Axiom Healthcare of Mount Vernon
1700 White Street · Mount Vernon, IL · 62864 · 6182424075
65 certified beds For profit - Corporation Chain: Axiom Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $307,706 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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Red flags
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 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.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$307,706 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
64% 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: 2 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 2.56 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 6 · $340,243 |
Inspection citations (64 in the current record)
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Actual harm · G April 7, 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 April 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 7, 2026 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected April 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 7, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 7, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 18, 2025 · found via 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 February 12, 2026 · Nursing and Physician Services
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Potential for harm · F April 2, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 30, 2025 · Infection Control
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Potential for harm · F April 2, 2025 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected April 30, 2025 · Infection Control
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Immediate jeopardy · J March 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 24, 2025 · Quality of Life and Care
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Immediate jeopardy · J March 25, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 31, 2024 · Quality of Life and Care
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Immediate jeopardy · K March 25, 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 April 23, 2025 · Quality of Life and Care
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Actual harm · G March 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 25, 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 May 13, 2025 · Resident Rights
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Potential for harm · E March 25, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · F March 25, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected May 8, 2025 · Nursing and Physician Services
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Potential for harm · F March 25, 2025 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected May 21, 2025 · Nursing and Physician Services
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Potential for harm · F March 25, 2025 · found via complaint
Provide or arrange emergency care by a doctor 24 hours a day.
Corrected April 19, 2025 · Nursing and Physician Services
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Potential for harm · F March 25, 2025 · found via 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 April 18, 2025 · Nursing and Physician Services
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Potential for harm · D March 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 7, 2025 · Pharmacy Service
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Potential for harm · D March 25, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 18, 2025 · Pharmacy Service
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Potential for harm · F March 25, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected May 14, 2025 · Nutrition and Dietary
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Potential for harm · F March 25, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · F March 25, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 28, 2025 · Administration
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Potential for harm · F March 25, 2025 · found via complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected April 28, 2025 · Administration
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Potential for harm · F March 25, 2025 · found via complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected April 28, 2025 · Administration
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Potential for harm · F March 25, 2025 · found via complaint
Provide training in compliance and ethics.
Corrected April 18, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 18, 2025 | Fine | $81,680 |
| December 18, 2025 | Payment Denial | 21 days |
| December 19, 2024 | Fine | $226,026 |
| December 19, 2024 | Payment Denial | 126 days |
| May 15, 2024 | Payment Denial | 13 days |
| January 5, 2024 | Fine | $8,824 |
| January 5, 2024 | Fine | $8,824 |
| November 21, 2023 | Fine | $7,443 |
| November 21, 2023 | Fine | $7,446 |
| November 21, 2023 | Payment Denial | 10 days |
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 145517 · certified since February 21, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.