All states › Illinois › Harrisburg › Axiom Healthcare of Harrisburg
1000 West Sloan Street Harrisburg, IL 62946 · Saline County
All 2 nursing homes in Harrisburg, IL (2 take Medicaid)
CMS certification number 145978 · See this home on Medicare Care Compare
Is Axiom Healthcare of Harrisburg 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 Harrisburg as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Illinois average of 2.6.
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 3.38 hours per resident per day at Axiom Healthcare of Harrisburg, about the same as the Illinois median of 3.33 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.64 hours, 22% below its all-week average. Ask how weekends are staffed. 51.4% of nursing staff left within a year (Illinois median 43.5%).
About this nursing home
Paying for care at Axiom Healthcare of Harrisburg: Medicare and Medicaid
Axiom Healthcare of Harrisburg 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 June 3, 2026 and found 17 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 39 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 39 citations at Axiom Healthcare of Harrisburg across 13 inspection dates, 15 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on February 10, 2026. The most common areas cited were quality of life and care (10) and nursing and physician services (7). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, February 10, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 7, 2026 · 1 citation · includes complaint inspection
EHonor 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.
June 3, 2026 · 17 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.
FEnsure 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.
EReasonably accommodate the needs and preferences of each resident.
EHonor 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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DEnsure 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.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
February 10, 2026 · 3 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
December 16, 2025 · 1 citation · includes complaint inspection
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.
August 29, 2025 · 1 citation · includes complaint inspection
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.
March 20, 2025 · 4 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
January 23, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
March 28, 2024 · 3 citations
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
February 13, 2024 · 1 citation · includes complaint inspection
DHonor 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.
January 31, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
December 29, 2023 · 2 citations · includes complaint inspection
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.
FProvide and implement an infection prevention and control program.
December 14, 2023 · 1 citation · includes complaint inspection
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
October 27, 2023 · 2 citations · includes complaint inspection
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.
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Questions to ask on a tour of Axiom Healthcare of Harrisburg
- Inspectors cited the home at the actual-harm level on February 10, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 10, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
- 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?
- The home averages about 49% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
3 penalties in the last three years, including $92,920 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 10, 2026 | Fine | $92,920 |
| Mar 20, 2025 | Payment Denial | 24 days of payments denied |
| Dec 14, 2023 | Payment Denial | 42 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
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Location
Hospitals near Axiom Healthcare of Harrisburg
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.8 mi
Harrisburg Medical Center HarrisburgEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 14m for patients treated and sent home
- 8.5 mi
-
20.7 mi
Heartland Regional Medical Center MarionEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 42m 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
More nursing homes near Axiom Healthcare of Harrisburg › All nursing homes in Harrisburg ›
Compare Axiom Healthcare of Harrisburg with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Eldorado Rehab & Healthcare · Eldorado · 3 stars · 8.5 mi
- Saline Care Nursing & Rehab · Harrisburg · 2 stars · 0.5 mi
- Carrier Mills Nursing & Rehab Center · Carrier Mills · 2 stars · 4.9 mi
Other Axiom Healthcare nursing homes in Illinois
- Axiom Healthcare of Flora · Flora · 4 stars
- Axiom Healthcare of Rosiclare · Rosiclare · 2 stars
- Axiom Gardens of Nashville · Nashville · 1 stars
- Axiom Healthcare of Mount Vernon · Mount Vernon · 1 stars
- Axiom Gardens of Flora · Flora · 1 stars
- Axiom Healthcare of West Frankfort · West Frankfort · 1 stars
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.