Clay County, Illinois · Nursing home
Axiom Healthcare of Flora
4 of 5 overall from CMS
232 Given Street, Flora, IL 62839
At a glance
- Overall rating 4 of 5 Above the state average of 2.5
- Nurse time per resident, per day 3.16 hours Below the state average of 3.45
- Nursing staff who left in a year 43.6% Below the state average of 44.5%
- Health citations, last 3 inspection cycles 25 2 at the harm level or above
- Fines in 3 years $9,269 1 fine
- Certified beds in use 54.3% of 99 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Axiom Healthcare of Flora is a 99-bed nursing home in Flora, Illinois (Clay County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.16 nurse staffing hours per resident per day, below the Illinois average of 3.45. CMS lists 1 fine totaling $9,269 in the past three years.
- Certified beds
- 99
- Residents per day (average)
- 53.8
- Certified since
- 1991 (35 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Axiom Healthcare (8 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Axiom Healthcare of Flora
Chosen from this home's public data.
- CMS lists 1 fine totaling $9,269 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 2.51 hours per resident on weekends against 3.16 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 54.3% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Illinois average 2.5
- Health inspections 5 of 5 Illinois average 2.7
- Staffing 3 of 5 Illinois average 2.1
- Quality measures 1 of 5 Illinois average 3.0
The vertical line marks the Illinois average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.16 h Illinois average 3.45
- Nurse aides 2.00 h Illinois average 2.09
- Licensed practical nurses 0.14 h Illinois average 0.64
- Registered nurses 1.02 h Illinois average 0.72
- All staff, weekends 2.51 h Illinois average 3.07
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Illinois average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover43.6%
- Illinois average44.5%
- Registered nurse turnover20.0%
- Illinois average41.8%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Illinois and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Illinois | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 30.4% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.6% | 6.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% | 0.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.3% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 10.5% | 54.2% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 90.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 26.4% | 14.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.4% | 18.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 91.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 9.1% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.1% | 20.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 21.6% | 21.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.97 | 2.02 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.81 | 2.22 | 1.78 |
Short-stay residents
| Measure | This home | Illinois | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% | 69.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.8% | 63.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% | 26.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 30.5% | 13.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 25 health deficiencies in the three most recent inspection cycles. Of these, 2 involved actual harm; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Aug 8, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Oct 25, 2024 | 3 | 11 |
| Nov 7, 2023 | 8 | 6 |
| Sep 16, 2022 | 14 | 1 |
Illinois homes averaged 12.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (25)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2026)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 3, 2025)
-
GActual harm, isolated
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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 1, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 23, 2025)
Show 20 more
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 19, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 10, 2024)
-
FPotential for more than minimal harm, widespread
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 10, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 10, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 10, 2023)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Dec 10, 2023)
-
FPotential for more than minimal harm, 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.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 6, 2022)
-
FPotential for more than minimal harm, widespread
Report COVID19 data to residents and families.
Infection Control · Deficient, Provider has date of correction (Oct 6, 2022)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Oct 6, 2022)
-
DPotential for more than minimal harm, isolated
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · Deficient, Provider has date of correction (Oct 6, 2022)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 6, 2022)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 7, 2022)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 7, 2022)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 7, 2022)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 7, 2022)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 6, 2022)
-
DPotential for more than minimal harm, isolated
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 7, 2022)
-
DPotential for more than minimal harm, isolated
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 6, 2022)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 6, 2022)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 6, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Aug 8, 2025 | Fine | $9,269 |
| May 27, 2025 | Payment Denial | 6 days |
Illinois homes averaged 2.2 fines and $111,013 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Illinois
- Size394 of 666 by certified beds
- Illinois average residents per day95.4
- ChainAxiom Healthcare
- Chain average overall rating1.4 of 5
- Resident or family councilResident
- Homes in Clay County2
Common questions
What is the CMS star rating for Axiom Healthcare of Flora?
Axiom Healthcare of Flora has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 3 and quality measures is 1.
How many beds does Axiom Healthcare of Flora have?
Axiom Healthcare of Flora has 99 certified beds. It averages 53.8 residents per day, about 54.3% of its certified beds.
How much nursing care do residents get at Axiom Healthcare of Flora?
The home reports 3.16 hours of nurse staffing per resident per day, including 1.02 hours from registered nurses. The Illinois average is 3.45 hours and 0.72 hours from registered nurses.
Has Axiom Healthcare of Flora been fined?
Yes. CMS lists 1 fine totaling $9,269 in the past three years. It also lists 1 payment denial.
Does Axiom Healthcare of Flora accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Axiom Gardens of Flora 97beds 63.9%in use 3.13nurse hours a day
- 2 of 5 Cisne Rehabilitation and Health Care Center 35beds 59.1%in use 3.87nurse hours a day
- 1 of 5 Fairfield Senior Living & Rehabilitation LLC 104beds 47.9%in use 3.05nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Clay County
Who to call in Illinois
These offices serve residents of every nursing home in Illinois.
- Long-term care ombudsman Illinois Long-Term Care Ombudsman Program 1-800-252-8966 (Senior HelpLine) An advocate for residents and their families.
- File a complaint about a nursing home Central Complaint Registry 1-800-252-4343 The state agency that inspects nursing homes.
Illinois staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 145692. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.