Senior Home Review
Home›Browse›Illinois›Nashville›Axiom Gardens of Nashville
Nursing homeFAID #3430

Axiom Gardens of Nashville

485 SOUTH FRIENDSHIP DRIVE, NASHVILLE, IL, 62263
(618) 327-3041
axiom-care.com/axiom-gardens-of-nashville
120 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79Advanced Report$99
Delivered within 24–48 hours

Address

485 South Friendship Drive
Nashville, IL 62263
Get directions

Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
146043
Care type
Nursing home
County
Washington
Facility name
Axiom Gardens of Nashville
Street address
485 SOUTH FRIENDSHIP DRIVE
City / state / ZIP
Nashville, IL 62263
Phone
(618) 327-3041
Website
axiom-care.com/axiom-gardens-of-nashville

About this facility — Axiom Gardens of Nashville

Axiom Gardens of Nashville is a Medicare/Medicaid-certified skilled nursing facility in Nashville, Illinois. It is licensed for 120 beds — close to the median for skilled nursing facilities in Illinois (112 beds).

It is one of 1 senior care facility in Nashville and 667 skilled nursing facilities across Illinois. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Axiom Gardens of Nashville 56 times across 21 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $541,045 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Axiom Healthcare
Ownership type
For profit - Partnership

Registered owners & officers

Calhoun & Company Pllc
Additional disclosable party — since 2008
Davidson, Robert
Operational control · Additional disclosable party — since 2018
Frances, Danny
Direct owner · Operational control — since 2008
Frances, Jay
Direct owner — since 2008
Hargis & Associates, Llc
Additional disclosable party — since 2008
Legacy Health Services Inc
Operational control · Additional disclosable party — since 2008
Proactive Medical Review and Consultants Llc
Additional disclosable party — since 2022
Scharlemann, Mary
Operational control · Additional disclosable party — since 2024
Smith, Kimberly
Direct owner — since 2011

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2003-02-04
CMS overall rating
1 of 5 stars
Health deficiencies
26 at the last standard inspection
Federal fines
$541,045 total
Last standard inspection
2024-12-20
Nurse staffing
3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$199 per day (≈ $6,050/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
58% Medicaid · 7% Medicare · 35% private/other
Occupancy
52% (fiscal year 2023)
Vs. state median
42% below the IL median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-01Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-07-07
2026-04-29Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-06
15 earlier / fire-safety inspections (54 citations)
2026-03-20Health inspectionComplaint-triggered3 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-06
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-30
F-0690
E · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-03-30
2025-12-24Health inspectionComplaint-triggered8 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-15
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-15
F-0686
J · Immediate jeopardyFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-25
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-25
F-0838
F · No harm foundFrom a complaint
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.
Corrected 2026-01-14
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-01-14
F-0908
G · Actual harmFrom a complaint
Keep all essential equipment working safely.
Corrected 2025-12-25
F-0947
F · No harm foundFrom a complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2026-01-14
2025-07-17Health inspectionComplaint-triggered1 citation
F-0686
J · Immediate jeopardyFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-06
2025-06-18Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-06
2025-02-11Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-11
2025-01-10Health inspectionComplaint-triggered3 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-10
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-04-24
F-0882
F · No harm foundFrom a complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-05-15
2024-12-20Health inspection13 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-18
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-18
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-11
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-10
F-0692
G · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-07
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-19
F-0727
F · No harm found
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.
Corrected 2025-04-29
F-0732
F · No harm found
Post nurse staffing information every day.
Corrected 2025-01-18
F-0811
D · No harm foundFood safety
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.
Corrected 2025-01-21
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-24
F-0838
F · No harm found
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.
Corrected 2025-01-21
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-24
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-05-15
2024-10-29Health inspectionComplaint-triggered2 citations
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-22
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-11-22
2024-06-07Health inspectionComplaint-triggered1 citation
F-0761
E · No harm foundFrom a complaint
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.
Corrected 2024-07-08
2024-01-09Health inspectionComplaint-triggered10 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-09
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-02-09
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-09
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-09
F-0727
F · No harm found
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.
Corrected 2024-02-09
F-0761
F · No harm found
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.
Corrected 2024-02-09
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-09
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-02-09
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-02-09
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-03-19
2023-10-31Health inspectionComplaint-triggered1 citation
F-0584
E · No harm foundFrom a complaint
Honor 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.
Corrected 2023-11-22
2023-09-21Health inspectionComplaint-triggered3 citations
F-0602
E · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-13
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-10-13
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-13
2023-08-14Health inspectionComplaint-triggered2 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-09-22
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-22
2023-08-08Health inspectionComplaint-triggered3 citations
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-09-08
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-09-08
F-0727
F · No harm foundFrom a complaint
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.
Corrected 2023-09-08
2024-12-20Fire-safety inspection2 citations
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2025-01-20
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-01-20

Federal penalties

2025-12-24Fine$261,500
2024-12-20Fine$265,965
2024-10-29Fine$13,580
2025-06-18Medicare payment denial — 17 days
2024-12-20Medicare payment denial — 113 days
Total fines$541,045
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 146043.

Visitor reviews

What people say on Google.
4.220 ratings on Google
★★★★★BATTLEgameplay 4792 · 2020-02-13 · via Google

“My mom is receiving excellent care and attention. Her room is always clean and orderly. Plenty of activities and the food has been good. Lots of room, not overcrowded. The physical therapy staff are caring, kind and encouraging. Highly recommend!”

★Laura Castro · 2024-04-09 · via Google

“I have bought things for a friend of mine such as sippy cup, cushion for her wheel chair, blanket, and tupperwares. I understand maybe they are being washed but why is it that every time I go I never see those things again. I started putting her name on stuff but they still go missing. I don’t know what do so at this point.”

★★★★★Pat Snead · 2026-08-21 · via Google

“The employees are always ready to do something for our mother that we ask them to do. My mom has dementia and the staff are always so patient with her. They have so many activities for the residents that they can be involved with! Mom has been here for 6 years in November and she has always been well taken care of!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 56 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
$79$99 Advanced

Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered