Illinois › Henry County › Kewanee
Avenues At Royal Oak
605 East Church Street, Kewanee, IL 61443
CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 200 beds, Avenues At Royal Oak serves Kewanee in Henry County, Illinois and has taken Medicare and Medicaid residents since 1981.
CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 75 health deficiencies across the three most recent survey cycles (19, 24, 32 by cycle, most recent first), 13 of them at the actual-harm or immediate-jeopardy level. That is 37.5 per 100 beds, more than the state median of 28.4.
CMS lists 9 penalties in the period covered: fines totalling $459K and 3 payment denials.
Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Illinois median of 3.3; nursing staff turnover is 24.6%.
CMS flags that the facility carries the CMS abuse icon.
75health deficiencies, 3 survey cycles13 at actual harm or worse
$459Kfines listed by CMS9 penalties in period
3.0nurse hours per resident per daystate median 3.3
67%occupancy (residents ÷ beds)134 residents a day
Compared with county, state and nation
| Measure | This facility | Henry Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 75 | 22 | 34 | 28.7 |
| Citations per 100 beds | 37.5 | 30.6 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 24.6% | 31.1% | 43.4% | 45.8% |
| Fines listed | $458,614 | $75,020 | $45,123 | — |
County and state figures are medians across facilities (5 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Sep 2025, 25 Sep 2024.
Severity mix: J ×4 K ×1 L ×2 G ×5 H ×1 D ×40 E ×7 F ×14 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 13 Jun 2026 |
| 29 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 3 Jun 2026 |
| 29 May 2026 | F0584 | Honor 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. | D | Complaint investigation | 30 May 2026 |
| 30 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Mar 2026 |
| 30 Apr 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 8 May 2026 |
| 27 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 4 Mar 2026 |
| 27 Feb 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 4 Mar 2026 |
| 13 Jan 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 20 Jan 2026 |
| 13 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Jan 2026 |
| 16 Sep 2025 | F0727 | 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. | F | Standard survey | 1 Oct 2025 |
| 16 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Sep 2025 |
| 16 Sep 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard survey | 26 Sep 2025 |
| 16 Sep 2025 | F0584 | Honor 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. | E | Standard survey | 1 Oct 2025 |
| 16 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 2 Oct 2025 |
| 16 Sep 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 1 Oct 2025 |
| 16 Sep 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 1 Oct 2025 |
| 1 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 3 Aug 2025 |
| 1 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Aug 2025 |
| 1 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Aug 2025 |
| 20 May 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 31 May 2025 |
| 20 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 31 May 2025 |
| 27 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Apr 2025 |
| 27 Mar 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 9 Apr 2025 |
| 28 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Mar 2025 |
| 20 Dec 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 21 Dec 2024 |
| 20 Dec 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint investigation | 21 Dec 2024 |
| 20 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Dec 2024 |
| 20 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 21 Dec 2024 |
| 4 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Nov 2024 |
| 4 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Nov 2024 |
| 25 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 13 Nov 2024 |
| 25 Sep 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0688 | Provide 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. | D | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 13 Oct 2024 |
| 25 Sep 2024 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 13 Oct 2024 |
| 12 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 3 Aug 2024 |
| 8 May 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 21 May 2024 |
| 6 Mar 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | Complaint investigation | 27 Apr 2024 |
| 14 Feb 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Complaint investigation | 15 May 2024 |
| 14 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 9 Mar 2024 |
| 14 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 15 May 2024 |
| 14 Feb 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | J | Complaint investigation | 25 Apr 2024 |
| 14 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 9 Mar 2024 |
| 14 Feb 2024 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | F | Complaint investigation | 9 Mar 2024 |
| 14 Feb 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 9 Mar 2024 |
| 14 Feb 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 25 Apr 2024 |
| 26 Oct 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | H | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 29 Dec 2023 |
| 26 Oct 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0584 | Honor 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. | F | Standard survey | 29 Dec 2023 |
| 26 Oct 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 29 Dec 2023 |
| 26 Oct 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0758 | 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. | D | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 13 Dec 2023 |
| 26 Oct 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 13 Dec 2023 |
| 13 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | L | Complaint investigation | 25 Sep 2023 |
| 13 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 25 Sep 2023 |
| 13 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 25 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Apr 2026 | Fine | $26,685 | |
| 20 May 2025 | Fine | $21,548 | |
| 25 Sep 2024 | Payment denial | — | 25 days |
| 25 Sep 2024 | Fine | $72,459 | |
| 14 Feb 2024 | Payment denial | — | 67 days |
| 14 Feb 2024 | Fine | $185,705 | |
| 26 Oct 2023 | Payment denial | — | 38 days |
| 26 Oct 2023 | Fine | $115,837 | |
| 13 Sep 2023 | Fine | $36,380 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 24.6%, RNs 16.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.1% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.3% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.7% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 60.1% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Avenues At Royal Oak Llc. Chain: Arcadia Care (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Arcadia Care Management LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| Arcadia Care Management LLC | Adp of the snf | NOT APPLICABLE | 03/12/2025 |
| Curis Services LLC | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Petersen SNF Holdings LLC | Adp of the snf | NOT APPLICABLE | 02/17/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Henry County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Allure of Geneseo | Geneseo | 72 | 4 | 4 | 2 | 22 | 30.6 | — | 20 Apr 2026 |
| Hammond-Henry District Hspabuse icon | Geneseo | 38 | 4 | 2 | 5 | 9 | 23.7 | $75K | 27 Jun 2026 |
| Hillcrest Home | Geneseo | 99 | 4 | 4 | 3 | 17 | 17.2 | — | 23 May 2025 |
| Arcadia Care Kewanee | Kewanee | 84 | 1 | 2 | 1 | 53 | 63.1 | $201K | 9 Mar 2026 |
All 5 facilities in Henry County
Questions and answers
How many deficiencies has Avenues At Royal Oak been cited for?
75 health deficiencies across the three most recent survey cycles, 13 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Avenues At Royal Oak been fined?
Yes. CMS lists fines totalling $459K in the period covered, plus 3 payment denials.
How does staffing at Avenues At Royal Oak compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Avenues At Royal Oak?
It is part of the Arcadia Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Arcadia Care Management LLC. Individual owners and managers are not listed on this site.
When was Avenues At Royal Oak last inspected?
The most recent survey or investigation in the CMS record is dated 12 Jun 2026; the most recent standard health survey was 16 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.