Axiom Healthcare of Flora

232 Given Street · Flora, IL · 62839 · 6186628381

99 certified beds For profit - Corporation Chain: Axiom Healthcare

  • Inspection results have improved across recent cycles.

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 65
Serious harm & abuse 20% 88
Staffing 20% 71
Federal penalties 15% 59
Trend 10% 81
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.543.48 min · 4.1 strong
RN hours / resident-day1.050.55–0.75
Weekend hours / resident-day2.81≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)1 · $9,110

Inspection citations (23 in the current record)

  • Actual harm · G August 8, 2025 · found via complaint

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

    Corrected September 3, 2025 · Quality of Life and Care

  • Actual harm · G May 27, 2025 · found via complaint

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected July 1, 2025 · Quality of Life and Care

  • Potential for harm · D April 3, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2025 · found via 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 February 19, 2025 · Pharmacy Service

  • Potential for harm · D October 25, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 10, 2024 · Infection Control

  • Potential for harm · F September 20, 2024 · found via complaint

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Corrected October 10, 2024 · Administration

  • Potential for harm · D November 7, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 10, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 7, 2023

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

    Corrected December 10, 2023 · Quality of Life and Care

  • Potential for harm · D November 7, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected December 10, 2023 · Pharmacy Service

  • Potential for harm · D September 16, 2022

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

    Corrected October 6, 2022 · Resident Rights

  • Potential for harm · D September 16, 2022

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected October 6, 2022 · Resident Rights

  • Potential for harm · D September 16, 2022

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

    Corrected October 6, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 16, 2022

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected October 7, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 16, 2022

    Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

    Corrected October 7, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 16, 2022

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 7, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 16, 2022

    Respond appropriately to all alleged violations.

    Corrected October 7, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 16, 2022

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected October 6, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D September 16, 2022

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected October 7, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D September 16, 2022

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected October 6, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D September 16, 2022

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected October 6, 2022 · Quality of Life and Care

  • Potential for harm · F September 16, 2022

    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 October 6, 2022 · Nursing and Physician Services

  • Potential for harm · D September 16, 2022

    Provide or obtain dental services for each resident.

    Corrected October 6, 2022 · Quality of Life and Care

  • Potential for harm · F September 16, 2022

    Report COVID19 data to residents and families.

    Corrected October 6, 2022 · Infection Control

Federal penalties

DateTypeAmount / length
August 8, 2025Fine$9,110
May 27, 2025Payment Denial6 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145692 · certified since February 14, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.