Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
No actual harm, potential for more than minimal harm
16/100
Poor
701 Shadwell Avenue, Flora, IL 62839
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
5 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$184,358 in federal fines
CMS has fined this facility across 4 penalty action(s).
Nursing staff turnover of 69%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 2, 2026 (5 months ago).
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
No actual harm, potential for more than minimal harm
Part of AXIOM HEALTHCARE, which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| KAPLAN, MORDECHAI | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| RAJCHENBACH, CHAIM | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| VAUGHN, LATOSHA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| WEBB, JESSICA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SPECTOR, JENNIFER | Individual | CORPORATE OFFICER | — |
| AXIOM CARE, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| DAUBER, JONATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| GREENE, J'NE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SPECTOR, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| TUROFSKY, STEVEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| VAUGHN, LATOSHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| WILHELM, NAFTALI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
No family reviews yet for Axiom Gardens Of Flora. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.
Axiom Gardens Of Flora holds an ElderGrade of F (16 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.13 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 5 of the 40 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Axiom Gardens Of Flora is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.