Nursing HomeInspections

Axiom Gardens of Nashville

Nursing home in Nashville, IL

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

Call (618) 327-3041Send a messageMap ↗

Public-record details

Address
485 South Friendship Drive, Nashville, IL 62263
Phone
(618) 327-3041
Listed under
For-profit
Medicare CCN
146043
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
120
Average residents per day
56
Ownership
For-profit, partnership
Legal business name
Friendship Manor Group LLC
Chain
Axiom Healthcare (8 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 4, 2003
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 146043. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 20, 2024. CMS lists 54 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 8, 2023 to Jun 1, 2026): 32 from complaint inspections, 14 at the “actual harm” level or higher, including 6 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. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jun 1, 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		J
Immediate jeopardy, isolated
Apr 29, 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
Mar 20, 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		D
Potential for more than minimal harm, isolated
Mar 20, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 20, 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		G
Actual harm, isolated
Dec 24, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 24, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 24, 2025Conduct 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…
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
Dec 24, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Dec 24, 2025Keep all essential equipment working safely.
Environmental · complaint inspection		G
Actual harm, isolated
Dec 24, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Dec 24, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 54. 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 3 fines totalling $541,045 and 2 denials of Medicare payment for new admissions in the last three years.

Dec 24, 2025Fine: $261,500
Jun 18, 2025Payment denial for 17 days from Jul 20, 2025
Dec 20, 2024Fine: $265,965
Dec 20, 2024Payment denial for 113 days from Jan 22, 2025
Oct 29, 2024Fine: $13,580

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
3.46 hours
Registered nurse (RN) time per resident per day
0.23 hours
Nurse aide time per resident per day
2.27 hours
Total nurse staffing on weekends
3.01 hours
Nursing staff turnover (yearly)
64%
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.