Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

November 20, 2025 Complaint Investigation

Fines and Penalties by Year

2021 1 penalties totaling $13,000

$13,000
Aug 19, 2021

Fine

2020 2 penalties totaling $13,000

$13,000
Oct 23, 2020

Fine

$0
Oct 23, 2020

Payment Denial

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Health Violations by Year

2025 15 violations

Tag 0600 G Apr 17, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Apr 30, 2025
Tag 0684 D Apr 17, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 30, 2025
Tag 0600 D Apr 4, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Apr 30, 2025
Tag 0609 D Apr 4, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 9, 2025
Tag 0610 D Apr 4, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Apr 30, 2025
Tag 0689 D Apr 4, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 23, 2025
Tag 0550 D Mar 11, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Mar 28, 2025
Tag 0584 E Mar 11, 2025

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Mar 17, 2025
Tag 0692 D Mar 11, 2025

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 24, 2025
Tag 0712 F Mar 11, 2025

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

✓ Corrected: Apr 25, 2025
Tag 0725 F Mar 11, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Mar 31, 2025
Tag 0755 D Mar 11, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 24, 2025
Tag 0761 D Mar 11, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Mar 24, 2025
Tag 0808 D Mar 11, 2025

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Mar 25, 2025
Tag 0880 D Mar 11, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 14, 2025

2024 1 violations

Tag 0689 G Aug 9, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 22, 2024

2023 9 violations

Tag 0677 D Dec 21, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jan 9, 2024
Tag 0609 D Oct 11, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 25, 2023
Tag 0610 D Oct 11, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Oct 25, 2023
Tag 0684 J Oct 11, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 25, 2023
Tag 0686 D Oct 11, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 25, 2023
Tag 0725 F Oct 11, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Oct 25, 2023
Tag 0880 F Mar 16, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 29, 2023
Tag 0609 D Mar 3, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 10, 2023
Tag 0692 D Mar 3, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 21, 2023

2022 4 violations

Tag 0600 D Jun 9, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 14, 2022
Tag 0808 D Jun 9, 2022

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Jun 28, 2022
Tag 0602 D Jan 10, 2022

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Jan 27, 2022
Tag 0607 F Jan 10, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jan 27, 2022

2021 4 violations

Tag 0880 F Sep 16, 2021

Provide and implement an infection prevention and control program.

Tag 0882 C Sep 16, 2021

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Tag 0837 C Jul 9, 2021

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

✓ Corrected: Jul 21, 2021
Tag 0604 D May 4, 2021

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: May 19, 2021

2020 7 violations

Tag 0580 E Oct 23, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Nov 16, 2020
Tag 0684 D Oct 23, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 4, 2021
Tag 0686 D Oct 23, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 4, 2021
Tag 0727 C Oct 23, 2020

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Nov 9, 2020
Tag 0760 G Oct 23, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: Nov 16, 2020
Tag 0880 F Oct 23, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 16, 2020
Tag 0684 D Aug 21, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Sep 4, 2020

2019 27 violations

Tag 0604 D Dec 13, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jan 14, 2020
Tag 0636 D Dec 13, 2019

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Jan 14, 2020
Tag 0637 D Dec 13, 2019

Assess the resident when there is a significant change in condition

✓ Corrected: Jan 14, 2020
Tag 0641 D Dec 13, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Jan 14, 2020
Tag 0656 E Dec 13, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 14, 2020
Tag 0657 D Dec 13, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jan 14, 2020
Tag 0700 D Dec 13, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Jan 14, 2020
Tag 0744 D Dec 13, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Jan 14, 2020
Tag 0758 D Dec 13, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jan 14, 2020
Tag 0880 D Dec 13, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 14, 2020
Tag 0881 F Dec 13, 2019

Implement a program that monitors antibiotic use.

✓ Corrected: Jan 14, 2020
Tag 0580 D Mar 15, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 1, 2019
Tag 0689 D Mar 15, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 1, 2019
Tag 0725 D Mar 15, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Apr 1, 2019
Tag 0550 D Jan 17, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Feb 11, 2019
Tag 0558 E Jan 17, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Feb 10, 2019
Tag 0577 C Jan 17, 2019

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

✓ Corrected: Feb 11, 2019
Tag 0655 D Jan 17, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Feb 11, 2019
Tag 0660 D Jan 17, 2019

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Feb 10, 2019
Tag 0686 D Jan 17, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 10, 2019

2018 19 violations

Tag 0837 C May 31, 2018

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

✓ Corrected: Jun 4, 2018
Tag 0576 D Feb 8, 2018

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Mar 10, 2018
Tag 0584 E Feb 8, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Mar 10, 2018
Tag 0636 D Feb 8, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Mar 10, 2018
Tag 0656 D Feb 8, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 10, 2018
Tag 0657 D Feb 8, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 10, 2018
Tag 0677 D Feb 8, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 10, 2018
Tag 0686 E Feb 8, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 10, 2018
Tag 0689 D Feb 8, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 10, 2018
Tag 0690 D Feb 8, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 10, 2018
Tag 0695 E Feb 8, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 10, 2018
Tag 0697 D Feb 8, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Mar 10, 2018
Tag 0730 C Feb 8, 2018

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Mar 10, 2018
Tag 0744 D Feb 8, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Mar 10, 2018
Tag 0760 D Feb 8, 2018

Ensure that residents are free from significant medication errors.

✓ Corrected: Mar 10, 2018
Tag 0761 F Feb 8, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Mar 10, 2018
Tag 0867 F Feb 8, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Mar 10, 2018
Tag 0880 F Feb 8, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 10, 2018
Tag 0921 F Feb 8, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Mar 10, 2018
🏥 Facility Summary

Axiom Gardens of Flora is a 1-star nursing home in FLORA, IL with 97 beds.

Most recent inspection: Data not available. No current violations on record.

📞 6186628361
📍 701 SHADWELL AVENUE, FLORA, IL
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About Axiom Gardens of Flora

What violations has Axiom Gardens of Flora received?
Axiom Gardens of Flora has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Axiom Gardens of Flora?
Axiom Gardens of Flora has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was Axiom Gardens of Flora last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Axiom Gardens of Flora safe?
Safety at Axiom Gardens of Flora should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Axiom Gardens of Flora?
Phone: 6186628361. Address: 701 SHADWELL AVENUE, FLORA, IL. For visiting hours and admission information, call the facility directly.
What services does Axiom Gardens of Flora offer?
Axiom Gardens of Flora is a skilled nursing facility with 97 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near FLORA, IL?
Compare Axiom Gardens of Flora with other nursing homes in FLORA, IL on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.