Axiom Healthcare Of Harrisburg

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.23 therapist hours per resident per day in 2026Q1 — more than 29% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 68 beds and averages 33.9 residents a day — about 50% occupied, or roughly 34 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.485 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.72 hrs/resident/day on weekends vs 3.80 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 0.38 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 13 most serious are shown; the remaining 12 are one tap away and print in full.

• Actual harm · G2026-02-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 4 (R1, R2, R3, and R4) of 7 residents reviewed for abuse out of a sample of 7. This failure would result in a reasonable person such as R3 and R4 feeling vulnerable, threatened, fearful or distressed due to R2's presence in the facility and not receiving adequate protection from aggressive behaviors.Findings include:R2's admission Record documented an admission date of 11/10/25 and included diagnoses of anxiety disorder, depression, and dementia. R2's MDS dated [DATE] documented a BIMS score of 6, indicating R2 was severely cognitively impaired.R2's Care Plan included a Focus Area of Potential for aggressive behavior r/t (related to) dementia initiated on 11/17/25, with corresponding interventions that included to encourage participation in activities, monitor labs as ordered, observe residents location and change in aggression level, remove from area when resident shows increased aggression, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-03-20 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to thoroughly assess, follow physician orders, and implement interventions to prevent and/or treat pressure ulcers for 1 of 1 (R78) residents reviewed for pressure ulcers in the sample of 26. This failure resulted in R78's Stage 4 pressure ulcer not being treated as ordered by the physician from 3/11/25 to 3/20/25 (nine days) and unstageable pressure ulcers to bilateral heels not being assessed and/or treated from 3/11/25 to 3/20/25 (9 days). Findings Include: R78's admission Record with a print date of 3/20/25 documents R78 was admitted to the facility on [DATE] with diagnoses that include hypertension, benign neoplasm of prostate, and vascular dementia with a diagnosis of muscle wasting and atrophy identified on 2/15/25. R78's Minimum Data Set (MDS) dated [DATE] documents a BIMS (Brief Interview for Mental Status) score of 13, which indicates a moderate cognitive deficit. This same MDS documents R78 is at risk of developing pressure ulcers…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-01-31 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation and record review, the facility failed to provide accurate skin assessments and/or ensure preventative treatment and services were implemented to prevent the development of pressure ulcers for 1 of 5 residents (R1) reviewed for pressure ulcers in a sample of 7. This failure resulted in R1 developing unstageable DTI's (deep tissue injuries) to the right and left heel with undetermined thickness. The findings include: R1's face sheet documents R1 was admitted to the facility on [DATE]. R1's Physician's orders dated 12/4/23-12/31/23 list some of R1's diagnoses as UTI (urinary tract infection), A-Fib (Atrial fibrillation), HTN (hypertension), seizure disorder, dementia, AKI (Acute kidney injury), and HLD (hyperlipidemia). R1's MDS (Minimum Data Set) dated 12/8/23 documents a BIMS (Brief Interview for Mental Status) score of 03, indicating R1 has severe cognitive impairment. This same MDS, in Section GG, documents R1 is dependent for rolling left and right in bed, sit to lying, lying…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-10 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to timely report a resident to resident abuse allegation for 1 (R1) of 7 residents reviewed for abuse in the sample of 7.Findings include:R1's admission Record documented an admission date of 3/25/25 and included diagnoses of chronic obstructive pulmonary disease, panlobular emphysema, and dysphasia. R1's Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 15, indicating R1 was cognitively intact. R2's admission Record documented an admission date of 11/10/25 and included diagnoses of anxiety disorder, depression, and dementia. R2's MDS dated [DATE] documented a BIMS score of 6, indicating R2 was severely cognitively impaired.A Report to IDPH (Illinois Department of Public Health) Regional Office marked as Initial & Final documents a Date of Incident/Accident as 02/03/2026 with no time documented and names R1 and R2 as the residents involved. Under Description of Occurrence is documented Alleged…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-10 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to timely initiate and complete a thorough investigation of a resident to resident abuse allegation for 1 (R1) of 7 residents reviewed for abuse in the sample of 7.Findings include:R1's admission Record documented an admission date of 3/25/25 and included diagnoses of chronic obstructive pulmonary disease, panlobular emphysema, and dysphasia. R1's Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 15, indicating R1 was cognitively intact. R2's admission Record documented an admission date of 11/10/25 and included diagnoses of anxiety disorder, depression, and dementia. R2's MDS dated [DATE] documented a BIMS score of 6, indicating R2 was severely cognitively impaired.On 2/4/26 at 3:20 PM, R1 was alert and oriented to self, time, and place. R1 said he was not sure of the exact date of the incident with R2. R1 said he was sitting in the dining room after the evening meal talking to V9 (Family…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-12-16 · tag F0727 — failed to provide required RN coverage — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to provide 8 consecutive hours of the services of a Registered Nurse 7 days a week. This failure has the potential to affect all 37 residents residing in the facility.Findings include:The facility's November 2025 Nurse Schedule documented the facility did not provide 8 consecutive hours of the services of a Registered Nurse in the month of November 2025 for the days of: 11/1/25, 11/9/25-11/21/25, 11/23/25-11/30/25.The facility's December 2025 Nurse Schedule documented the facility did not provide 8 consecutive hours of the services of a Registered Nurse in the month of December 2025 for the days of: 12/6/25 and 12/7/25.On 12/12/25 at 2:20 PM, V2 (Registered Nurse/ Assistant Director of Nursing) said the Director of Nursing was off on medical leave due to a surgery since 11/10/25 and V2 was the only full time RN employed in the facility. V2 said she worked Monday through Friday for 8 consecutive hours but there was not always a RN on the weekends. V2 verified the facility did not provide 8 consecutive hours on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-08-29 · tag F0727 — failed to provide required RN coverage — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide 8 hours of daily Registered Nurse (RN) coverage for the facility. This failure has the potential to affect all 35 residents living in the facility.Findings Include:The facility's Resident Daily Census Report document dated 8/27/2025, documents 35 residents residing in the facility. Review of the nursing schedules for June and July document that no RN was on shift on 6/8/2025, 7/4/2025, 7/5/2025, 7/6/2025 and 7/11/2025 for 8 consecutive hours.On 8/27/2025 at 2:22 PM, V2 (Director of Nursing) stated she is not aware if there had been any Registered Nurse (RN) coverage on 6/8/2025, 7/4/2025, 7/5/2025, 7/6/2025 and 7/11/2025. V2 stated, there are no RN hours documented on the schedule for those days.On 8/28/2025 at 11:51 AM, V14 (Regional Reimbursement Specialist) stated the facility did not have registered nurse coverage for 8 hours a day, seven days a week on 6/8/2025, 7/4/2025, 7/5/2025, 7/6/2025 and 7/11/2025.On 8/28/2025 at 11:53 AM, V1 (Administrator) stated the facility did not have registered nurse coverage for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-03-20 · tag F0727 — failed to provide required RN coverage — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure Registered Nurse (RN) coverage for 8 consecutive hours a day, 7 days per week. This failure has the potential to affect all 26 residents living in the facility. Findings include: The Facility schedule for February and March 2025 documents there was no Registered Nurse (RN) coverage on 2/1/2025, 2/8/2025, 2/15/2025, 2/22/2025, 2/28/2025, 3/1/2025, 3/13/2025, 3/14/2025, 3/15/2025, 3/22/2025, and 3/29/2025. On 03/17/2025 at 9:25 AM, R78 states there isn't enough staff at times. On 03/19/2025 at 4:00 PM, V2 (Director of Nursing) stated, they don't have RN coverage for 8 consecutive hours a day, 7 day a week. V2 stated, they usually lack Saturdays, and some Sundays are covered. V2 said they have a RN that works as needed who does every other Sunday. On 03/19/2025 at 4:11 PM, V2 stated, there was no RN coverage on 2/1/2025, 2/8/2025, 2/15/2025, 2/22/2025, 2/28/2025, 3/1/2025, 3/13/2025, 3/14/2025, 3/15/2025, 3/22/2025, and 3/29/2025. The Long-Term Care Facility Application for Medicare and Medicaid dated 03/17/2025…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to implement interventions to prevent falls for 1 of 2 (R7) residents reviewed for accidents in the sample of 26. Findings Include: R7's admission Record with a print date of 3/20/25 documents R7 was admitted to the facility on [DATE] with diagnoses that include dementia, depression, hypertension, and low back pain. R7's MDS (Minimum Data Set) dated 2/19/25 documents R7 has a severe cognitive impairment. This same MDS documents R7 has a history of falls without serious injury. R7's Investigation Report for Falls documents the following falls. 11/24/24 documents R7 was found lying on her back in the lobby. The intervention implemented was a physical therapy and occupation therapy evaluation and treatment. 12/20/24 documents R7 was found across from her room in the hall sitting on the floor. The intervention implemented was to check her frequently when in bed and to use a pad alarm instead of a tab alarm. 1/25 (did not document full date)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to provide doctor ordered wound care for 1 of 3 (R5) residents reviewed for wound care in a sample of 9. Findings included: R5's admission Record documented an admission dated of 11/27/2024 with diagnoses in part of Type 1 Diabetes mellitus with diabetic kidney disease, end stage renal disease, muscle wasting and atrophy and acquired absences of left and right legs below the knee. R5's MDS (minimum data set) dated 12/26/2024 documented R5's BIMS (brief interview for mental status) score of 15 out of 15 total which indicates R5 is cognitively intact. The MDS documented R5 is dependent on staff for all toileting, bathing and dressing tasks and needs partial/moderate assistance with all personal hygiene tasks. On 1/21/2025 at 11:00pm, R5 said he has developed a wound on his penis and his doctor has ordered his wound treatment to be done twice per day since 1/8/25, but usually the nursing staff only performs his wound care one per day. R5 said he has spoken with the nursing staff about getting his treatment done twice per day, but…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-03-28 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to hold quarterly Quality Assurance and Performance Improvement (QAPI) meetings. This has the potential to affect all 19 residents residing in the facility. The Findings Include: On 3/26/24 at 1:00 PM, V1 (Administrator) stated she is not able to provide any documentation of minutes or attendance sheets for the facility's quarterly QAPI meetings. V1 further stated she started her employment at this facility in September 2023 and no QA information was available because she has not held a QAPI meeting since being employed. During the survey, a review of facility records revealed no documentation quarterly QAPI meetings were held. No meeting minutes or attendance sheets were found. The facility was unable to provide reproducible evidence QAPI meetings had been scheduled or occurred. The facility's QAPI Plan revised on 12/1/2022, documents Aspects of services and care are measured against established performance goals. Key monitors are measured and trended on a quarterly basis. The QAPI Committee analyzes performance to identify…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-28 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to notify a medical provider of an out of therapeutic range PT/INR (Prothrombin Time/International Normalized Ratio) lab result for one (R7) of five residents reviewed for unnecessary medications in the sample of 18. Findings include: R7's Face Sheet documented an admission date of 12/4/23 and listed diagnoses including a history of Cerebral Infarction and Unspecified Atrial Fibrillation. R7's Physicians Order Sheet for March 2024 documented an order dated 3/18/24 for Coumadin 4mg (milligrams) by mouth at bedtime Monday, Wednesday, and Friday, alternating with Coumadin 3mg. by mouth at bedtime on Sunday, Tuesday, Thursday, Saturday, and a 12/26/23 order for, PT/INR (to be drawn) weekly. A Lab Report dated 3/26/24 documented, Coagulation: PT-37.6 (reference range 9.8-12.2 seconds). INR-3.8 (reference range 0.9-1.2). Handwritten on this document was, 3/26/24, 18:00. Called (V10/Physician's) office. Awaiting call back, and 3/27/24 14:25: Spoke with (V10's) Nurse, states (she) will call back (when) (V10) is in the office. On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-13 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain sinks in working order for 2 of 6 residents, (R1 and R6) reviewed for environment in the sample of 6. Findings: 1. On 2/13/2024, at 9:15 AM, in R1's room there was a sign covering R1's sink that stated out of order. On 2/13/2024, at 10:30 AM, R1 who was alert to name walked this surveyor to his room. When asked what happened to his sink R1 said it was broke. When asked where he washed his hands he pointed and said, I use a bathroom sink down the hall. 2. On 2/13/2024, at 9:18 AM, R6's bathroom sink was noted to be clogged with dirty water. On 2/13/2024, at 9:40 AM, R6 who was alert to person, place and time stated he has problems with his bathroom sink clogging up daily. R6 stated the maintenance person must come daily and unclog his bathroom sink. On 2/13/2024, at 10:00 AM, V1 (Administrator) stated V9 (Regional Maintenance) is coming to the facility on Thursday afternoon, 2/15/2024, to check on R1's bathroom sink. V1 stated the issue is a plumbing issue. V1 stated V9 is bringing more equipment with him to help…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$92,920 in federal fines across 1 penalty. 2 Medicare payment denials on record.

• $92,920 — penalty dated 2026-02-10
• Medicare payment denial — starting 2025-04-18 for 24 days
• Medicare payment denial — starting 2024-02-28 for 42 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to AXIOM HEALTHCARE — 8 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 29 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $96K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL