Axiom Healthcare Of West Frankfort
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.
Inspection Findings
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: