Nursing HomeInspections

Axiom Gardens of Flora

Nursing home in Flora, IL

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address
701 Shadwell Avenue, Flora, IL 62839
Phone
(618) 662-8361
Listed under
For-profit
Medicare CCN
145624
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
97
Average residents per day
62
Ownership
For-profit, corporation
Legal business name
Axiom Gardens of Flora LLC
Chain
Axiom Healthcare (8 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 145624. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 2, 2026. CMS lists 40 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 11, 2023 to Apr 29, 2026): 24 from complaint inspections, 5 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Apr 29, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 29, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Mar 19, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 2, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 2, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 2, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 2, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 2, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 2, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental		E
Potential for more than minimal harm, pattern
Jan 14, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Nov 20, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 20, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 40. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $159,748 in the last three years.

Jan 14, 2026Fine: $45,705
Jul 1, 2025Fine: $10,358
Mar 11, 2025Fine: $24,286
Oct 11, 2023Fine: $79,399

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.13 hours
Registered nurse (RN) time per resident per day
0.81 hours
Nurse aide time per resident per day
1.84 hours
Total nurse staffing on weekends
2.90 hours
Nursing staff turnover (yearly)
69%
RN turnover (yearly)
63%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Flora

Axiom Healthcare of Flora232 Given Street · Flora, IL 62839 · (618) 662-8381 · For-profit25 health citations in 3 inspection cycles · last standard inspection Oct 25, 2024 · $9,110 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 2 in Flora →