54/100
Below average
Axiom Gardens Of Nashville
485 South Friendship Drive, Nashville, IL 62263
- Certified beds
- 120
- Occupancy
- 47%
- 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.
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.
$369,968 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%.
Our read on Axiom Gardens Of Nashville
Axiom Gardens Of Nashville is a for-profit partnership home with 120 beds, and the numbers behind it are hard to read past. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average, and it thins out further on weekends, dropping roughly 13% below the home's own weekday level, so the coverage gaps aren't just theoretical. Staff turnover is 63.6% a year against a national average of 45.8%, which means the people doing the work keep changing. The current record shows 53 deficiencies, 13 at harm or jeopardy level and 11 abuse-related, plus $541,045 in fines across three cases. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
18/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.92 total nurse hours per resident per day (national median 3.77)
- →0.23 RN hours per resident per day
- →Weekend staffing drops 13% against weekdays
Staff stability
5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →64% of nursing staff left in the last year
Resident outcomes
2/15The 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
0/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$369,968 in federal fines across 3 action(s)
- →-0 for 2 denial(s) of Medicare payment for new admissions
Grade ceiling applied
- Capped at 54 (grade D), CMS Special Focus Facility
- Capped at 64 (grade C), CMS abuse icon on record
Staffing, against the national average
Full detailHours 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.
Recent inspection findings
Last standard health inspection: March 20, 2026 (7 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of AXIOM HEALTHCARE, which operates 8 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Axiom Gardens Of Nashville
What is the ElderGrade for Axiom Gardens Of Nashville? +
Axiom Gardens Of Nashville holds an ElderGrade of D (54 out of 100), which we describe as "below average". 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 Nashville? +
Residents receive an average of 3.46 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Axiom Gardens Of Nashville been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Axiom Gardens Of Nashville accept Medicaid? +
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.
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