701 Shadwell Avenue, Flora, IL 62839 · Clay County · (618) 662-8361
97 certified beds, about 62 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145624 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 2, 2026, inspectors cited 6 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 40 health citations since October 2023, 5 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 4 fines totaling $159,748 in the last three years; the largest was $79,399, and the latest is dated January 14, 2026.
Nurses and nurse aides worked 3.13 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.
69.2% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Axiom Healthcare, an affiliated group of 8 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure only staff with appropriate competencies provided resident care. This failure has the potential to affect all 62 residents living in the facility.
Inspectors wroteBased on observation, interview, and record review the facility failed to implement fall prevention interventions for 2 of 3 residents (R1 and R2) reviewed for accidents/incidents in the sample of 12.
Inspectors wroteBased on interview and record review, the facility failed to implement infection tracking, contact tracing and environmental infection control precautions per its policy for one resident (R2) with a presumptive diagnosis of Scabies out of 7 residents reviewed for infection control in the sample of 7.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide a functioning call light in the south hall shower room. This has the potential to affect all 36 residents that reside on the south hall reviewed for call lights in a sample 52.
Inspectors wroteBased on interview and record review the facility failed to attempt non-pharmacological interventions prior to administering a PRN (as needed) psychotropic medication for 1 of 5 residents (R7) reviewed for unnecessary medications in a sample of 52.
Inspectors wroteBased on observation, interview, and record review the facility failed to perform nail care for 3 of 3 residents (R22, R44, and R68) reviewed for ADL (Activities of Daily Living) care in a sample of 52.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide supplementation to maintain or gain weight for residents with low body weights for 1 of 5 residents (R10) reviewed for nutrition in a sample of 52.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow the facility's policy and perform pain assessments to assist with pain management for 1 of 1 resident (R68) reviewed for pain in a sample of 52.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow guidelines consistent with current standard of practices to prevent/decrease risk of infection to wounds for 2 of 2 residents (R1 and R16) observed for infection control in the sample of 52.
Inspectors wroteBased on interview and record review the facility failed to prevent the verbal, physical and sexual abuse of residents from another resident with a known history of abuse for 4 of 6 residents (R1, R6, R8 and R9) reviewed for abuse in the sample of 11. This failure would cause a reasonable person to experience feelings of fear, anxiety and anger while residing in their home.
Inspectors wroteBased on interview and record review the facility failed to ensure they maintained sufficient staff to meet the needs of the residents timely for 4 of 4 residents (R4, R7, R11, and R13) reviewed for staffing in the sample of 21. This failure has the potential to affect all 70 residents who currently reside at the facility. Findings Include:The facility Resident List Report dated 11/16/25 documents 70 residents currently reside at the facility.1. R13's admission Record with a print date of 11/18/25 documents R13 was admitted to the facility on [DATE] with diagnoses that include spastic quadriplegic cerebral palsy and epilepsy. R13's MDS (Minimum Data Set) dated 8/24/25 documents R13 has a BIMS (Brief Interview for Mental Status) score of 15 which indicates he is cognitively intact. This same MDS documents R13 requires substantial/maximal assistance with toileting and bathing. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure food was served at a palatable temperature. This has the potential to affect 9 of 9 (R1, R10, R14-R20) residents served room trays on the long-term care units reviewed for dining in the sample of 21. Findings Include:On 11/19/25 at 2:55 PM, V1 (Administrator) provided this surveyor with the list of residents who are served meals in their room on the long-term care units. This list documents R1, R10, and R14-20 were served room trays. The facility Concern/Complaint Form dated 10/21/25 documents under Concern/Compliment: this resident (R21 who no longer resides at the facility) states that the vegetables are cold when being delivered on the hall.vegetables are not warm when reaching resident room. Dietary Manager in serviced with staff and educated them to prevent reoccurrence. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure residents received timely incontinence care for 3 of 3 (R4, R7, R13) residents reviewed for dignity in the sample of 21. Findings Include: 1. R13's admission Record with a print date of 11/18/25 documents R13 was admitted to the facility on [DATE] with diagnoses that include spastic quadriplegic cerebral palsy and epilepsy. R13's MDS (Minimum Data Set) dated 8/24/25 documents R13 has a BIMS (Brief Interview for Mental Status) score of 15 which indicates he is cognitively intact. This same MDS documents R13 requires substantial/maximal assistance with toileting. R13's current Care Plan documents a Focus area of I have an ADL (activities of daily living) self-care performance deficit. Date Initiated: 01/31/2025. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure residents were assisted with showers and toileting for 4 of 4 (R4, R7, R11 and R13) residents reviewed for activities of daily living in the sample of 21. Findings Include:1. R13's admission Record with a print date of 11/18/25 documents R13 was admitted to the facility on [DATE] with diagnoses that include spastic quadriplegic cerebral palsy and epilepsy. R13's MDS (Minimum Data Set) dated 8/24/25 documents R13 has a BIMS (Brief Interview for Mental Status) score of 15 which indicates he is cognitively intact. This same MDS documents R13 requires substantial/maximal assistance with bathing. R13's current Care Plan documents a Focus area of I have an ADL (activities of daily living) self-care performance deficit. Date Initiated: 01/31/2025. This Focus area includes the interventions. Bathing/Showering: [...]
Inspectors wroteBased on interview and record review the facility failed to ensure medications were available to be administered as ordered for 3 of 3 (R1, R7, and R9) residents reviewed for pharmacy services in the sample of 21. Findings Include:1. R1's admission Record with a print date of 11/17/25 documents R1 was admitted to the facility on [DATE] with diagnoses that include epilepsy, schizophrenia, anxiety disorder, bipolar disorder, viral hepatitis, post-traumatic stress disorder, phantom limb syndrome with pain, hypertension, and absence of right and left fingers, and right and left lower legs. R1's MDS (Minimum Data Set) dated 10/22/25 documents a BIMS (Brief Interview for Mental Status) score of 15, indicating R1 is cognitively intact. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure the menu met the resident's individual nutritional needs and preferences for 1 of 3 (R8) residents reviewed for dietary services in the sample of 21.
Inspectors wroteBased on interview, and record review, the facility failed to provide the correct textured diet for 1 of 19 (R2) residents reviewed for diet in a sample of 19. This failure resulted in R2 choking and being sent to the hospital.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were free from physical abuse for 2 of 3 residents (R2, and R3) reviewed for abuse in the sample of 3. The failure resulted in R3 receiving a fractured coccyx after an incident where R1 pushed R3 down. Findings Include: R1's admission Record documents that R1 is an [AGE] year-old make that was admitted to the facility on [DATE]. Diagnoses listed are chronic obstructive pulmonary disease, spondylosis, unspecified dementia, anxiety disorder, hyperlipidemia, insomnia, and repeated falls. R1's MDS (Minimum Data Set), dated 02/07/2025, documents that R1 has a BIMS (Brief Interview for Mental Status) of 05, indicating that R1 has severe cognitive impairment. R1's care plan with a revision date of 02/07/2025 has a focus area of, I have a behavior problem. [...]
Inspectors wroteBased on interview and record review the facility failed to notify the physician of resident having pain after a resident-to-resident altercation with a fall for 1 (R3) of 1 resident reviewed for quality of care in the sample of 3. Findings Include: R3's admission Record documents that R3 is an [AGE] year-old male that was admitted to the facility on [DATE]. Diagnoses listed are Parkinson's disease, unspecified dementia, Alzheimer's disease, anemia, insomnia, and depression. R3's MDS (Minimum Data Set), dated 02/21/2025, documents that R3 has a BIMS (Brief Interview for Mental Status) score of 06, indicating that R3 has severe cognitive impairment. A final incident report sent to the (state surveying agency) titled Report to (state surveying agency) Regional Office documented on 03/21/2025 at 7:15 P.M. R3 was in the hallway preaching loudly when R1 became agitated. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure residents are free from neglect for one (R15) of 15 residents reviewed for neglect in the sample of 15.
Inspectors wroteBased on interview and record review, the facility failed to immediately report to the Administrator an instance of staff to resident neglect for one (R15) of 15 residents reviewed for neglect in the sample of 15.
Inspectors wroteBased on interview and record review, the facility failed to investigate an allegation of staff to resident neglect for one (R15) of 15 residents reviewed for neglect in the sample of 15.
Inspectors wroteBased on record review and interview, the facility failed to provide a safe mechanical lift transfer for one (R15) of two residents reviewed for mechanical lift transfers in the sample of 15.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Physician visited and examined residents at least once every 30 days for the first 90 days after admission or at least once every 60 days thereafter for 64 (R57, R30, R39, R43, R56, R40, R266, R52, R54, R267, R6, R8, R38, R47, R35, R50, R4, R2, R51, R33, R10, R12, R62, R29, R19, R7, R59, R36, R3, R53, R18, R55, R27, R34, R16, R17, R165, R14, R28, R9, R46, R13, R61, R48, R31, R21, R22, R60, R268, R32, R49, R269, R23, R1, R58, R45, R24, R26, R270, R5, R41, R42, R15, and R25) reviewed for physician services in the sample of 66. Findings Include: [...]
Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure sufficient staff were scheduled/available to provide timely care to meet residents' needs. This failure has the potential to affect all 68 residents residing in the facility. Findings Include: The Long-Term Care Facility Application for Medicare & Medicaid (Form CMS-671) dated 3/4/25 documents there are currently 68 residents living in the facility. 1. R23's admission Record documented R23 was admitted to the facility on [DATE]. Diagnoses listed are type two diabetes mellitus, unspecified asthma, supraventricular tachycardia, calculus of gallbladder, epilepsy, thyrotoxicosis, personality disorder, obstructive sleep apnea, hypokalemia, anxiety, depression, and anemia. R23's Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) of 15 indicating R23 is cognitively intact. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to keep resident care areas and equipment clean and in a good state of repair for 20 (R1, R4, R7, R12, R16, R21, R22, R25, R26, R27, R31, R32, R37, R40, R50, R56, R58, R60, R62 and R165) of 20 residents reviewed for homelike environment in a sample of 66. Findings Included: 1. On 3/4/2025 at 12:01 PM, V20 (Family) stated, the windowpane in the Northwest Shower Room on the closed unit has had a crack with a hole to the outside environment the runs along the bottom of the windowpane since November 2023 and the facility is aware. On 3/4/2025 at 12:03 PM observed the windowpane in the Northwest Shower Room to have a crack on the bottom of the windowpane that is all the way through to the outside environment. [...]
Inspectors wroteBased on observation and interview the facility failed to ensure residents were served meals in a manner which promoted dignity with meal service for 1 of 17 (R35) residents reviewed for dignity in a sample of 66. Findings Include: R35's admission profile documents an admission date of 1/14/2025. R35's admission MDS (Minimum Data Set) dated 1/20/25 Section C documents a BIMS (Brief Interview of Mental Status) score of 15, indicating that R35 is cognitively intact. On 3/4/25 at 12:45 PM, R35 was observed in the dining room waiting on her lunch tray to be served. R35 was sitting at a table with R62. At this time R62 was eating her meal and R35 stated, This happens all the time, she gets her food and I have to wait. On 3/4/25 at 1:15 PM, R62 was observed leaving the dining room after she finished her meal and R35 was still waiting on her meal to be served. [...]
Inspectors wroteBased on interview and record review the facility failed to notify residents and the residents' representatives in writing of the reason for transfer/discharge to the hospital and failed send a copy of the notice to the ombudsman for 3 (R12, R24, R27) of 4 residents reviewed for hospitalizations in a sample of 66.
Inspectors wroteBased on observation, record review and interview the facility failed follow physician dietary orders for 2 residents (R2, R44). The facility also failed to follow their weight policy, timely acknowledge, and report a weight loss greater than 5% in one month for 1 resident (R27) of 3 residents reviewed for nutrition in a sample of 66. Findings Include: 1. R2's admission record documents an admit date of 10/14/2024. This same document includes the following diagnosis: Hyperlipidemia, bipolar disease, and chronic obstructive pulmonary disease. R2's Quarterly Minimum Data Set (MDS) dated [DATE] Section C Documents a Brief Interview of Mental Status (BIMS) of 14, indicating he is cognitively intact. R2's current Care Plan has a focus are of: The resident has arthritis. [...]
Inspectors wroteBased on interview, observation, and record review the facility failed to maintain accurate records of narcotics for 1 (R15) of 6 residents reviewed for controlled substance medication in the sample of 66. Findings Include: R15's admission Record documented R15 is a [AGE] year-old with an initial admission date of 01/14/2025 to the facility. Diagnoses listed are displaced oblique fracture of right femur, multiple sclerosis, morbid obesity, symptomatic epilepsy, anemia, hyperlipidemia, chronic systolic heart failure, dementia, gastro - esophageal reflux disease, and essential hypertension. R15's order summary printed on March 7, 2025, does not document an order for oxycodone. On 03/06/2025 at 9:46 A.M. Medication cart was reviewed for east south hall with V6 (Registered Nurse). [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were securely stored for 1 (R28) of 6 residents reviewed for medication storage in the sample of 66.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide therapeutic diets as ordered for 1 of 17 (R9) residents reviewed for therapeutic diets in a sample of 66. The Findings Include: 1. R9's admission record documents an admission date of 10/28/2024. This same document includes the following diagnosis: unspecified severe dementia, depression, hypertension, and Type 2 Diabetes Mellitus. R9's current diet order on his diet card is listed as regular diet, nectar thickened liquids with notes to have small spoons with food to facilitate reduced bite size and rate of intake. Set up assist to cut up foods into bite size pieces. Plate guard used to help load utensils. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain aseptic technique while performing wound care for to 2 (R13 and R45) of 7 residents reviewed for wound care treatment in a sample of 66.
Inspectors wroteBased on observation, interview, and record review the facility failed to safely secure a resident during transport for 1 of 3 residents (R2) reviewed for accidents in a sample of 3. This failure resulted in R2 sustaining a 3 by 5 inches laceration to her left leg that became infected and required a wound vac.
Inspectors wroteBased on observation, interview and record review the facility failed to provide assistance with Activities of Daily Living (ADLs) by not providing showers for 3 (R33, R105, and R154) of 3 residents reviewed for Activities of Daily Living in a sample of 30.
Inspectors wroteBased on interview and record review, the facility failed to ensure care and services were provided in accordance with professional standards of practice for the treatment of Type II Diabetes Mellitus for 3 (R3, R19, R20) of 4 residents reviewed for labs in the sample of 21. This failure resulted in abnormal lab values not being immediately communicated with the physician and R3 experiencing altered mental status requiring transport to the Emergency Department where a blood glucose level of 819 was found. This failure resulted in an Immediate Jeopardy, which was identified to have begun on 2/8/23 when abnormal Hemoglobin A1c results for R3 were reported to the facility and staff did not complete the facility procedure of notifying the physician of these values until 3/20/23. V1 (Administrator) was notified of the Immediate Jeopardy on 10/4/23 at 1:10 PM. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure staffing levels were sufficient to meet resident needs. This failure has the potential to affect all 59 residents who reside in the facility. Findings Include: On 9/27/23 at 10:20 AM, R1 who was alert to person place and time stated that there are mornings that he wakes up and hasn't been moved from the position that he went to bed in. R1 stated that they try their best. R1 stated that wounds do cause him pain and they have worsened from what his doctor has told him. R1's Minimum Data Set (MDS) dated [DATE] documents in Section G that R1 requires total dependence in bed mobility, transfer, dressing, and toileting use. R1's admission MDS dated [DATE] documents a Brief Interview of Mental Status (BIMS) of 14 indicating his is cognitively intact. [...]
Inspectors wroteBased on record review and interview the facility failed to report an allegation of abuse to the proper authorities for 1 (R3) of 3 residents reviewed for abuse in the sample of 21. The Findings Include: On 9/27/23 at 10:30 AM, V1 (Administrator) stated that she had allegations of R3 being tossed into bed and handled rough made to her last week by V4 (Family Member). V1 stated that she went and spoke with R3 and his roommate (R4) as he was also present during the interview with R3. V1 stated that R3 and his roommate are like brothers and speak for each other. V1 stated that what she thinks it is, is that R3 has had a decline and is awkward to handle, but still tried to help assist staff. V1 stated that at the end of her conversation, both R3 and R4 agreed staff weren't meaning to be rough. [...]
Inspectors wroteBased on record review and interview the facility failed to thoroughly investigate allegations of abuse for 1 (R3) of 3 residents reviewed for abuse investigations in a sample of 21. The Findings Include: On 9/27/23 at 10:30 AM, when the allegations of potential abuse of R3 being tossed into bed and handled rough were reported to V1 (Administrator) she stated that she had those same allegations made last week by V5 (Family Member). V1 stated that she went and spoke with R3 and his roommate R4, as he was also present during the interview with R3. V1 stated that R3 and his roommate are like brothers and speak for each other. V1 stated that what she thinks it is, is that R3 has had a decline and is awkward to handle, but still tried to help assist staff. V1 stated that at the end of her conversation, both R3 and R4 agreed staff weren't meaning to be rough. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure that residents with wounds or residents at risk for wounds were turned and repositioned every 2 hours for 1 of 3 residents (R1) reviewed for turning wounds in the sample of 21. The Findings Include: R1's admission record documents an admission date as 7/14/23. This same document includes the following diagnosis: osteomyelitis, pressure ulcer of the sacral region stage 4, intertrochanteric fracture of the left femur, unspecified fracture of the shaft of the right tibia, complete traumatic amputation of left lower leg, displaced fracture of fourth cervical vertebra, anxiety disorder, acute kidney failure, weakness, other reduced mobility, and need for assistance with personal care. [...]
16 fire safety citations on file: 3 on March 2, 2026, 4 on March 11, 2025, 9 on December 21, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| January 14, 2026 | Fine | $45,705 |
| July 1, 2025 | Fine | $10,358 |
| March 11, 2025 | Fine | $24,286 |
| October 11, 2023 | Fine | $79,399 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.13 | 3.45 | 3.86 |
| Registered nurses | 0.81 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.90 | 3.07 | 3.42 |
| Nurse aides | 1.84 | ||
| Licensed practical nurses | 0.49 | ||
| Nursing staff turnover (share who left in a year) | 69.2% | 44.5% | 45.8% |
| Registered nurse turnover | 62.5% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.68 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.23 on weekdays and 2.90 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.99 in April to June 2025 to 3.13 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.13 | 0.81 | 3.23 | 2.90 | 9.8% | 0 of 90 | 62 |
| Oct to Dec 2025 | 2.83 | 0.74 | 2.93 | 2.59 | 13.7% | 0 of 92 | 68 |
| Jul to Sep 2025 | 2.85 | 0.76 | 2.97 | 2.54 | 12.3% | 0 of 92 | 67 |
| Apr to Jun 2025 | 2.99 | 0.85 | 3.15 | 2.58 | 28.1% | 0 of 91 | 69 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.2 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.3 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.6 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 34.5 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.7 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.4 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.0 | 2.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Axiom Gardens of Flora's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (33.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
33.0% this home
No different from the national rate
US median of homes 51.5% · Illinois: 106 better, 85 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 30 eligible stays.
10.0% this home
No different from the national rate
US median of homes 10.7% · Illinois: 2 better, 14 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 45 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Illinois: 3 better, 10 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 23 eligible stays.
34.4% this home
Median of homes: Illinois50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 32 residents counted.
0.0% this home
Median of homes: Illinois0.3% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 43 residents counted.
0.0% this home
Median of homes: Illinois1.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 43 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Illinois100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 3 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: AXIOM GARDENS OF FLORA LLC. CMS links this home to Axiom Healthcare, a group of 8 nursing homes averaging 1.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kaplan, Mordechai | Managing control - governing body | Individual | 12/01/2024 | |
| Rajchenbach, Chaim | Managing control - governing body | Individual | 12/01/2024 | |
| Vaughn, Latosha | Managing control - governing body | Individual | 12/01/2024 | |
| Webb, Jessica | Managing control - governing body | Individual | 12/01/2024 | |
| Spector, Jennifer | Corporate officer | Individual | 12/01/2024 | |
| Axiom Care, LLC | Operational/managerial control | Organization | 12/01/2024 | |
| Dauber, Jonathan | Operational/managerial control | Individual | 12/01/2024 | |
| Greene, J'ne | Operational/managerial control | Individual | 12/01/2024 | |
| Spector, Jennifer | Operational/managerial control | Individual | 12/01/2024 | |
| Turofsky, Steven | Operational/managerial control | Individual | 12/01/2024 | |
| Vaughn, Latosha | Operational/managerial control | Individual | 12/01/2024 | |
| Wilhelm, Naftali | Operational/managerial control | Individual | 12/01/2024 | |
| Zaman, Asad | Operational/managerial control | Individual | 12/01/2024 | |
| Berkowitz, David | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/27/2025 | |
| Dauber, Eliana | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/27/2025 | |
| Goldfarb, Brian | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/08/2025 | |
| Meystel, Yosef | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/27/2025 | |
| Seitler, Dovid | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/04/2026 | |
| Turofsky, Steven | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/28/2026 | |
| Axiom Care, LLC | Adp of the SNF | Organization | 10/27/2025 | |
| Curis Services LLC | Adp of the SNF | Organization | 12/01/2024 | |
| David a Berkowitz Delta Trust | Adp of the SNF | Organization | 12/08/2025 | |
| Petersen SNF Holdings LLC | Adp of the SNF | Organization | 10/27/2025 | |
| Yosef Meystel Delta Trust | Adp of the SNF | Organization | 12/08/2025 | |
| Dauber, Jonathan | Adp of the SNF | Individual | 12/01/2024 | |
| Greene, J'ne | Adp of the SNF | Individual | 12/01/2024 | |
| Kaplan, Mordechai | Adp of the SNF | Individual | 12/01/2024 | |
| Rajchenbach, Chaim | Adp of the SNF | Individual | 12/01/2024 | |
| Spector, Jennifer | Adp of the SNF | Individual | 12/01/2024 | |
| Turofsky, Steven | Adp of the SNF | Individual | 12/01/2024 | |
| Vaughn, Latosha | Adp of the SNF | Individual | 12/01/2024 | |
| Webb, Jessica | Adp of the SNF | Individual | 12/01/2024 | |
| Wilhelm, Naftali | Adp of the SNF | Individual | 12/01/2024 | |
| Zaman, Asad | Adp of the SNF | Individual | 12/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.