Axiom Gardens of Flora

CMS abuse icon · CCN 145624 · AXIOM GARDENS OF FLORA LLC · For profit - Corporation · AXIOM HEALTHCARE chain · 97 certified beds · Clay · IL


Axiom Gardens of Flora is a 97-bed nursing home in FLORA, Illinois. CMS has certified it for Medicare and Medicaid since 1989-05-01. It averages 62.0 residents a day.

What harm was found in the violations cited at Axiom Gardens of Flora?

CMS lists 40 health-inspection deficiencies for Axiom Gardens of Flora, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-29.

Survey dateTagDeficiencySeverity
2026-04-29F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F
2026-04-29F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-03-19F0880Provide and implement an infection prevention and control program.D
2026-03-02F0919Make sure that a working call system is available in each resident's bathroom and bathing area.E
2026-03-02F0605, F0677, F0692, F0697, F0880Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services. / Provide and implement an infection prevention and control program.D
2026-01-14F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-11-20F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2025-11-20F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-11-20F0550, F0677, F0755, F0803Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D
2025-07-01F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.G
2025-04-17F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-04-17F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-04-04F0600, F0609, F0610, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-03-11F0712, F0725Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2025-03-11F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2025-03-11F0550, F0623, F0692, F0755, F0761, F0808, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide enough food/fluids to maintain a resident's health. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Provide and implement an infection prevention and control program.D
2024-08-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-12-21F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-10-11F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2023-10-11F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2023-10-11F0609, F0610, F0686Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D

Why was Axiom Gardens of Flora fined 4 times?

DateTypeAmount
2026-01-14Fine$45,705
2025-07-01Fine$10,358
2025-03-11Fine$24,286
2023-10-11Fine$79,399

How is Axiom Gardens of Flora staffed relative to the IL average?

MeasureThis facilityIL average
Total nurse staffing hours per resident per day3.134793.44603
Total nursing staff turnover (%)69.244.5
Average number of residents per day62.095.4

Who owns Axiom Gardens of Flora, and what chain is it in?

Axiom Gardens of Flora is registered with CMS as For profit - Corporation, operates under the legal business name AXIOM GARDENS OF FLORA LLC and belongs to the AXIOM HEALTHCARE chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYKAPLAN, MORDECHAI, RAJCHENBACH, CHAIM, VAUGHN, LATOSHA, WEBB, JESSICAsince 12/01/2024
CORPORATE OFFICERSPECTOR, JENNIFERsince 12/01/2024
OPERATIONAL/MANAGERIAL CONTROLAXIOM CARE, LLC, DAUBER, JONATHAN, GREENE, J'NE, SPECTOR, JENNIFER, TUROFSKY, STEVEN, VAUGHN, LATOSHA, WILHELM, NAFTALI, ZAMAN, ASADsince 12/01/2024
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFBERKOWITZ, DAVID, DAUBER, ELIANA, GOLDFARB, BRIAN, MEYSTEL, YOSEF, SEITLER, DOVID, TUROFSKY, STEVENsince 04/28/2026
ADP OF THE SNFAXIOM CARE, LLC, CURIS SERVICES LLC, DAVID A BERKOWITZ DELTA TRUST, PETERSEN SNF HOLDINGS LLC, YOSEF MEYSTEL DELTA TRUST, DAUBER, JONATHAN, GREENE, J'NE, KAPLAN, MORDECHAI, RAJCHENBACH, CHAIM, SPECTOR, JENNIFER, TUROFSKY, STEVEN, VAUGHN, LATOSHA, WEBB, JESSICA, WILHELM, NAFTALI, ZAMAN, ASADsince 10/27/2025

Were you or a family member harmed at Axiom Gardens of Flora?