the CMS star rating of Axiom Gardens of Nashville?
Its CMS overall star rating is 1 of 5.
Is Axiom Gardens of Nashville a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility candidate.