Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Axiom Gardens of Mount Vernon
MOUNT VERNON, IL · 106 certified beds · Last Life Safety survey March 17, 2025
CMS Certification Number 146201 · first certified April 2026
Ownership
Operated by AXIOM HEALTHCARE · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within IL
16 citations — more than 54% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
When is the next survey likely?
Well past the typical window (February 2026 to April 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was March 2025. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
7 of the 16 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 16 |
| Median facility in IL | 15 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 17, 2025 | 16 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0036 | Establish emergency prep training and testing. | 1 | 2025-03-17 |
| K-0920 | Ensure proper usage of power strips and extension cords. | 1 | 2025-03-17 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2025-03-17 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2025-03-17 |
| E-0025 | Create arrangements with other facilities to receive patients. | 1 | 2025-03-17 |
| K-0331 | Construct fire resistant interior walls. | 1 | 2025-03-17 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2025-03-17 |
| K-0753 | Have restrictions on the use of highly flammable decorations. | 1 | 2025-03-17 |
What the citations cover
- Emergency Preparedness Deficiencies 7
- Smoke Deficiencies 5
- Egress Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 7 |
| Smoke Deficiencies | 5 |
| Egress Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 17, 2025 — 16 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (March 28, 2025) |
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (March 28, 2025) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (April 1, 2025) |
| E-0025 | Create arrangements with other facilities to receive patients. | Deficient, Provider has date of correction (March 28, 2025) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (March 28, 2025) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (March 28, 2025) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (March 28, 2025) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (April 1, 2025) |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (April 1, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (March 28, 2025) |
| K-0331 | Construct fire resistant interior walls. | Deficient, Provider has date of correction (March 28, 2025) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (April 1, 2025) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (April 10, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (March 28, 2025) |
| K-0753 | Have restrictions on the use of highly flammable decorations. | Deficient, Provider has date of correction (March 28, 2025) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (March 28, 2025) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.