All states › Illinois › Nashville › Axiom Gardens of Nashville
485 South Friendship Drive Nashville, IL 62263 · Washington County
CMS certification number 146043 · See this home on Medicare Care Compare
Is Axiom Gardens of Nashville 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 Gardens of Nashville 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 3.62 hours per resident per day at Axiom Gardens of Nashville, above the Illinois median of 3.33 (US median: 3.72). About 0.27 of those hours are from registered nurses. On weekends it falls to 3.25 hours, 10% below its all-week average. 64.7% of nursing staff left within a year (Illinois median 43.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Axiom Gardens of Nashville: Medicare and Medicaid
Axiom Gardens of Nashville 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 March 20, 2026 and found 10 deficiencies, plus 13 from complaint inspections in the same period. In total, inspectors issued 56 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 56 citations at Axiom Gardens of Nashville across 13 inspection dates, 24 of them from complaint investigations. 6 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 1, 2026 (complaint inspection). The most common areas cited were quality of life and care (16) and infection control (10). 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 J, June 1, 2026). 7 citations were under CMS's abuse, neglect and exploitation rules.
June 1, 2026 · 1 citation · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 29, 2026 · 1 citation, 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.
March 20, 2026 · 13 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FEducate 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.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
December 24, 2025 · 8 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GKeep all essential equipment working safely.
FConduct 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.
FEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide and implement an infection prevention and control program.
July 17, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
June 18, 2025 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
February 11, 2025 · 1 citation, 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.
January 10, 2025 · 3 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 20, 2024 · 13 citations, includes actual harm
GProvide enough food/fluids to maintain a resident's health.
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.
FPost nurse staffing information every day.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FConduct 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.
FProvide and implement an infection prevention and control program.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure 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.
October 29, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
June 7, 2024 · 1 citation · includes complaint inspection
EEnsure 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.
January 9, 2024 · 10 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.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EImplement a program that monitors antibiotic use.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
October 31, 2023 · 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.
Questions to ask on a tour of Axiom Gardens of Nashville
- Inspectors cited the home at the immediate-jeopardy level on June 1, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 29, 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?
- Nursing staff turnover was 64.7% a year. How many of the staff come from agencies?
- The home averages about 48% 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
5 penalties in the last three years, including $369,968 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 24, 2025 | Fine | $169,975 |
| Jun 18, 2025 | Payment Denial | 17 days of payments denied |
| Dec 20, 2024 | Fine | $186,176 |
| Dec 20, 2024 | Payment Denial | 113 days of payments denied |
| Oct 29, 2024 | Fine | $13,817 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 1/5 |
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Location
Hospitals near Axiom Gardens of Nashville
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.2 mi
Washington County Hospital NashvilleEmergency roomMedian ER visit 1h 24m for patients treated and sent home
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17.8 mi
Pinckneyville Community Hospital PinckneyvilleEmergency roomMedian ER visit 49 min for patients treated and sent home
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19.9 mi
St Marys Hospital CentraliaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 47m 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 Gardens of Nashville › All nursing homes in Nashville ›
Compare Axiom Gardens of Nashville with the 3 closest homes side by side ›
Other Axiom Healthcare nursing homes in Illinois
- Axiom Healthcare of Flora · Flora · 4 stars
- Axiom Healthcare of Rosiclare · Rosiclare · 2 stars
- Axiom Healthcare of Harrisburg · Harrisburg · 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.