CCN 146043 · Washington County, Illinois
Axiom Gardens of Nashville
485 South Friendship Drive, Nashville, IL 62263
Axiom Gardens of Nashville is a 120-bed for-profit nursing home in Nashville, Illinois, first certified for Medicare or Medicaid in 2003. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 55.8 residents a day, about 47% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 120
- Average residents per day
- 55.8 (46.5% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Axiom Gardens of Nashville LLC
- Certified since
- Feb 4, 2003
- Chain or affiliated group
- Axiom Healthcare (8 facilities, chain average 1.4 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Illinois median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 245 at 1, 112 at 2, 103 at 3, 108 at 4, 93 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 1 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.46 | 3.29 | 3.68 |
| RN hours per resident per day | 0.23 | 0.61 | 0.58 |
| Weekend nurse hours per resident per day | 3.01 | ||
| Nursing staff turnover | 63.6% | 43.4% | 44.9% |
| Occupancy (residents / beds) | 46.5% | 76.8% | 85.7% |
| Fines reported by CMS | 3 totaling $369,968 | ||
| Health deficiencies, latest standard survey | 23 (Mar 20, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Axiom Gardens of Nashville does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Axiom Care, LLCOrganization | Operational / Managerial Control | n/a | 11/01/2025 |
| Dauber, JonathanIndividual | Operational / Managerial Control | n/a | 11/01/2025 |
| Davidson, RobertIndividual | Operational / Managerial Control | n/a | 11/01/2025 |
| Heiman, ShanaIndividual | Operational / Managerial Control | n/a | 11/01/2025 |
| Scharlemann, MaryIndividual | Operational / Managerial Control | n/a | 11/01/2025 |
| Spector, JenniferIndividual | Operational / Managerial Control | n/a | 11/01/2025 |
| Turofsky, StevenIndividual | Operational / Managerial Control | n/a | 11/01/2025 |
| Wilhelm, NaftaliIndividual | Operational / Managerial Control | n/a | 11/01/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Nov 1, 2025 | Axiom Gardens of Nashville LLC | Friendship Manor Group LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.