ElderGrade
F

16/100

Poor

Axiom Gardens Of Flora

701 Shadwell Avenue, Flora, IL 62839

CMS 1/5 stars #2 of 2 in Clay County (618) 662-8361
Certified beds
97
Occupancy
64%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

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%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 4 actual-harm citation(s) in the last 3 years
  • -8.1 for 40 total citations against a national median of 17

Staffing

10/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.57 total nurse hours per resident per day (national median 3.77)
  • 0.81 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 69% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $184,358 in federal fines across 4 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.13 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.81 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.90 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 69.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 40 citations

Last standard health inspection: March 2, 2026 (5 months ago).

F Apr 29, 2026 F0726 From a complaint

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

D Apr 29, 2026 F0689 From a complaint

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

D Mar 19, 2026 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Mar 2, 2026 F0919

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

D Mar 2, 2026 F0605

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

D Mar 2, 2026 F0677

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

D Mar 2, 2026 F0692

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

D Mar 2, 2026 F0697

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

Who owns this home

Full record

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

What families say

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Common questions about Axiom Gardens Of Flora

What is the ElderGrade for Axiom Gardens Of Flora? +

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.

How many nursing hours does each resident get at Axiom Gardens Of Flora? +

Residents receive an average of 3.13 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Axiom Gardens Of Flora been cited for harming residents? +

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.

Does Axiom Gardens Of Flora accept Medicaid? +

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.