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Axiom Gardens of Nashville, Nashville, IL: 1 star rating, fined $369,968 across 3 fines and had 2 payment denials

Axiom Gardens of Nashville in Nashville, IL is owned by 2 individuals whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and was fined $369,968 across 3 fines and had 2 payment denials in the three years to October 1, 2026. CMS lists 56 health citations from inspections in that time, the latest survey on June 1, 2026, and 14 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Illinois
Address
485 South Friendship Drive, Nashville, IL 62263
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
120
Residents per day
58 on average
Ownership type
For profit, corporation
Legal business name
Axiom Gardens of Nashville LLC
Chain
Axiom Healthcare, 8 facilities
Special focus
Special focus candidate
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$369,968 across 3 fines, three years to October 1, 2026
Payment denials
2
Health citations
56, of which 14 with actual harm or immediate jeopardy
Latest survey
June 1, 2026
CMS Certification Number
146043
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 24, 2025Fine$169,975Not listeddata.cms.gov
June 18, 2025Payment denialNot listedJuly 20, 202517data.cms.gov
December 20, 2024Fine$186,176Not listeddata.cms.gov
December 20, 2024Payment denialNot listedJanuary 22, 2025113data.cms.gov
October 29, 2024Fine$13,817Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 1, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedJuly 7, 2026data.cms.gov
April 29, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedMay 6, 2026data.cms.gov
March 20, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMarch 30, 2026data.cms.gov
March 20, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedJuly 14, 2026data.cms.gov
March 20, 2026F887Educate 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 30, 2026data.cms.gov
March 20, 2026F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
March 20, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 30, 2026data.cms.gov
March 20, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 30, 2026data.cms.gov
March 20, 2026F761Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
March 20, 2026F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 17, 2026data.cms.gov
March 20, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
March 20, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 30, 2026data.cms.gov
March 20, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 30, 2026data.cms.gov
March 20, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 6, 2026data.cms.gov
March 20, 2026F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 30, 2026data.cms.gov
December 24, 2025F908Keep all essential equipment working safely.G: isolated, actual harmCorrectedDecember 25, 2025data.cms.gov
December 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedDecember 25, 2025data.cms.gov
December 24, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J: isolated, immediate jeopardyCorrectedDecember 25, 2025data.cms.gov
December 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedJanuary 15, 2026data.cms.gov
December 24, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 14, 2026data.cms.gov
December 24, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 14, 2026data.cms.gov
December 24, 2025F838Conduct 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 14, 2026data.cms.gov
December 24, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2026data.cms.gov
July 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J: isolated, immediate jeopardyCorrectedAugust 6, 2025data.cms.gov
June 18, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2025data.cms.gov
February 11, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedMarch 11, 2025data.cms.gov
January 10, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 15, 2025data.cms.gov
January 10, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 24, 2025data.cms.gov
January 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
December 20, 2024F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedFebruary 7, 2025data.cms.gov
December 20, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 15, 2025data.cms.gov
December 20, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 24, 2025data.cms.gov
December 20, 2024F838Conduct 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 21, 2025data.cms.gov
December 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 24, 2025data.cms.gov
December 20, 2024F811Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 21, 2025data.cms.gov
December 20, 2024F732Post nurse staffing information every day.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2025data.cms.gov
December 20, 2024F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 29, 2025data.cms.gov
December 20, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
December 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
December 20, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 11, 2025data.cms.gov
December 20, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2025data.cms.gov
December 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2025data.cms.gov
October 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedNovember 22, 2024data.cms.gov
October 29, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
June 7, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 8, 2024data.cms.gov
January 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedFebruary 9, 2024data.cms.gov
January 9, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedFebruary 9, 2024data.cms.gov
January 9, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 19, 2024data.cms.gov
January 9, 2024F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 9, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 9, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 9, 2024F761Ensure 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 9, 2024F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 9, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
January 9, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 9, 2024data.cms.gov
October 31, 2023F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 24 individual or personal trusts (2 owners, 9 managers, 6 officers, directors or trustees, 7 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Axiom Care, LLCOperational or managerial controlNot listedNovember 1, 2025data.cms.gov
485 South Friendship Drive, LLCAdditional disclosable partyNot listedNovember 10, 2025data.cms.gov
Axiom Care, LLCAdditional disclosable partyNot listedDecember 10, 2025data.cms.gov
Curis Services LLCAdditional disclosable partyNot listedNovember 1, 2025data.cms.gov
David a Berkowitz Delta TrustAdditional disclosable partyNot listedNovember 1, 2025data.cms.gov
Joshua Hoffman TrustAdditional disclosable partyNot listedNovember 1, 2025data.cms.gov
Yosef Meystel Delta TrustAdditional disclosable partyNot listedNovember 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.