The home failed to run its operations effectively and efficiently using its available resources. Cited February 2024 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: L
Nursing home report
AVENUES AT ROYAL OAK
KEWANEE, IL · Medicare-certified · 200 beds
Needs attention
Special Focus candidateAbuse citationFor-profitChain member
1 of 5 overall
AVENUES AT ROYAL OAK (Kewanee, IL) has a 1-star overall rating, with 1-star health inspection, staffing, and quality ratings. It is a Special Focus Facility candidate with recent fines of $105,609, reported nurse staffing below the federal benchmark (2.79 vs 4.1 hours per resident per day), and recent citations involving facility administration, response to alleged violations, and abuse/neglect/theft prevention.
Facility ratings
Health inspections
Staffing
2.794 hrs/resident/day
Quality measures
Last inspection: February 27, 2026Penalties, last 24 months: $105,609special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.794.
Staffing detail
- Registered nurses
- 0.21
- Licensed practical nurses
- 0.83
- Nurse aides
- 1.76
- Weekend nursing
- 2.57
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Residents with a fall causing major injury
2.6%Improving
Residents with pressure ulcers (bedsores)
2.3%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.8%Steady
Residents who were physically restrained
0.2%Improving
Residents needing more help with daily activities
28.5%Improving
Residents whose ability to walk got worse
32.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
38.5%Steady
Short-stay residents newly given an antipsychotic
2.5%Steady
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
18.2%Worsening
Residents with depressive symptoms
97.1%Worsening
Long-stay residents given the seasonal flu vaccine
80.7%Steady
Long-stay residents given the pneumonia vaccine
85.9%Improving
Short-stay residents given the pneumonia vaccine
61.9%Improving
What the inspectors found
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited September 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: L
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited February 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to give an adequate reason and proper information when transferring or discharging a resident. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 622 — 42 CFR §483.15 — S/S: J
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $33,150 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $72,459 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $443,531 in total fines · 3 payment denials.
- $33,150
Federal fine
May 20, 2025
- 25 days
Medicare/Medicaid payment denial
Sep 25, 2024
- $72,459
Federal fine
Sep 25, 2024
- 67 days
Medicare/Medicaid payment denial
Feb 14, 2024
- $185,705
Federal fine
Feb 14, 2024
- 38 days
Medicare/Medicaid payment denial
Oct 26, 2023
- $115,837
Federal fine
Oct 26, 2023
- $36,380
Federal fine
Sep 13, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ARCADIA CARE · 22 homes · 1.5 stars avg
- Occupancy
- 133.3 residents on an average day (67% of 200 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.