facebook tracking Axiom Healthcare of Flora, Flora IL: CMS Ratings
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Axiom Healthcare of Flora

All states › Illinois › Flora › Axiom Healthcare of Flora

232 Given Street Flora, IL 62839 · Clay County

(618) 662-8381

All 2 nursing homes in Flora, IL (2 take Medicaid)

Accepts Medicare Accepts Medicaid 99 certified beds For profit

CMS certification number 145692 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Axiom Healthcare of Flora a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Axiom Healthcare of Flora as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Illinois average of 2.6. Inspectors issued 25 citations in the last three years. CMS imposed 2 penalties, including $9,269 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.28 hours per resident per day at Axiom Healthcare of Flora, about the same as the Illinois median of 3.33 (US median: 3.72). About 1.11 of those hours are from registered nurses. On weekends it falls to 2.66 hours, 19% below its all-week average. Ask how weekends are staffed. 45.8% of nursing staff left within a year (Illinois median 43.5%).

Nursing care per resident per day 3.28 hours
About the Illinois median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.11 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.66 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 45.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 8.3% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds99
Residents per day 54 About 55% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1991
Part of a chainAxiom Healthcare
Legal business nameAXIOM HEALTHCARE OF FLORA LLC

Paying for care at Axiom Healthcare of Flora: Medicare and Medicaid

Axiom Healthcare of Flora is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Illinois's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on October 25, 2024 and found 1 deficiency, plus 2 from complaint inspections in the same period. In total, inspectors issued 25 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 25 citations at Axiom Healthcare of Flora across 10 inspection dates, 7 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on August 8, 2025. The most common areas cited were quality of life and care (7) and freedom from abuse, neglect, and exploitation (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, August 8, 2025). 5 citations were under CMS's abuse, neglect and exploitation rules.

June 24, 2026 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jul 8, 2026)

June 17, 2026 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jul 8, 2026)

August 8, 2025 · 1 citation, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Sep 3, 2025)

May 27, 2025 · 1 citation, includes actual harm · includes complaint inspection

GTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Actual harm · Quality of Life and Care Deficiencies · Tag F0700 · Complaint inspection · Deficient, Provider has date of correction (Jul 1, 2025)

April 3, 2025 · 1 citation · includes complaint inspection

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Apr 23, 2025)

February 7, 2025 · 1 citation · includes complaint inspection

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Feb 19, 2025)

October 25, 2024 · 1 citation

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 10, 2024)

September 20, 2024 · 1 citation · includes complaint inspection

FEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Potential for more than minimal harm · Administration Deficiencies · Tag F0836 · Complaint inspection · Deficient, Provider has date of correction (Oct 10, 2024)

November 7, 2023 · 3 citations

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Dec 10, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Dec 10, 2023)

DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Dec 10, 2023)

September 16, 2022 · 14 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Oct 6, 2022)

FReport COVID19 data to residents and families.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0885 · Deficient, Provider has date of correction (Oct 6, 2022)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Oct 6, 2022)

DAllow resident to participate in the development and implementation of his or her person-centered plan of care.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0553 · Deficient, Provider has date of correction (Oct 6, 2022)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Deficient, Provider has date of correction (Oct 6, 2022)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Oct 7, 2022)

DDevelop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0608 · Deficient, Provider has date of correction (Oct 7, 2022)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Oct 7, 2022)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Oct 7, 2022)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Oct 6, 2022)

DAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Oct 7, 2022)

DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0661 · Deficient, Provider has date of correction (Oct 6, 2022)

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Oct 6, 2022)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Oct 6, 2022)

Questions to ask on a tour of Axiom Healthcare of Flora

  1. Inspectors cited the home at the actual-harm level on August 8, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on September 16, 2022. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
  5. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  6. The home averages about 55% of its beds filled. Are any units closed?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $9,269 in fines.

DateTypeAmount or length
Aug 8, 2025 Fine $9,269
May 27, 2025 Payment Denial 6 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 5/5 2/5 1/5
August 2026 3/5 4/5 3/5 1/5
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Location

Hospitals near Axiom Healthcare of Flora

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.9 mi
    Clay County Hospital Flora
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 1h 36m for patients treated and sent home
  • 21.5 mi
    Fairfield Memorial Hospital Fairfield
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 1h 41m for patients treated and sent home
  • 22.6 mi
    Carle Richland Memorial Hospital Olney
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 1h 55m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Axiom Gardens of Flora Flora · 0.7 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 97 beds · Medicaid
Cisne Rehabilitation and Health Care Center Cisne · 11.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 35 beds · Medicaid
Fairfield Senior Living & Rehabilitation Fairfield · 21.5 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 104 beds · Medicaid
Fairfield Memorial Hospital Fairfield · 21.6 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 30 beds
Helia Healthcare of Olney Olney · 22.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 118 beds · Medicaid

More nursing homes near Axiom Healthcare of Flora ›   All nursing homes in Flora ›

Compare Axiom Healthcare of Flora with the 3 closest homes side by side ›

Other Axiom Healthcare nursing homes in Illinois

Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Axiom Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/illinois/flora/axiom-healthcare-of-flora/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.