Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 145517

Axiom Healthcare Of Mount Vernon

60 federal citations on record , including 4 at the Immediate Jeopardy level, and 8 federal enforcement actions totaling $254,604.

Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
60
Total citations
55
Last 3 years
9
Actual harm+
8
Federal penalties
$254,604
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care16 Nutrition & Dietary11 Nursing & Physician Services9 Administration6 Medication & Pharmacy5

Most common F-tags at this facility

F8803 F8033 F6863 F8123 F7252

Citation history

60 on record
SurveyF-TagViolationSeveritySource
Dec 18, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Apr 2, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Apr 2, 2025F880Provide and implement an infection prevention and control program.FComplaint
Mar 25, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.FComplaint
Mar 25, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FComplaint
Mar 25, 2025F946Provide training in compliance and ethics.FComplaint
Mar 25, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FComplaint
Mar 25, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FComplaint
Mar 25, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
Mar 25, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint
Mar 25, 2025F803Ensure 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.FComplaint
Mar 25, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Mar 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 25, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Mar 25, 2025F713Provide or arrange emergency care by a doctor 24 hours a day.FComplaint
Mar 25, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.FComplaint
Mar 25, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.FComplaint
Mar 25, 2025F700Try 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.KComplaint
Mar 25, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.JComplaint
Mar 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Mar 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 25, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 19, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 19, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Dec 19, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 19, 2024F803Ensure 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.FStandard
Dec 19, 2024F760Ensure that residents are free from significant medication errors.DStandard
Dec 19, 2024F758Implement 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.DStandard
Dec 19, 2024F727Have 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.FStandard
Dec 19, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Dec 19, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Dec 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Dec 19, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Dec 19, 2024F641Ensure each resident receives an accurate assessment.DStandard
Dec 19, 2024F625Notify 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.DStandard
Dec 19, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Aug 5, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.FComplaint
Aug 5, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FComplaint
May 31, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.FComplaint
May 31, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
May 31, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 31, 2024F610Respond appropriately to all alleged violations.DComplaint
May 15, 2024F727Have 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.FComplaint
May 15, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint
Mar 12, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Jan 11, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jan 5, 2024F692Provide enough food/fluids to maintain a resident's health.GComplaint
Jan 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 21, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Nov 21, 2023F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
Nov 21, 2023F803Ensure 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.JStandard
Nov 21, 2023F758Implement 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.DStandard
Nov 21, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Nov 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 14, 2022F880Provide and implement an infection prevention and control program.DStandard
Oct 14, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 14, 2022F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Oct 14, 2022F637Assess the resident when there is a significant change in conditionDStandard
Oct 14, 2022F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard

Federal enforcement history

Federal regulators have imposed 8 enforcement actions against this facility, including 5 civil money penalties totaling $254,604 and 3 payment-denial actions spanning 149 days.

DateTypeFinePayment denial
Dec 19, 2024Payment Denial—Jan 21, 2025 · 126 days
Dec 19, 2024Fine$222,067—
May 15, 2024Payment Denial—Aug 15, 2024 · 13 days
Jan 5, 2024Fine$8,824—
Jan 5, 2024Fine$8,824—
Nov 21, 2023Payment Denial—Dec 19, 2023 · 10 days
Nov 21, 2023Fine$7,446—
Nov 21, 2023Fine$7,443—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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