Axiom Gardens of Nashville
485 South Friendship Drive · Nashville, IL · 62263 · 6183273041
120 certified beds For profit - Partnership Chain: Axiom Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $541,045 in fines in the last 24 months.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
5 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$541,045 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.20 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 3 · $541,045 |
Inspection citations (53 in the current record)
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Actual harm · G April 29, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G March 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 30, 2026 · Quality of Life and Care
-
Potential for harm · D March 20, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 20, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 30, 2026 · Quality of Life and Care
-
Immediate jeopardy · J December 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 15, 2026 · Quality of Life and Care
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Immediate jeopardy · J December 24, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 25, 2025 · Quality of Life and Care
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Immediate jeopardy · J December 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 25, 2025 · Quality of Life and Care
-
Actual harm · G December 24, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected December 25, 2025 · Environmental
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Potential for harm · D December 24, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 15, 2026 · Resident Rights
-
Potential for harm · F December 24, 2025 · found via complaint
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.
Corrected January 14, 2026 · Administration
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Potential for harm · D December 24, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 14, 2026 · Infection Control
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Potential for harm · F December 24, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected January 14, 2026 · Nursing and Physician Services
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Immediate jeopardy · J July 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 6, 2025 · Quality of Life and Care
-
Actual harm · G February 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 10, 2025 · Quality of Life and Care
-
Potential for harm · F January 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 24, 2025 · Infection Control
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Potential for harm · F January 10, 2025 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 15, 2025 · Infection Control
-
Actual harm · G December 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 10, 2025 · Quality of Life and Care
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Actual harm · G December 20, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected February 7, 2025 · Quality of Life and Care
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Potential for harm · D December 20, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 18, 2025 · Resident Rights
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Potential for harm · D December 20, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 18, 2025 · Resident Rights
-
Potential for harm · D December 20, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 20, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 19, 2025 · Quality of Life and Care
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Potential for harm · F December 20, 2024
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.
Corrected April 29, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 24, 2025 | Fine | $261,500 |
| June 18, 2025 | Payment Denial | 17 days |
| December 20, 2024 | Fine | $265,965 |
| December 20, 2024 | Payment Denial | 113 days |
| October 29, 2024 | Fine | $13,580 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146043 · certified since February 4, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.