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Complaint Investigation

Axiom Healthcare Of West Frankfort

August 19, 2025 · West Frankfort, IL · 601 North Columbia
Citations 3
CMS Rating 1/5
Beds 96
Provider ID 145664
Healthcare Facility
Axiom Healthcare Of West Frankfort
West Frankfort, IL  ·  View full profile →
Inspection Summary

AXIOM HEALTHCARE OF WEST FRANKFORT in WEST FRANKFORT, IL — inspection on August 19, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Physician to the get the order changed.

When asked how long R5 was receiving the Ocuvite instead of the Preservision, V2 stated she didn't know.

When asked if the physician order was still Preservision and if the facility nursing staff were signing, they administered Preservsion instead of Ocuvtie, V2 stated she didn't know.On 8/19/25 at 10:57 AM, V14 (ADON) stated V2 wasn't in the facility today but she was familiar with R5 and the Preservision order. V14 stated the pharmacy was providing the Preservision initially and then they stopped providing it. V14 wasn't sure why but she thought it had something to do with R5 reaching her maximum allowed amount. V14 stated she was made aware on 8/8/25 by R5 that she was receiving Ocuvite and not Preservision as ordered.On 8/19/25 at 11:08 AM, V15 (Pharmacist) stated R5's Preservision was filled on 4/28/25 for a 30-day supply and had not been filled by their pharmacy since then.

V15 stated the Preservision has a different formula than Ocuvite with different concentrations of vitamins and minerals. V15 stated they didn't send any to the facility after 4/28/25 because they didn't have any refills and if the facility would fax over a new prescription for the Preservision they would fill it.The facility Medication Administration through Certain Routes of Administration policy dated 11/15/24 documents, Applicability: Policy 6.7 establishes guidelines for the safe and effective administration of medications through various routes of administration in a long-term care (LTC) facility. It ensures that medications are administered according to best practices, physician orders, and in compliance with current practice guidelines, and state and federal regulations.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/19/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Axiom Healthcare of West Frankfort

601 North Columbia West Frankfort, IL 62896

SUMMARY STATEMENT OF DEFICIENCIES

Based on interview, and record review the facility failed to ensure they had RN (Registered Nurse) coverage 8 hours/day, 7 days/week.

This failure has the potential to affect all 50 residents who reside at the facility.

Findings Include:The undated facility Room Roster documents 50 residents currently reside at the facility. On 8/18/25 at 3:20 PM, V2 (Director of Nurses) stated she didn't have a Registered Nurse on staff.

V2 stated she does have agency Registered Nurses that work at the facility at times.

The facility schedules dated July 2025 and August 2025 documents the facility did not have RN coverage on 7/18, 7/19, 8/9, 8/10, and 8/23/25. On 8/18/25 at 4:25 PM, V2 confirmed in email the facility did not have RN coverage on the above listed dates.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/19/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Axiom Healthcare of West Frankfort

601 North Columbia West Frankfort, IL 62896

SUMMARY STATEMENT OF DEFICIENCIES

as ordered.On 8/19/25 at 11:08 AM, V15 (Pharmacist) stated R5's Preservision was filled on 4/28/25 for a 30-day supply and had not been filled by their pharmacy since then. V15 stated the Preservision has a different formula than Ocuvite with different concentrations of vitamins and minerals. V15 stated they didn't send any to the facility after 4/28/25 because they didn't have any refills and if the facility would fax over a new prescription for the Preservision they would fill it.The facility Medication Administration through Certain Routes of Administration policy dated 11/15/24 documents, Applicability: Policy 6.7 establishes guidelines for the safe and effective administration of medications through various routes of administration in a long-term care (LTC) facility. It ensures that medications are administered according to best practices, physician orders, and in compliance with current practice guidelines, and state and federal regulations.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WEST FRANKFORT, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AXIOM HEALTHCARE OF WEST FRANKFORT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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