Hearth Record

Axiom Healthcare of Rosiclare

A nursing home in Rosiclare, Illinois 62982

1807 Fairview Rd, Rosiclare, Illinois 62982. (618) 285-6613.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 35 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (L). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

6 health citations at the latest inspection cycle

The Illinois average is 12.7.

Last standard inspection Dec 5, 2025.

Most serious in three years: immediate jeopardy to health or safety (L), at a complaint inspection on Jun 10, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

35 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (L). The last 3 years, to Nov 5, 2026.

35 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 35 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 16 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Aug 4, 2026: complaint inspection1 citation
  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 11, 2026.

Jul 10, 2026: complaint inspection2 citations
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 21, 2026.

  • 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.

    Rule F0727. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 29, 2026.

Dec 5, 2025: standard inspection3 citations
  • 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.

    Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 29, 2025.

  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Rule F0803. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 19, 2025.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 19, 2025.

Nov 22, 2024: standard inspection3 citations
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • 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.

    Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 4, 2024.

  • 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.

    Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2024.

Oct 4, 2024: complaint inspection1 citation
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 21, 2024.

Jul 10, 2024: complaint inspection1 citation
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2024.

Jun 10, 2024: complaint inspection10 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. L: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Aug 13, 2024.

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

    Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2024.

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

    Rule F0550. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2024.

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2024.

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

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2024.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2024.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2024.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 24, 2024.

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2024.

Dec 6, 2023: standard inspection13 citations
  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. G: actual harm. Correction date, as CMS recorded it: Feb 22, 2024.

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 28, 2023.

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Rule F0623. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 28, 2023.

  • Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Rule F0625. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 28, 2023.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2024.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 28, 2023.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2024.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2024.

  • 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.

    Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2024.

  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Rule F0803. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2024.

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Rule F0806. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 22, 2024.

  • Implement a program that monitors antibiotic use.

    Rule F0881. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 28, 2023.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 28, 2023.

Dec 6, 2023: standard and complaint inspection1 citation
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 28, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Sep 1, 1993.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 62 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 2 fines in the last three years, $132,266 in all.
  • 2 Medicare payment denials in the last three years.
  • 16 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Jun 10, 2024Medicare payment denialNot given
Jun 10, 2024Fine$90,438
Dec 6, 2023Medicare payment denialNot given
Dec 6, 2023Fine$41,828

Who does the caring?

3.66 nurse hours per resident per day

The Illinois average is 3.47.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeIllinois average
Nurse hours per resident per day3.663.47
Of which registered nurses0.430.71
At weekends3.033.08
Nursing staff turnover46.3%43.7%
Registered nurse turnover40%41.5%
Administrators who leftNot givenNot given

Who owns it?

  • Yosef Meystel Delta Trust owns 25% directly since Dec 1, 2024; David A Berkowitz Delta Trust owns 25% directly since Dec 1, 2024.
  • Axiom Care, LLC runs it.
  • 21 owners or officers are people: Jennifer Spector (corporate officer, 100%); Jessica Rachelle Webb (corporate officer, 100%); Jonathan Dauber (owns 5% or more directly, 50%); Yosef Meystel (owns 5% or more through other companies, 25%); David Berkowitz (owns 5% or more through other companies, 25%); Eliana Dauber (owns a share through other companies, 1%); Jennifer Spector (runs it (operational or managerial control)); Jennifer Spector (additional disclosable party (controls, leases property to, or provides services to the home)); Jonathan Dauber (runs it (operational or managerial control)); Jonathan Dauber (on the governing body (managing control)); Jonathan Dauber (additional disclosable party (controls, leases property to, or provides services to the home)); Shannon B Rider (additional disclosable party (controls, leases property to, or provides services to the home)); Michelle R. Baney (runs it (operational or managerial control)); Michelle R. Baney (on the governing body (managing control)); Michelle R. Baney (additional disclosable party (controls, leases property to, or provides services to the home)); Jessica Rachelle Webb (additional disclosable party (controls, leases property to, or provides services to the home)); Steven Turofsky (runs it (operational or managerial control)); Karen Lucas (runs it (operational or managerial control)); Karen Lucas (additional disclosable party (controls, leases property to, or provides services to the home)); Naftali Wilhelm (runs it (operational or managerial control)); Naftali Wilhelm (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Axiom Healthcare (8 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Yosef Meystel Delta TrustOwns 5% or more directly25%Dec 1, 2024
David A Berkowitz Delta TrustOwns 5% or more directly25%Dec 1, 2024
Petersen SNF Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 19, 2025
Axiom Care, LLCRuns it (operational or managerial control)Dec 1, 2024
Axiom Care, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 19, 2025
Curis Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 1, 2024

How do residents fare?

  • CMS rates its quality measures 2 of 5 (Illinois average 3.1).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing2 of 5
Quality measures2 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 27.6 miles, this one had the 5th most health citations at the latest inspection cycle (6; the middle value was 3.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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