Axiom Healthcare Of Flora

Penalties

• Aug 8, 2025 — Fine ($9,110)
• Aug 8, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• May 27, 2025 — Payment Denial · payment denial 6 days
• May 27, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)

Inspection findings

1. Jun 24, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jul 8, 2026 · CMS health inspection

2. Jun 17, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jul 8, 2026 · CMS health inspection

3. Aug 8, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Sep 3, 2025 · CMS health inspection

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b) and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

4. May 27, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0700 Quality of Life and Care Deficiencies

     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.

     Corrected Jul 1, 2025 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

5. Apr 3, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Apr 23, 2025 · CMS health inspection

6. Feb 7, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Feb 19, 2025 · CMS health inspection

7. Oct 25, 2024 Fire Safety · 12 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Nov 22, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0020 Emergency Preparedness Deficiencies

     Establish policies and procedures including evacuation.

     Corrected Nov 22, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0025 Emergency Preparedness Deficiencies

     Create arrangements with other facilities to receive patients.

     Corrected Nov 22, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Nov 22, 2024 · CMS fire safety

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Nov 22, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Nov 27, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Nov 22, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0354 Smoke Deficiencies

     Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

     Corrected Nov 22, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Nov 22, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0927 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

     Corrected Nov 22, 2024 · CMS fire safety

8. Sep 20, 2024 Health · 1 finding
   • Not serious Scope/severity F Complaint

     F0836 Administration Deficiencies

     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.

     Corrected Oct 10, 2024 · CMS health inspection

9. Nov 7, 2023 Fire Safety · 9 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Dec 5, 2023 · CMS fire safety

   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Dec 5, 2023 · CMS fire safety

   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected Dec 5, 2023 · CMS fire safety

   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Dec 5, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Dec 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Dec 10, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     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.

     Corrected Dec 10, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Dec 10, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Dec 5, 2023 · CMS fire safety

10. Sep 16, 2022 Health · 15 findings
    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

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

      Corrected Oct 6, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0553 Resident Rights Deficiencies

      Allow resident to participate in the development and implementation of his or her person-centered plan of care.

      Corrected Oct 6, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0600 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.

      Corrected Oct 6, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Oct 7, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0608 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      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.

      Corrected Oct 7, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Oct 7, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Oct 7, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0636 Resident Assessment and Care Planning Deficiencies

      Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

      Corrected Oct 6, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0638 Resident Assessment and Care Planning Deficiencies

      Assure that each resident’s assessment is updated at least once every 3 months.

      Corrected Oct 7, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0661 Resident Assessment and Care Planning Deficiencies

      Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

      Corrected Oct 6, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0693 Quality of Life and Care Deficiencies

      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.

      Corrected Oct 6, 2022 · CMS health inspection

    • Not serious Scope/severity F

      F0727 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.

      Corrected Oct 6, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0791 Quality of Life and Care Deficiencies

      Provide or obtain dental services for each resident.

      Corrected Oct 6, 2022 · CMS health inspection

    • Not serious Scope/severity F

      F0885 Infection Control Deficiencies

      Report COVID19 data to residents and families.

      Corrected Oct 6, 2022 · CMS health inspection

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Oct 11, 2022 · CMS fire safety

Owners and managers (as published by CMS)

• BERKOWITZ, DAVID — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/04/2025
• DAUBER, ELIANA — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/04/2025
• DAUBER, JONATHAN — adp of the snf, NOT APPLICABLE, since 12/01/2024
• DAUBER, JONATHAN — operational/managerial control, NOT APPLICABLE, since 12/01/2024
• GOLDFARB, BRIAN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/18/2025
• JAMES, TIFFANY — adp of the snf, NOT APPLICABLE, since 12/01/2024
• JAMES, TIFFANY — operational/managerial control, NOT APPLICABLE, since 12/01/2024
• KAPLAN, MORDECHAI — managing control - governing body, NOT APPLICABLE, since 12/01/2024
• KAPLAN, MORDECHAI — adp of the snf, NOT APPLICABLE, since 12/01/2024
• MEYSTEL, YOSEF — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/04/2025
• PONTIOUS, RACHEL — operational/managerial control, NOT APPLICABLE, since 12/01/2024
• PONTIOUS, RACHEL — adp of the snf, NOT APPLICABLE, since 12/01/2024
• RAJCHENBACH, CHAIM — adp of the snf, NOT APPLICABLE, since 12/01/2024
• RAJCHENBACH, CHAIM — managing control - governing body, NOT APPLICABLE, since 12/01/2024
• SEITLER, DOVID — adp of the snf, NOT APPLICABLE, since 12/01/2024
• SPECTOR, JENNIFER — operational/managerial control, NOT APPLICABLE, since 12/01/2024
• SPECTOR, JENNIFER — corporate officer, NOT APPLICABLE, since 12/01/2024
• SPECTOR, JENNIFER — adp of the snf, NOT APPLICABLE, since 12/01/2024
• TUROFSKY, STEVEN — operational/managerial control, NOT APPLICABLE, since 12/01/2024
• TUROFSKY, STEVEN — adp of the snf, NOT APPLICABLE, since 12/01/2024
• WEBB, JESSICA — adp of the snf, NOT APPLICABLE, since 12/01/2024
• WEBB, JESSICA — managing control - governing body, NOT APPLICABLE, since 12/01/2024
• WILHELM, NAFTALI — operational/managerial control, NOT APPLICABLE, since 12/01/2024
• WILHELM, NAFTALI — adp of the snf, NOT APPLICABLE, since 12/01/2024
• ZAMAN, ASAD — adp of the snf, NOT APPLICABLE, since 12/01/2024
• ZAMAN, ASAD — operational/managerial control, NOT APPLICABLE, since 12/01/2024
• AXIOM CARE, LLC — operational/managerial control, NOT APPLICABLE, since 12/01/2024
• AXIOM CARE, LLC — adp of the snf, NOT APPLICABLE, since 11/04/2025
• CURIS SERVICES LLC — adp of the snf, NOT APPLICABLE, since 12/01/2024
• PETERSEN SNF HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 11/04/2025