Axiom Gardens Of Nashville
485 South Friendship Drive, Nashville, IL, 62263
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership · Chain: Axiom Healthcare
- Certified beds
- 120 · avg 57 residents/day
- Total nursing staff turnover
- 69.2% — higher than most Illinois nursing homesIllinois avg: 45.0% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Illinois averageIllinois avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $541,045 total
- Payment denials
- 2 denials
Medicare certification
- CMS Certification Number
- 146043
- Certified beds
- 120 beds · avg 57 residents/day
- Ownership type
- For profit - Partnership
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Friendship Manor Group Llc
- Chain affiliation
- Axiom Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Axiom Healthcare chain — 7 facilities. Chain-wide average overall rating 1.3 / 5.
Disclosed owners (19 on record)
- Legacy Health Services Inc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Mary k Scharlemann
Adp of The Snf · since 2024
- (unnamed Owner)
Adp of The Snf · since 2024
- (unnamed Owner)
Adp of The Snf · since 2023
- Proactive Medical Review And Consultants Llc
Adp of The Snf · since 2022
+ 13 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 53)
- G0600·Apr 29, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0690·Mar 20, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- G0689·Mar 20, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0600·Mar 20, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F0947·Dec 24, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F0838·Dec 24, 2025Complaint
Administration Deficiencies
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.
- J0689·Dec 24, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0686·Dec 24, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20251 fine · $262K · 1 payment denial
- 20242 fines · $280K · 1 payment denial
Most recent events
- Dec 24, 2025Fine · $262K
- Jun 18, 2025Payment denial · 17 days · starting Jul 20, 2025
- Dec 20, 2024Payment denial · 113 days · starting Jan 22, 2025
- Dec 20, 2024Fine · $266K
- Oct 29, 2024Fine · $14K
Largest single fine on record: $266K.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Dec 20, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Axiom Gardens Of Nashvilleinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.