See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Axiom Healthcare of Harrisburg

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

1000 West Sloan Street, Harrisburg, IL 6294668 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 19 Google reviews

5
4
3
2
1
Axiom Healthcare of Harrisburg Nursing Home in Harrisburg, IL — Street View
Street View

Watch Axiom Healthcare of Harrisburg

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.

5/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (58%)
  • High RN turnover (80%)

Bottom 25% in IL · Below recommended RN staffing · Above average staffing · Worst in AXIOM HEALTHCARE chain

Source: Medicare data

What this means for your family

While some families appreciate the small, intimate setting, the recent reports of severe hygiene issues and lack of basic amenities like running water are major red flags. Before choosing this facility, we strongly recommend conducting an unannounced visit to check the cleanliness of resident rooms and asking management directly about their protocols for personal property security.

Google Reviews

Google Reviews

19 reviews on Google
Axiom Healthcare of Harrisburg presents a stark contrast in experiences, with some families praising the small, home-like environment and dedicated staff, while others report severe neglect and hygiene issues. Critical concerns regarding basic sanitation, such as lack of running water and cleanliness, alongside reports of missing personal belongings, suggest inconsistent quality of care. Families considering this facility should be aware of these polarized experiences and conduct thorough, in-person inspections.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean4.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Small, home-like environment
  • Friendly and caring core staff
  • Recent facility updates and aesthetic improvements

Concerns

  • Poor hygiene and sanitation standards (mentioned by 3 reviewers)
  • Theft of personal belongings (mentioned by 2 reviewers)
  • Inconsistent or poor quality of food (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'22(7)'24(2)'26(1)

Distribution · 19 analyzed

5
11
4
1
3
1
2
1
1
5

How They Respond to Reviews

5%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Since the facility has a small, home-like feel, how do you ensure that each resident's specific dietary preferences and nutritional needs are met during mealtime?
  • 2What specific steps are being taken to maintain high standards of cleanliness and sanitation in the resident rooms and common areas?
  • 3How does the nursing team communicate important medical updates or changes in condition to family members to ensure we are always in the loop?
  • 4What protocols are in place to ensure that residents' personal belongings are kept secure and accounted for?
  • 5Can you tell us more about the daily activities and social engagement opportunities available to residents to keep them active?
  • 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

Has not had running water in his room nor have I ever even seen toilet paper in his restroom. They want him to use the public restroom in the hallway.

Long-term resident's family · 2024☆☆☆☆

My father had been wearing the same clothes with no shower for 3 weeks!!

Long-term resident's family · 2018☆☆☆☆

I like a small place where they know everyone by name.

Long-term resident's family · 2022★★★★★
Source: 19 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
37%
Registered nurses for medical care
Total Nursing
3.65hrs
89%
All nurses + aides combined
Staff Turnover
61%
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 · 17 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.1%
Mixed vs Avgs
Here
23.1%
US
12.1%
IL
52.5%
Saline
5.5%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility36.4%
Worse than Avg
Here
36.4%
US
19.5%
IL
18.3%
Saline
20.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.5%
Worse than Avg
Here
29.5%
US
15.3%
IL
15.9%
Saline
19.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility33.7%
Worse than Avg
Here
33.7%
US
19.4%
IL
21.1%
Saline
20.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.4%
Worse than Avg
Here
28.4%
US
14.4%
IL
14.2%
Saline
17.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IL
91.8%
Saline
96.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility82.6%
Better than Avg
Here
82.6%
US
79.8%
IL
63.1%
Saline
72.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility65.0%
Worse than Avg
Here
65.0%
US
81.8%
IL
69.0%
Saline
78.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility15.2%
Worse than Avg
Here
15.2%
US
1.6%
IL
2.4%
Saline
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
3penalties
Near state avg (12.0)
15 complaint-triggered

This facility has persistent problems with nursing staffing requirements, appearing in nearly every survey since 2023, indicating ongoing struggles to maintain adequate registered nurse coverage. Families have filed multiple complaints triggering 12 deficiency findings, primarily concerning nursing staff shortages, pressure ulcer care, and facility cleanliness including pest control issues. While most deficiencies show correction dates, the repeated pattern of nursing staffing violations suggests systemic challenges that families should carefully consider.

Feb 10, 2026Complaint
3
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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Dec 16, 2025Complaint
1
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

Aug 29, 2025Complaint
1
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

Mar 20, 2025Routine
10
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0025Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

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.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

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.

0912Minimal · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Jan 23, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Mar 28, 2024Routine
7
0868Potential for harm · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0912Minimal · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Federal Penalties

Fine

Feb 10, 2026

$92,920

Payment Denial

Mar 20, 2025

24-day denial

Payment Denial

Dec 14, 2023

42-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Axiom Healthcare of Harrisburg

Organization Type

for profit

Chain Affiliation

Chain Name

Axiom Healthcare

Chain Size

7 facilities nationwide

Chain avg rating: 1.3/5 · Rank 5 of 7 (Worst)

Ownership & Management

Owners

David a Berkowitz Delta Trust

Owner · Organization

Yosef Meystel Delta Trust

Owner · Organization

Dauber, Jonathan

Owner

Dauber, Eliana

Owner (parent company)

Berkowitz, David

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Meystel, Yosef

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Hoehn, CrystalManaging Control - Governing BodyJackson, TammyManaging Control - Governing BodyWebb, JessicaManaging Control - Governing BodySpector, JenniferOfficer / DirectorAxiom Care, LLCManager
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.

Call