Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Homes
8
States
1
Beds
713
Avg score
51.6
Avg turnover
53%
Federal fines
$1,510,512
Flags across this group
4 of the group's homes carry a CMS abuse icon.
2 homes are in or a candidate for the Special Focus Facility programme.
Axiom Healthcare of Flora runs 99 certified beds under corporate ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86. Weekends thin out further, dropping about 21% below the home's own weekday levels, and staff turnover lands near 43.6%, slightly better than the 45.8% national figure.
What stands out more is the inspection record: 23 deficiencies on file, including two at the harm or jeopardy level and five tied to abuse, plus $9,110 in fines. The last inspection came in October 2024, and the quality measure rating sits at 1 out of 5. A 4-star health inspection rating looks decent on its own, but it doesn't erase that deficiency list.
Axiom Healthcare of West Frankfort runs on 2.83 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 16% below what the home itself staffs on weekdays. The inspection record is where the real weight sits: 64 deficiencies, seven at harm or jeopardy level, eight tied to abuse, and three fines totaling $177,001. Staff turnover, at 38.5%, is actually better than the national 45.8%, so the problem isn't retention, it's how few hours reach the floor. Corporate-owned, 96 beds, last inspected March 2025; the quality measure score of three stars stands out against a one-star inspection and staffing picture.
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.
Axiom Healthcare of Rosiclare runs 62 certified beds under corporate ownership, and the staffing picture is the first thing worth knowing: 3.65 nurse hours per resident day sits about 5% under the national average, and weekends drop roughly 19% below what the home staffs on weekdays. Turnover at 42.1% is slightly better than the national figure, which helps, but it doesn't offset a record with 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $132,266 in fines across two penalties. The most recent inspection closed in December 2025, so the findings are current rather than stale. Quality measures score low, and staffing scores lowest of all.
Axiom Healthcare of Harrisburg runs 68 certified beds under corporate ownership, and the numbers behind its federal record are hard to read charitably. Nurse staffing sits at 3.48 hours per resident day against a national average of 3.86, and weekends drop roughly 22% below what the home itself staffs on weekdays, so the thinnest coverage lands when families are most likely to visit. Annual turnover of 51.5% outpaces the already-high national rate of 45.8%, meaning more than half the nursing staff leaves each year. The inspection history shows 25 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with a $92,920 fine and a March 2025 inspection.
Axiom Gardens of Flora is a 97-bed for-profit home in Clay County, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.13 hours per resident day, roughly 19 percent under the national average, and it thins out further on weekends. Staff turnover runs 69.2 percent against a national average near 46, meaning most of the people caring for your family member are new to the building. The current record shows 40 deficiencies, including 5 at the harm or jeopardy level and 8 tied to abuse. Four fines total $184,358, and the last inspection was March 2, 2026.
Axiom Healthcare of Mount Vernon runs on thinner nurse staffing than most homes, about 3.60 hours per resident day against a national average near 3.86, and weekends drop roughly 17% below what the building staffs during the week. Turnover sits at 60.4% a year, well above the 45.8% national mark, so the people caring for residents keep changing. The inspection record is the heavier problem: 64 deficiencies, 11 of them involving harm or jeopardy, five tied to abuse, and seven fines totaling $355,763, with the last inspection in December 2024. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5. For-profit corporate ownership.
Axiom Gardens Of Mount Vernon carries 18 deficiencies on its current record, and three of those are abuse-related, a category families should ask about directly. Two more were serious enough to be cited at the harm or jeopardy level, meaning an inspector determined residents were actually endangered, not just at risk. The 106-bed home is run by a for-profit corporation, inspected last on March 17, 2025, and it's been fined three times for a combined $37,500. That pattern of repeat fines alongside abuse citations suggests problems that inspections have flagged before and that the home hasn't fully corrected. When you tour, ask what changed after those abuse findings and who supervises residents with behavioral needs.