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Axiom Gardens of Nashville

Nursing Home Facility

485 South Friendship Drive, Nashville, IL 62263

Nursing Home Care Senior Living
Axiom Gardens of Nashville

Axiom Gardens of Nashville is a senior care community located in Nashville, IL. It provides nursing home care and senior living for older adults in the Nashville area. To learn more or schedule a tour, call (618) 327-3041.

Operated by Axiom Healthcare, which runs 6 communities in our directory.

Axiom Gardens of Nashville is licensed for 120 beds.

Federal reporting puts occupancy at about 46% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in December 2024 and recorded 26 deficiencies.

Residents receive about 3.5 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 64%, which is high and can affect continuity of care.

The community is located in Washington County, IL.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 1/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 54 problems at Axiom Gardens of Nashville. 14 findings involved harm to a resident, including 6 that put residents in immediate danger. 32 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 3 times, a total of $541,045. Medicare also stopped paying for new admissions twice in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected June 2026, after a complaint. Corrected by July 7, 2026.

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected December 2025, after a complaint. Corrected by January 15, 2026.

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected December 2025, after a complaint. Corrected by December 25, 2025.

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected December 2025, after a complaint. Corrected by December 25, 2025.

  • Caused harm to a resident, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected April 2026, after a complaint. Corrected by May 6, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected March 2026, after a complaint. Corrected by March 30, 2026.

  • Caused harm to a resident, one or a few residents Environmental

    Keep all essential equipment working safely.

    Inspected December 2025, after a complaint. Corrected by December 25, 2025.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected December 2024. Corrected by February 10, 2025.

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  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected December 2024. Corrected by February 7, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected March 2026, after a complaint. Corrected by March 30, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected March 2026, after a complaint. Corrected by May 6, 2026.

  • Could cause more than minimal harm, widespread Administration

    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.

    Inspected December 2025, after a complaint. Corrected by January 14, 2026.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Inspected December 2025, after a complaint. Corrected by January 14, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected December 2025, after a complaint. Corrected by January 15, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025, after a complaint. Corrected by January 14, 2026.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Have 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.

    Inspected December 2024. Corrected by April 29, 2025.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected December 2024. Corrected by January 18, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected December 2024. Corrected by April 24, 2025.

  • Could cause more than minimal harm, widespread Administration

    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.

    Inspected December 2024. Corrected by January 21, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2024. Corrected by April 24, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Inspected December 2024. Corrected by May 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected December 2024. Corrected by January 18, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected December 2024. Corrected by January 18, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected December 2024. Corrected by March 11, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected December 2024. Corrected by April 19, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    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.

    Inspected December 2024. Corrected by January 21, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Axiom Gardens of Nashville offers nursing home care and senior living.

Facility details

  • Organization type For profit - Partnership
  • Beds / units 120
  • Occupancy 46%
  • Nursing hours per resident/day 3.5
  • Annual staff turnover 64%
  • Last health inspection December 2024

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