Axiom Gardens of Nashville

Special Focus Facility candidate · CMS abuse icon · Washington · IL · For profit - Partnership · AXIOM HEALTHCARE chain · 120 certified beds · CCN 146043 · FRIENDSHIP MANOR GROUP LLC


Axiom Gardens of Nashville operates 120 certified beds in NASHVILLE, Illinois. Its Medicare and Medicaid certification dates to 2003-02-04. It averages 55.8 residents a day.

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

CMS lists 54 health-inspection deficiencies for Axiom Gardens of Nashville, 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 2026-06-01.

Survey dateTagDeficiencySeverity
2026-06-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2026-04-29F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2026-03-20F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-03-20F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E
2026-03-20F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-12-24F0684, F0686, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-12-24F0908Keep all essential equipment working safely.G
2025-12-24F0838, F0947Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2025-12-24F0580, F0880Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide and implement an infection prevention and control program.D
2025-07-17F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J
2025-06-18F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-02-11F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-01-10F0880, F0882Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2025-01-10F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-12-20F0689, F0692Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health.G
2024-12-20F0727, F0732, F0812, F0838, F0880, F0882Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Post nurse staffing information every day. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2024-12-20F0550, F0580, F0600, F0698, F0811Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.D
2024-10-29F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-10-29F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2024-06-07F0761Ensure 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.E
2024-01-09F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-01-09F0727, F0761, F0812, F0880, F0882Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2024-01-09F0690, F0881Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Implement a program that monitors antibiotic use.E
2024-01-09F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D
2023-10-31F0584Honor 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
2023-09-21F0602, F0755Protect each resident from the wrongful use of the resident's belongings or money. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-09-21F0610Respond appropriately to all alleged violations.D
2023-08-14F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-08-14F0602Protect each resident from the wrongful use of the resident's belongings or money.D
2023-08-08F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F
2023-08-08F0600, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations.E

Why was Axiom Gardens of Nashville fined 3 times?

DateTypeAmount
2025-12-24Fine$261,500
2024-12-20Fine$265,965
2024-10-29Fine$13,580

Has Axiom Gardens of Nashville had payment denied by Medicare more than once?

Payment denial startLength in days
2025-07-2017
2025-01-22113

How is Axiom Gardens of Nashville staffed?

MeasureThis facilityIL average
Total nurse staffing hours per resident per day3.456423.44603
Total nursing staff turnover (%)63.644.5
Average number of residents per day55.895.4

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

Axiom Gardens of Nashville is registered with CMS as For profit - Partnership, operates under the legal business name FRIENDSHIP MANOR GROUP LLC and belongs to the AXIOM HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFRANCES, DANNY, FRANCES, JAY, SMITH, KIMBERLYsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLLEGACY HEALTH SERVICES INC, DAVIDSON, ROBERT, FRANCES, DANNY, SCHARLEMANN, MARYsince 01/01/2016
ADP OF THE SNFCALHOUN & COMPANY PLLC, HARGIS & ASSOCIATES, LLC, LEGACY HEALTH SERVICES INC, PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLC, DAVIDSON, ROBERT, SCHARLEMANN, MARYsince 01/01/2018

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