Axiom Gardens of Nashville
State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-04-29 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2026-03-20 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-12-24 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-12-24 — IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-12-24 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-12-24 — ACTUAL HARM (tag F0908, severity G)
Environmental Deficiencies · correction not recorded in CMS data
Keep all essential equipment working safely.
2025-07-17 — IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-02-11 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
3.25
state median 3.09
Weekend staffing gap
−16%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.14
registered nurses only
Contract (agency) staff
17%
share of all nursing hours
Days with zero RN hours reported
30
with residents present
Nursing staff turnover
64%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $541,045 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-24 | Fine | $261,500 |
| 2025-06-18 | Payment Denial | payment denial |
| 2024-12-20 | Fine | $265,965 |
| 2024-12-20 | Payment Denial | payment denial |
| 2024-10-29 | Fine | $13,580 |
Ownership
Ownership type: For profit - Partnership. Part of the AXIOM HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- AXIOM HEALTHCARE OF MOUNT VERNON (MOUNT VERNON, IL) —
- Axiom Gardens of Flora (FLORA, IL) —
- AXIOM HEALTHCARE OF WEST FRANKFORT (WEST FRANKFORT, IL) —
- Axiom Healthcare of Flora (FLORA, IL) —
- AXIOM HEALTHCARE OF ROSICLARE (ROSICLARE, IL) —
- AXIOM HEALTHCARE OF HARRISBURG (HARRISBURG, IL) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-29 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2026-03-20 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-03-20 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-03-20 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-12-24 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-24 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-12-24 | F0686 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-12-24 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-12-24 | F0838 | Administration Deficiencies | F | not recorded |
| 2025-12-24 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-12-24 | F0908 | Environmental Deficiencies | G | not recorded |
| 2025-12-24 | F0947 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-07-17 | F0686 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-06-18 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-11 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-01-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-10 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-01-10 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2024-12-20 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-20 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-20 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-12-20 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-12-20 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-12-20 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-20 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-12-20 | F0732 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-12-20 | F0811 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-12-20 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-12-20 | F0838 | Administration Deficiencies | F | not recorded |
| 2024-12-20 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-12-20 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2024-10-29 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-10-29 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-06-07 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-01-09 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2024-01-09 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-01-09 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-01-09 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-01-09 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-01-09 | F0761 | Pharmacy Service Deficiencies | F | not recorded |
| 2024-01-09 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-01-09 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-01-09 | F0881 | Infection Control Deficiencies | E | not recorded |
| 2024-01-09 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2023-10-31 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2023-09-21 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-09-21 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-09-21 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-08-14 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-08-14 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-08-08 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-08-08 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-08-08 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |