Axiom Gardens of Nashville
485 SOUTH FRIENDSHIP DRIVE, Nashville, IL, 62263
Yes. Federal inspectors cited 26 deficiencies against Axiom Gardens of Nashville in Nashville, Illinois at its most recent standard inspection on 2024-12-20, 13 of them arising from complaints. 5 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $541,045. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Protect 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 Deficiencies · F0600 · 2026-04-29 · from a complaint · Actual harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-03-20 · from a complaint · Actual harm to a resident
Provide 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 Deficiencies · F0690 · 2026-03-20 · from a complaint · No actual harm, potential for more than minimal harm
Protect 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 Deficiencies · F0600 · 2026-03-20 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-12-24 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-12-24 · from a complaint · Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-12-24 · from a complaint · Immediate jeopardy to resident health or safety
Keep all essential equipment working safely.
Environmental Deficiencies · F0908 · 2025-12-24 · from a complaint · Actual harm to a resident
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.
Administration Deficiencies · F0838 · 2025-12-24 · from a complaint · No actual harm, potential for more than minimal harm
Ensure 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 Deficiencies · F0947 · 2025-12-24 · from a complaint · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2025-12-24 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-12-24 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-07-17 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-06-18 · from a complaint · No actual harm, potential for more than minimal harm
Protect 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 Deficiencies · F0600 · 2025-02-11 · from a complaint · Actual harm to a resident
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-01-10 · from a complaint · No actual harm, potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · F0882 · 2025-01-10 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-01-10 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-12-20 · standard survey · Actual harm to a resident
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2024-12-20 · standard survey · Actual harm to a resident
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Axiom Gardens of Nashville
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| FRANCES, DANNY | Individual | NO PERCENTAGE PROVIDED | since 11/01/2008 |
| FRANCES, JAY | Individual | NO PERCENTAGE PROVIDED | since 11/01/2008 |
| SMITH, KIMBERLY | Individual | NO PERCENTAGE PROVIDED | since 03/01/2011 |
| LEGACY HEALTH SERVICES INC | Organization | NOT APPLICABLE | since 11/01/2008 |
| DAVIDSON, ROBERT | Individual | NOT APPLICABLE | since 01/01/2018 |
| FRANCES, DANNY | Individual | NOT APPLICABLE | since 01/01/2016 |
| SCHARLEMANN, MARY | Individual | NOT APPLICABLE | since 08/15/2024 |
| CALHOUN & COMPANY PLLC | Organization | NOT APPLICABLE | since 11/01/2008 |
| HARGIS & ASSOCIATES, LLC | Organization | NOT APPLICABLE | since 11/01/2008 |
| LEGACY HEALTH SERVICES INC | Organization | NOT APPLICABLE | since 12/19/2025 |
| PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLC | Organization | NOT APPLICABLE | since 01/01/2022 |
| DAVIDSON, ROBERT | Individual | NOT APPLICABLE | since 01/01/2018 |
Part of the AXIOM HEALTHCARE group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 146043.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction