Axiom Gardens of Nashville
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 6 Google reviews
Watch Axiom Gardens of Nashville
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (23 vs median 11.0)
- High staff turnover (77%)
Bottom 25% in IL · Critically understaffed (RN) · Very high staff turnover · Worst in AXIOM HEALTHCARE chain · $279,545 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
This facility offers excellent physical therapy and a standout activity program that can greatly improve a resident's quality of life. If you choose this facility, we recommend clearly labeling all personal items and checking in frequently, as one family member reported difficulty keeping belongings from going missing.
Google Reviews
Google Reviews
6 reviews on Google“Families can expect a facility with a highly praised activity department and a caring physical therapy team. However, there are significant concerns regarding the loss of personal belongings and items brought from home.”
Quality Themes
Tap a score for detailsStrengths
- Excellent activity department
- Caring physical therapy staff
- Clean and orderly resident rooms
- Attentive nursing and CNA staff
Concerns
- Loss of personal resident belongings
Rating Trends
Tap a year to see what changed
Distribution · 6 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1With the recent updates to the facility, what specific improvements have been made to the staffing levels and care protocols?
- 2How does the nursing team manage medical emergencies or sudden changes in health during the overnight hours?
- 3What steps are being taken to address the recent state inspection findings and ensure the highest standard of care for residents?
- 4Could you tell us about the daily activities and social programs available to keep residents engaged and active?
- 5How do you ensure that the care plan is consistently followed by every member of the care team throughout each shift?
- 6What is the process for communicating important health updates or changes in care to us as a family?
Personalized based on this facility's data
Key Review Excerpts
“My mom is receiving excellent care and attention. Her room is always clean and orderly. Plenty of activities and the food has been good. Lots of room, not overcrowded. The physical therapy staff are caring, kind and encouraging. Highly recommend!”
“Great set of caring nurses and cnas. The activity department is the best ❤️ there has been some amazing changes in management to help better care for the needs of the residents.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 17 measures
3
measures
12
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents vaccinated for the flu
Residents who lost too much weight
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed numerous complaints triggering 27 of 51 total deficiencies, raising serious concerns about this facility's care quality. Recurring problems include accident prevention and safety hazards, wound care and pressure ulcer management, and abuse/neglect protection. Most deficiencies appear corrected after citation, but recent December 2024 complaints suggest ongoing issues with basic safety and care standards that families should investigate thoroughly before considering placement.
Apr 29, 2026Complaint1
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 20, 2026Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Dec 24, 2025Complaint8
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Keep all essential equipment working safely.
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 17, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jun 18, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Feb 11, 2025Complaint1
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.
Federal Penalties
Fine
Dec 24, 2025
$261,500
Payment Denial
Jun 18, 2025
17-day denial
Fine
Dec 20, 2024
$265,965
Payment Denial
Dec 20, 2024
113-day denial
Fine
Oct 29, 2024
$13,580
Ownership & Operations
Who Operates This Facility
Axiom Gardens of Nashville
for profit
Chain Affiliation
Axiom Healthcare
7 facilities nationwide
Chain avg rating: 1.3/5 · Rank 2 of 7 (Worst)
Ownership & Management
Owners
Frances, Danny
Owner
Frances, Jay
Owner
Smith, Kimberly
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
6 reviews from families & visitors
Official Website
Visit axiom-care.com
Medicare data downloads
Original nursing home datasets
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.