Nursing home
Axiom Gardens of Nashville
485 South Friendship Drive, Nashville, IL 62263 · Map
For profit - Partnership · Part of Axiom Healthcare (7 facilities) · 120 certified beds
Axiom Gardens of Nashville is a Medicare-certified nursing home in Nashville, Illinois. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.44 hours per resident per day, below the Illinois average of 3.49. Its most recent inspection on Dec 20, 2024 cited 23 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $279,545In CMS records: 4 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Axiom Gardens of Nashville compares
This facility vs. the Illinois and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Illinois avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.44 | 3.49 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.20 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.39 | 2.13 | 2.34 | above avg |
| Nursing staff turnover | 76.7% | 45.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 23.0 | 12.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $279,545, 4 total penalties, 2 Medicare payment denials.
What inspectors found at Axiom Gardens of Nashville
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 20, 2026 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Mar 20, 2026 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 20, 2026 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 24, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Dec 24, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 24, 2025 · Full report (PDF) - Actual harm
Keep all essential equipment working safely.
Environmental Deficiencies · Dec 24, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Dec 24, 2025 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Dec 24, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 24, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Dec 24, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jul 17, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 485 South Friendship Drive
Nashville, IL 62263 - CMS certification #
- 146043
- Ownership
- For profit - Partnership
- Certified beds
- 120
- Avg residents/day
- 59.0
- Provider type
- Medicare and Medicaid
- First certified
- 2003-02-04
- Chain
- Axiom Healthcare (7 facilities)
- Setting
- Rural
Part of Axiom Healthcare
Axiom Healthcare operates 7 nursing facilities across the United States. View all Axiom Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Axiom Gardens of Nashville using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2022, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 16, 2022: monitoring inspection, partial (health). Case closed Jun 14, 2022. No violations cited. OSHA record. OSHA recorded the employer as Friendship Manor Health Center, INC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Washington County Hospital, Nashville. 0.2 miles away, straight line.
- Nearest Medicare nursing home
- Coulterville Rehab & HCC, Coulterville. 16.4 miles away, straight line.
- Nearest home health agency office
- Perry County Health Department, Pinckneyville. 18.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 18.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 62263 as rural (rural area).
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 62263.
- Nearest geriatric medicine practice
- Red Bud Illinois Hospital Company LLC, Red Bud. 33.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective February 6, 1984), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave very high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Axiom Gardens of Nashville a good nursing home?
CMS gives Axiom Gardens of Nashville an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Axiom Gardens of Nashville staffed?
Axiom Gardens of Nashville reports 3.44 total nurse hours per resident per day, compared with the Illinois average of 3.49.
Has Axiom Gardens of Nashville had inspection problems?
Its most recent CMS inspection cited 23 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Axiom Gardens of Nashville have?
Axiom Gardens of Nashville is certified for 120 beds.