Axiom Gardens of Nashville: Staffing, Turnover, and Inspection Record
Axiom Gardens of Nashville is a 120-bed for-profit nursing home in Nashville, Illinois, part of Axiom Healthcare. In the CMS August 2026 release it reported 2.27 nurse aide hours per resident per day, 8% above the Illinois average of 2.09, and 63.6% nursing staff turnover (Illinois average 44.5%).
Axiom Gardens of Nashville
485 South Friendship DriveNashville, IL 62263
Washington County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Axiom Gardens of Nashville, nurse aides logged 2.27 hours per resident per day, 8% above the Illinois average. With about 56 residents a day, that works out to roughly 126 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | Illinois avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.27 | 2.09 | 2.32 |
| Licensed practical nurses | 0.96 | 0.64 | 0.86 |
| Registered nurses | 0.23 | 0.72 | 0.69 |
| All nursing staff | 3.46 | 3.45 | 3.86 |
| All nursing staff, weekends | 3.01 | 3.08 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
63.6% of nursing staff at Axiom Gardens of Nashville left over the year CMS measured, against a Illinois average of 44.5% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 20, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 26 health deficiencies (Illinois average 12.5). CMS lists 3 fines totaling $541,045 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 24, 2025 | Fine | $261,500 |
| Jun 18, 2025 | Payment Denial | 17 days from Jul 20, 2025 |
| Dec 20, 2024 | Fine | $265,965 |
| Dec 20, 2024 | Payment Denial | 113 days from Jan 22, 2025 |
| Oct 29, 2024 | Fine | $13,580 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Axiom Gardens of Nashville holds 1 of 5 overall; the Illinois average is 2.5.
About Axiom Gardens of Nashville
- Ownership: For profit - Partnership
- Chain: Axiom Healthcare, 8 homes
- Legal name: Friendship Manor Group LLC
- Medicare and Medicaid certified since: Feb 4, 2003
- Councils: resident council
- Area: rural
Nursing homes near Axiom Gardens of Nashville
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Coulterville Rehab & HCC Coulterville · abuse citation | 16.4 | 75 | 1.90 | 3.11 | 47.1% | 1 | $113,818 |
| Pinckneyville Nursing & Rehab Pinckneyville | 18.5 | 60 | 1.96 | 3.43 | 50.0% | 3 | $100,864 |
| Carlyle Healthcare & Sr Living Carlyle · abuse citation | 19.0 | 109 | 1.91 | 3.21 | 42.4% | 1 | None |
| Centralia Manor Centralia · abuse citation | 19.2 | 120 | 3.05 | 4.48 | 26.4% | 1 | $200,263 |
| Fireside House of Centralia Centralia | 19.2 | 98 | 2.08 | 3.50 | 43.1% | 3 | $72,182 |
| Evercare of Breese Breese | 19.7 | 112 | 1.71 | 2.70 | — | 1 | $164,735 |
| Clinton Manor Living Center New Baden | 21.3 | 37 | 4.21 | 7.54 | 31.4% | 5 | None |
| Aviston Countryside Manor Aviston · abuse citation | 21.6 | 97 | 1.81 | 2.87 | 52.9% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.