Avenues at Royal Oak
605 East Church Street · Kewanee, IL · 61443 · 3098523389
200 certified beds For profit - Corporation Chain: Arcadia Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
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Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
5 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$94,007 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.79 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 2.57 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 5 · $431,929 |
Inspection citations (74 in the current record)
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Immediate jeopardy · J April 30, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 16, 2026 · Quality of Life and Care
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Potential for harm · D April 30, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 4, 2026 · Resident Rights
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Potential for harm · D January 13, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 13, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 16, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 2, 2025 · Resident Rights
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Potential for harm · D September 16, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · D September 16, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · E September 16, 2025
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.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · F September 16, 2025
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.
Corrected October 1, 2025 · Nursing and Physician Services
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Potential for harm · F September 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2025 · Nutrition and Dietary
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Potential for harm · F September 16, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected September 26, 2025 · Administration
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Potential for harm · D August 1, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 3, 2025 · Resident Rights
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Potential for harm · D August 1, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 3, 2025 · Quality of Life and Care
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Actual harm · G May 20, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 31, 2025 · Quality of Life and Care
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Potential for harm · D May 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 20, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected December 21, 2024 · Resident Rights
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Potential for harm · D December 20, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 20, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 20, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 21, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 20, 2025 | Fine | $21,548 |
| September 25, 2024 | Fine | $72,459 |
| September 25, 2024 | Payment Denial | 25 days |
| February 14, 2024 | Fine | $185,705 |
| February 14, 2024 | Payment Denial | 67 days |
| October 26, 2023 | Fine | $115,837 |
| October 26, 2023 | Payment Denial | 38 days |
| September 13, 2023 | Fine | $36,380 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145418 · certified since February 8, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.