Axiom Gardens of Nashville
485 South Friendship Drive · Nashville, IL · 62263 · 6183273041
120 certified beds For profit - Partnership Chain: Axiom Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $541,045 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
5 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$541,045 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.20 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 3 · $541,045 |
Inspection citations (53 in the current record)
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Actual harm · G April 29, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G March 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 30, 2026 · Quality of Life and Care
-
Potential for harm · D March 20, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 20, 2026 · found via 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 March 30, 2026 · Quality of Life and Care
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Immediate jeopardy · J December 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 15, 2026 · Quality of Life and Care
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Immediate jeopardy · J December 24, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 25, 2025 · Quality of Life and Care
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Immediate jeopardy · J December 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 25, 2025 · Quality of Life and Care
-
Actual harm · G December 24, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected December 25, 2025 · Environmental
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Potential for harm · D December 24, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 15, 2026 · Resident Rights
-
Potential for harm · F December 24, 2025 · found via 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 January 14, 2026 · Administration
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Potential for harm · D December 24, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 14, 2026 · Infection Control
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Potential for harm · F December 24, 2025 · found via 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 January 14, 2026 · Nursing and Physician Services
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Immediate jeopardy · J July 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 6, 2025 · Quality of Life and Care
-
Actual harm · G February 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 10, 2025 · Quality of Life and Care
-
Potential for harm · F January 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 24, 2025 · Infection Control
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Potential for harm · F January 10, 2025 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 15, 2025 · Infection Control
-
Actual harm · G December 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 10, 2025 · Quality of Life and Care
-
Actual harm · G December 20, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected February 7, 2025 · Quality of Life and Care
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Potential for harm · D December 20, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 18, 2025 · Resident Rights
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Potential for harm · D December 20, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 18, 2025 · Resident Rights
-
Potential for harm · D December 20, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 20, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 19, 2025 · Quality of Life and Care
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Potential for harm · F December 20, 2024
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 April 29, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 24, 2025 | Fine | $261,500 |
| June 18, 2025 | Payment Denial | 17 days |
| December 20, 2024 | Fine | $265,965 |
| December 20, 2024 | Payment Denial | 113 days |
| October 29, 2024 | Fine | $13,580 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 146043 · certified since February 4, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.