All states › Illinois › Rosiclare › Axiom Healthcare of Rosiclare
1807 Fairview Rd Rosiclare, IL 62982 · Hardin County
CMS certification number 145759 · See this home on Medicare Care Compare
Is Axiom Healthcare of Rosiclare 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 Rosiclare as of October 2026.
CMS rates it 2 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 3.66 hours per resident per day at Axiom Healthcare of Rosiclare, above the Illinois median of 3.33 (US median: 3.72). About 0.43 of those hours are from registered nurses. On weekends it falls to 3.03 hours, 17% below its all-week average. Ask how weekends are staffed. 46.3% of nursing staff left within a year (Illinois median 43.5%).
About this nursing home
Paying for care at Axiom Healthcare of Rosiclare: Medicare and Medicaid
Axiom Healthcare of Rosiclare 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 December 5, 2025 and found 3 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 35 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 35 citations at Axiom Healthcare of Rosiclare across 8 inspection dates, 16 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 10, 2024 (complaint inspection). The most common areas cited were quality of life and care (9) and nursing and physician services (6). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level L, June 10, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 4, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
July 10, 2026 · 2 citations · includes complaint inspection
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 5, 2025 · 3 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 menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
November 22, 2024 · 3 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.
DPASARR screening for Mental disorders or Intellectual Disabilities
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.
October 4, 2024 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
July 10, 2024 · 1 citation · includes complaint inspection
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
June 10, 2024 · 10 citations, includes immediate jeopardy · includes complaint inspection
LProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
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.
December 6, 2023 · 14 citations, includes actual harm · includes complaint inspection
GProvide enough food/fluids to maintain a resident's health.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DImplement a program that monitors antibiotic use.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
Questions to ask on a tour of Axiom Healthcare of Rosiclare
- Inspectors cited the home at the immediate-jeopardy level on June 10, 2024 under the rule on nutrition and dietary. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 10, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 2 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 51% 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
4 penalties in the last three years, including $132,266 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 10, 2024 | Fine | $90,438 |
| Jun 10, 2024 | Payment Denial | 42 days of payments denied |
| Dec 6, 2023 | Fine | $41,828 |
| Dec 6, 2023 | Payment Denial | 49 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 2/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 2/5 |
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Location
Hospitals near Axiom Healthcare of Rosiclare
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.7 mi
-
12.7 mi
Livingston Hospital and Healthcare SalemEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 46m for patients treated and sent home
- 15.8 mi
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 Rosiclare › All nursing homes in Rosiclare ›
Compare Axiom Healthcare of Rosiclare with the 3 closest homes side by side ›
Other Axiom Healthcare nursing homes in Illinois
- Axiom Healthcare of Flora · Flora · 4 stars
- Axiom Gardens of Nashville · Nashville · 1 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.