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
Data as of July 1, 2026
1 of 5 overall
AVENUES AT ROYAL OAK (Kewanee, IL) has a 1-star overall rating, with 1-star health inspection and quality ratings and 2-star staffing. It is a special focus facility candidate, has $120,692 in fines over the last 24 months, and reported nurse staffing is 3.03 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.0267 hrs/resident/day
Quality measures
Last inspection: May 29, 2026Penalties, last 24 months: $120,692special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0267.
Staffing detail
- Registered nurses
- 0.21
- Licensed practical nurses
- 0.90
- Nurse aides
- 1.91
- Weekend nursing
- 2.82
Hours per resident per day.
Total staff turnover: 25%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Residents with a fall causing major injury
3.2%1.5%Improving
Residents with pressure ulcers (bedsores)
2.3%1.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.2%3.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
35.8%7.8%Improving
Residents whose ability to walk got worse
68.2%4.5%Improving
Long-stay residents on antianxiety or sleep medication
38.5%36.7%Improving
Short-stay residents newly given an antipsychotic
—4.3%—
Residents with a long-term catheter
0%0.7%Worsening
Residents with new or worsening incontinence
23.9%15.2%Improving
Residents with depressive symptoms
94.1%96.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—80.7%—
Long-stay residents given the pneumonia vaccine
96.8%98.5%Improving
Short-stay residents given the pneumonia vaccine
70.4%87.5%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 keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
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
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
- PENALTY
A federal fine of $26,685 was recorded.
- 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
- 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 $21,548 was recorded.
- 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: 6 fines · $458,614 in total fines · 3 payment denials.
- $26,685
Federal fine
Apr 30, 2026
- $21,548
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
Operator & ownership
Recent ownership change · Dec 1, 2024
Now operated by Avenues at Royal Oak, previously Royal Oaks Care Center.
- Ownership
- For profit - Corporation
- Chain
- Part of ARCADIA CARE · 24 homes · 1.3 stars avg
- Occupancy
- 134 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.