Axiom Healthcare of Harrisburg
1000 West Sloan Street · Harrisburg, IL · 62946 · 6182520351
68 certified beds For profit - Corporation Chain: Axiom Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $92,920 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
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Red flags
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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$92,920 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
61% 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: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 1 · $92,920 |
Inspection citations (26 in the current record)
-
Actual harm · G February 10, 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 February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 10, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 10, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 16, 2025 · found via complaint
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 December 22, 2025 · Nursing and Physician Services
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Potential for harm · F August 29, 2025 · found via complaint
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 September 17, 2025 · Nursing and Physician Services
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Actual harm · G March 20, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 13, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 13, 2025 · Quality of Life and Care
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Potential for harm · F March 20, 2025
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 28, 2025 · Nursing and Physician Services
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No harm found · B March 20, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected April 13, 2025 · Environmental
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Potential for harm · D January 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 3, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 10, 2024 · Pharmacy Service
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Potential for harm · F March 28, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected April 10, 2024 · Administration
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No harm found · B March 28, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected April 10, 2024 · Environmental
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Potential for harm · D February 13, 2024 · found via complaint
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.
Corrected February 26, 2024 · Resident Rights
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Actual harm · G January 31, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 20, 2024 · Quality of Life and Care
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Potential for harm · F January 31, 2024 · found via complaint
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 March 5, 2024 · Nursing and Physician Services
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Potential for harm · F December 29, 2023 · found via complaint
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 February 20, 2024 · Nursing and Physician Services
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Potential for harm · F December 29, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 20, 2024 · Infection Control
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Potential for harm · F December 14, 2023 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 27, 2023 · Environmental
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Potential for harm · F October 27, 2023 · found via complaint
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 November 7, 2023 · Nursing and Physician Services
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Potential for harm · F October 27, 2023 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected November 7, 2023 · Nutrition and Dietary
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Potential for harm · F June 29, 2023 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 10, 2023 · Environmental
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Potential for harm · D May 12, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected May 26, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 12, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 26, 2023 · Quality of Life and Care
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Potential for harm · F May 12, 2023
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 May 26, 2023 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 10, 2026 | Fine | $92,920 |
| March 20, 2025 | Payment Denial | 24 days |
| December 14, 2023 | Payment Denial | 42 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145978 · certified since June 1, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.