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Nursing HomeMedicaid Investigative

Axiom Gardens of Mount Vernon

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

#5 Doctors Park, Mount Vernon, IL 62864106 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 315 Google reviews

5
4
3
2
1
Axiom Gardens of Mount Vernon Nursing Home in Mount Vernon, IL — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (13 vs median 11.0)
  • High staff turnover (52%)
  • High RN turnover (62%)

Bottom 25% in IL · Below recommended RN staffing · $37,500 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility has a long history of high praise for its nursing staff and clean environment, making it a strong candidate for many families. However, given the recent negative feedback in 2025, we strongly recommend scheduling an unannounced tour to observe current staffing levels and resident engagement firsthand before making a decision.

Google Reviews

Google Reviews

315 reviews on Google
Axiom Gardens of Mount Vernon receives overwhelmingly positive feedback, with reviewers frequently highlighting the compassionate, attentive nursing staff and the clean, well-maintained environment. Families often express relief and gratitude for the quality of care their loved ones receive, specifically noting the dedication of the administration and the friendly atmosphere. While the vast majority of reviews are glowing, there is a lack of recent, detailed feedback to confirm if these high standards have been maintained over the last few years.

Quality Themes

Tap a score for details
Food9.0Staff10.0Clean10.0Activities9.0MedsN/AMemory9.0Comms9.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Responsive and professional administration
  • Welcoming, family-oriented atmosphere

Concerns

  • Lack of recent, detailed feedback (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02022(200)5.02023(3)1.02025(2)

Distribution · 205 analyzed

5
202
4
1
3
0
2
0
1
2
197 reviews posted between Nov 10, 2022Nov 18, 2022 · 196 were 5-star
142 reviews posted between Nov 13, 2022Nov 18, 2022 · 141 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the compassionate and attentive nursing staff here; how do you ensure that same level of personal care is maintained during shift changes?
  • 2With the recent focus on improving health inspections, what specific steps is the facility taking to address past deficiencies and ensure resident safety?
  • 3How does the administration work with families to maintain the professional and responsive communication that people seem to value so much about this facility?
  • 4Can you tell us about the daily activities and social programs available to help residents stay engaged and part of the community?
  • 5In the event of a medical emergency during the night, what is the protocol for notifying the family and ensuring immediate care?
  • 6Since the facility is described as a very clean and well-maintained environment, how often are the resident rooms and common areas deep-cleaned?

Personalized based on this facility's data


Key Review Excerpts

The staff involved everyone and had them tapping ties and dancing their arms. The feeling of importance they gave to the residents was not a part of their paycheck rather it was a gift of love from their heart.

Long-term resident's family · 2022★★★★★

My mother has been at Mt. Vernon Health Care since November 2019. I am very pleased with the staff and how well my mother is treated. My mother seems to be happy and well taken care of.

Long-term resident's family · 2022★★★★★

Mt. Vernon Health Care has taken great care of our aunt. They communicate with us promptly and thoroughly. Thay always have her best interests in mind.

Long-term resident's family · 2022★★★★★
Source: 315 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
41%
Registered nurses for medical care
Total Nursing
2.97hrs
72%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

4

measures

Worse Than Avg

11

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility50.0%
Worse than Avg
Here
50.0%
US
95.5%
IL
91.8%
Jefferson
92.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility50.0%
Worse than Avg
Here
50.0%
US
93.4%
IL
90.0%
Jefferson
84.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility57.0%
Worse than Avg
Here
57.0%
US
15.5%
IL
21.8%
Jefferson
20.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility15.7%
Mixed vs Avgs
Here
15.7%
US
12.1%
IL
52.5%
Jefferson
2.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility46.7%
Worse than Avg
Here
46.7%
US
19.4%
IL
21.1%
Jefferson
16.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility36.9%
Worse than Avg
Here
36.9%
US
14.4%
IL
14.2%
Jefferson
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility14.3%
Worse than Avg
Here
14.3%
US
81.8%
IL
69.0%
Jefferson
73.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility24.0%
Worse than Avg
Here
24.0%
US
1.6%
IL
2.4%
Jefferson
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
4penalties
Above state avg (12.0)
18 complaint-triggered
$37,500 in fines

Families have repeatedly filed reports at this facility, particularly concerning protection from abuse and neglect, with five separate complaint investigations since 2023. The most recurring issues involve resident safety and protection from harm, medication management, and infection control programs. While the facility corrects deficiencies when cited, the pattern of repeated abuse protection violations and ongoing family complaints suggests persistent care quality concerns that families should carefully investigate before placement.

Mar 19, 2026Complaint
2
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Mar 4, 2026Complaint
2
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Aug 12, 2025Complaint
1
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

May 27, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Mar 28, 2025Complaint
1
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 17, 2025Routine
27
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0025Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0712Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0744Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0331Potential for harm · PatternCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0753Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Federal Penalties

Fine

Mar 4, 2026

$25,830

Fine

Oct 3, 2024

$7,000

Fine

Jun 27, 2024

$10,000

Fine

Mar 11, 2024

$20,500

Ownership & Operations

Who Operates This Facility

Owner / Operator

Axiom Gardens of Mount Vernon

Organization Type

for profit

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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