25/100
Poor
485 South Friendship Drive, Nashville, IL 62263
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.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
13 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.
$541,045 in federal fines
CMS has fined this facility across 3 penalty action(s).
Nursing staff turnover of 64%
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: December 20, 2024 (1 year ago).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Actual harm to a resident
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety
Environmental Deficiencies
Keep all essential equipment working safely.
Actual harm to a resident
Part of AXIOM HEALTHCARE, which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| LEGACY HEALTH SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| DAVIDSON, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| FRANCES, DANNY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SCHARLEMANN, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CALHOUN & COMPANY PLLC | Organization | ADP OF THE SNF | — |
| HARGIS & ASSOCIATES, LLC | Organization | ADP OF THE SNF | — |
| LEGACY HEALTH SERVICES INC | Organization | ADP OF THE SNF | — |
| PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLC | Organization | ADP OF THE SNF | — |
| DAVIDSON, ROBERT | Individual | ADP OF THE SNF | — |
| SCHARLEMANN, MARY | Individual | ADP OF THE SNF | — |
| FRANCES, DANNY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| FRANCES, JAY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Axiom Gardens Of Nashville holds an ElderGrade of F (25 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 3.46 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 13 of the 53 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 Nashville 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.