All citations for Axiom Gardens of Mount Vernon

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Axiom Gardens of Mount Vernon

Last standard health inspection on record

March 17, 2025

Showing 1 to 25 of 31 citations

  1. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  2. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 19, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 27, 2026).

  3. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  4. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  5. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  6. No harm, with potential for more than minimal harm

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  7. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  8. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  9. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  10. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  11. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  13. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 22, 2025).

  15. No harm, with potential for more than minimal harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  16. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  17. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  18. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  19. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  20. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  21. No harm, with potential for more than minimal harm

    Construct fire resistant interior walls.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  22. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2025).

  23. No harm, with potential for more than minimal harm

    Have restrictions on the use of highly flammable decorations.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  24. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

  25. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 19, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 27, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.