Axiom Gardens of Flora

Nursing Home · Flora, IL

CMS overall rating 1/5 Abuse citation For profit - Corporation

CMS certification number145624
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

701 Shadwell Avenue
Flora, IL 62839
Clay County
Phone
(618) 662-8361
ZIP code
62839 – all care providers

Open in Google Maps

Facility details

Certified beds
97
Residents per day
62.0 (64% occupied)
Ownership
For profit - Corporation
Legal name
Axiom Gardens of Flora LLC
Chain
Axiom Healthcare (8 facilities, avg 1.4★)
Medicare certified since
May 1, 1989
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 1/5
State avg 2.1
Quality measures★★★★★ 1/5
State avg 3.0
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.13 (state 3.45 · U.S. 3.86)
Registered nurses (RN)
0.81 (state 0.72 · U.S. 0.69)
Licensed practical nurses
0.49 (state 0.64 · U.S. 0.86)
Nurse aides
1.84 (state 2.09 · U.S. 2.32)
Weekend total
2.90 (state 3.08 · U.S. 3.42)
Nursing staff turnover
69.2 (state 44.5 · U.S. 45.8)%
RN turnover
62.5 (state 41.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 2, 2026
Health deficiencies (last cycle)
16.0 (state 12.5 · U.S. 9.3)
From complaints
10
Citations on record (3 years)
40 health · 16 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-29 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-05-01
2026-04-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-01
2026-03-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-28
2026-03-02 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-10
2026-03-02 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-11
2026-03-02 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-10
2026-03-02 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-10
2026-03-02 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-10
2026-03-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-28
2026-01-14 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-01-29
2025-11-20 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-12-15
2025-11-20 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-17
2025-11-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-05
2025-11-20 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-15
2025-11-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-04
2025-11-20 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-17
2025-07-01 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-07-02
2025-04-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-04-30
2025-04-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-04-04 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-04-04 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-09
2025-04-04 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-04-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-23
2025-03-11 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-04-25
2025-03-11 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-03-31
2025-03-11 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-17
2025-03-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-28
2025-03-11 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-29
2025-03-11 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2025-03-11 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2025-03-11 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2025-03-11 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
F0808 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-25
2025-03-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-14
2024-08-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-08-22
2023-12-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-10
2023-10-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-10-25
2023-10-11 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2023-10-25
2023-10-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-25
2023-10-11 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-25
2023-10-11 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-25

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $159,748 in fines.

DateTypeAmount
2026-01-14Fine$45,705
2025-07-01Fine$10,358
2025-03-11Fine$24,286
2023-10-11Fine$79,399

Ownership & management

NameRoleSince
Axiom Care, LLC (organization)Administrator · NOT APPLICABLE
Curis Services LLC (organization)Administrator · NOT APPLICABLE
Dauber, Jonathan (individual)Administrator · NOT APPLICABLE
David a Berkowitz Delta Trust (organization)Administrator · NOT APPLICABLE
Greene, J'ne (individual)Administrator · NOT APPLICABLE
Kaplan, Mordechai (individual)Administrator · NOT APPLICABLE
Petersen SNF Holdings LLC (organization)Administrator · NOT APPLICABLE
Rajchenbach, Chaim (individual)Administrator · NOT APPLICABLE
Spector, Jennifer (individual)Administrator · NOT APPLICABLE
Turofsky, Steven (individual)Administrator · NOT APPLICABLE
Vaughn, Latosha (individual)Administrator · NOT APPLICABLE
Webb, Jessica (individual)Administrator · NOT APPLICABLE
Wilhelm, Naftali (individual)Administrator · NOT APPLICABLE
Yosef Meystel Delta Trust (organization)Administrator · NOT APPLICABLE
Zaman, Asad (individual)Administrator · NOT APPLICABLE
Spector, Jennifer (individual)Corporate Officer · NOT APPLICABLE
Berkowitz, David (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Dauber, Eliana (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldfarb, Brian (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Meystel, Yosef (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Seitler, Dovid (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Turofsky, Steven (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Kaplan, Mordechai (individual)Managing Control - Governing Body · NOT APPLICABLE
Rajchenbach, Chaim (individual)Managing Control - Governing Body · NOT APPLICABLE
Vaughn, Latosha (individual)Managing Control - Governing Body · NOT APPLICABLE
Webb, Jessica (individual)Managing Control - Governing Body · NOT APPLICABLE
Axiom Care, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Dauber, Jonathan (individual)Operational/managerial Control · NOT APPLICABLE
Greene, J'ne (individual)Operational/managerial Control · NOT APPLICABLE
Spector, Jennifer (individual)Operational/managerial Control · NOT APPLICABLE
Turofsky, Steven (individual)Operational/managerial Control · NOT APPLICABLE
Vaughn, Latosha (individual)Operational/managerial Control · NOT APPLICABLE
Wilhelm, Naftali (individual)Operational/managerial Control · NOT APPLICABLE
Zaman, Asad (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Axiom Gardens of Flora?

Axiom Gardens of Flora has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.

How many beds does Axiom Gardens of Flora have?

It has 97 certified beds and cares for about 62 residents per day.

Has Axiom Gardens of Flora been fined?

Yes. CMS lists 4 penalties totaling $159,748 in the last three years.

Who owns Axiom Gardens of Flora?

It is part of Axiom Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Axiom Gardens of Flora?

(618) 662-8361. The facility is located at 701 Shadwell Avenue, Flora, IL 62839.

Other nursing homes in Flora

Compare all nursing homes in Flora, IL →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.