Axiom Healthcare of West Frankfort
601 North Columbia · West Frankfort, IL · 62896 · 6189322109
96 certified beds For profit - Corporation Chain: Axiom Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $109,638 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
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
2 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.
$109,638 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.74 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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 | 2.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.32 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 3 · $177,001 |
Inspection citations (56 in the current record)
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Actual harm · G April 16, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · E January 9, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 16, 2026 · Resident Rights
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Potential for harm · E January 9, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 19, 2026 · Nutrition and Dietary
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Actual harm · G September 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 1, 2025 · Quality of Life and Care
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Potential for harm · E September 16, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · E September 16, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · F September 16, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · E September 16, 2025 · found via 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 October 1, 2025 · Resident Rights
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Potential for harm · F September 16, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · D September 16, 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 October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 16, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 16, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected October 1, 2025 · Nursing and Physician Services
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Potential for harm · E September 16, 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 October 1, 2025 · Nutrition and Dietary
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Potential for harm · F September 16, 2025 · found via complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected October 1, 2025 · Nutrition and Dietary
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Potential for harm · E September 16, 2025 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected October 1, 2025 · Nutrition and Dietary
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Potential for harm · D August 19, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · F August 19, 2025 · found via 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 August 27, 2025 · Nursing and Physician Services
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Potential for harm · D August 19, 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 August 29, 2025 · Pharmacy Service
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Actual harm · G June 2, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 14, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 31, 2025 · Quality of Life and Care
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Potential for harm · F March 14, 2025
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 March 31, 2025 · Nursing and Physician Services
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Potential for harm · D March 14, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected March 31, 2025 · Quality of Life and Care
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Potential for harm · F March 14, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 31, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 19, 2025 | Fine | $19,135 |
| December 20, 2024 | Fine | $90,503 |
| March 22, 2024 | Fine | $67,363 |
| March 22, 2024 | Payment Denial | 19 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 145664 · certified since April 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.