Axiom Gardens of Nashville
Nursing Home · Nashville, IL
CMS certification number146043
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
485 South Friendship DriveNashville, IL 62263
Washington County
- Phone
- (618) 327-3041
- ZIP code
- 62263 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 55.8 (47% occupied)
- Ownership
- For profit - Partnership
- Legal name
- Friendship Manor Group LLC
- Chain
- Axiom Healthcare (8 facilities, avg 1.4★)
- Medicare certified since
- February 4, 2003
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.46 (state 3.45 · U.S. 3.86)
- Registered nurses (RN)
- 0.23 (state 0.72 · U.S. 0.69)
- Licensed practical nurses
- 0.96 (state 0.64 · U.S. 0.86)
- Nurse aides
- 2.27 (state 2.09 · U.S. 2.32)
- Weekend total
- 3.01 (state 3.08 · U.S. 3.42)
- Nursing staff turnover
- 63.6 (state 44.5 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- December 20, 2024
- Health deficiencies (last cycle)
- 26.0 (state 12.5 · U.S. 9.3)
- From complaints
- 13
- Citations on record (3 years)
- 54 health · 2 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-01 | 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 |
J Immediate jeopardy to resident health or safety |
Corrected 2026-07-07 |
| 2026-04-29 | 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 2026-05-06 |
| 2026-03-20 | 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 2026-03-30 |
| 2026-03-20 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-03-20 | 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 2026-05-06 |
| 2025-12-24 | 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 2026-01-15 |
| 2025-12-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-12-25 |
| 2025-12-24 | 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 |
J Immediate jeopardy to resident health or safety |
Corrected 2025-12-25 |
| 2025-12-24 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-12-25 |
| 2025-12-24 | 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. F0838 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-14 |
| 2025-12-24 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-14 |
| 2025-12-24 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-15 |
| 2025-12-24 | 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 2026-01-14 |
| 2025-07-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-08-06 |
| 2025-06-18 | 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 2025-08-06 |
| 2025-02-11 | 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 2025-03-11 |
| 2025-01-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-24 |
| 2025-01-10 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-15 |
| 2025-01-10 | 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 2025-02-10 |
| 2024-12-20 | 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 |
G Actual harm |
Corrected 2025-02-10 |
| 2024-12-20 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-02-07 |
| 2024-12-20 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-29 |
| 2024-12-20 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-01-18 |
| 2024-12-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-24 |
| 2024-12-20 | 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. F0838 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-12-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-24 |
| 2024-12-20 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-15 |
| 2024-12-20 | 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 2025-01-18 |
| 2024-12-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-18 |
| 2024-12-20 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-11 |
| 2024-12-20 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-19 |
| 2024-12-20 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. F0811 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-21 |
| 2024-10-29 | 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 |
J Immediate jeopardy to resident health or safety |
Corrected 2024-11-22 |
| 2024-10-29 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-22 |
| 2024-06-07 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-08 |
| 2024-01-09 | 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 2024-02-09 |
| 2024-01-09 | 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 |
G Actual harm |
Corrected 2024-02-09 |
| 2024-01-09 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2024-01-09 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2024-01-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2024-01-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2024-01-09 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-03-19 |
| 2024-01-09 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2024-01-09 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2024-01-09 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-09 |
| 2023-10-31 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-22 |
| 2023-09-21 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-13 |
| 2023-09-21 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-13 |
| 2023-09-21 | 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 2023-10-13 |
| 2023-08-14 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-22 |
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
5 penalties in the last three years, including $541,045 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-24 | Fine | $261,500 |
| 2025-06-18 | Payment Denial | 17 days payment denial |
| 2024-12-20 | Payment Denial | 113 days payment denial |
| 2024-12-20 | Fine | $265,965 |
| 2024-10-29 | Fine | $13,580 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Frances, Danny (individual) | 5%+ Direct Ownership Interest | |
| Frances, Jay (individual) | 5%+ Direct Ownership Interest | |
| Smith, Kimberly (individual) | 5%+ Direct Ownership Interest | |
| Calhoun & Company Pllc (organization) | Administrator · NOT APPLICABLE | |
| Davidson, Robert (individual) | Administrator · NOT APPLICABLE | |
| Hargis & Associates, LLC (organization) | Administrator · NOT APPLICABLE | |
| Legacy Health Services INC (organization) | Administrator · NOT APPLICABLE | |
| Proactive Medical Review and Consultants LLC (organization) | Administrator · NOT APPLICABLE | |
| Scharlemann, Mary (individual) | Administrator · NOT APPLICABLE | |
| Davidson, Robert (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Frances, Danny (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Legacy Health Services INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Scharlemann, Mary (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Axiom Gardens of Nashville?
Axiom Gardens of Nashville 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 Nashville have?
It has 120 certified beds and cares for about 56 residents per day.
Has Axiom Gardens of Nashville been fined?
Yes. CMS lists 5 penalties totaling $541,045 in the last three years.
Who owns Axiom Gardens of Nashville?
It is part of Axiom Healthcare and is classified as for profit - partnership. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Axiom Gardens of Nashville?
(618) 327-3041. The facility is located at 485 South Friendship Drive, Nashville, IL 62263.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.