Henry County, Illinois · Nursing home
Avenues at Royal Oak
1 of 5 overall from CMS
605 East Church Street, Kewanee, IL 61443
At a glance
- Overall rating 1 of 5 Below the state average of 2.5
- Nurse time per resident, per day 3.03 hours Below the state average of 3.45
- Nursing staff who left in a year 24.6% Below the state average of 44.5%
- Health citations, last 3 inspection cycles 75 13 at the harm level or above
- Fines in 3 years $422,234 5 fines
- Certified beds in use 67.0% of 200 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Avenues at Royal Oak is a 200-bed nursing home in Kewanee, Illinois (Henry County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.03 nurse staffing hours per resident per day, below the Illinois average of 3.45. CMS lists 5 fines totaling $422,234 in the past three years.
- Certified beds
- 200
- Residents per day (average)
- 134.0
- Certified since
- 1981 (45 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Arcadia Care (25 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Avenues at Royal Oak
Chosen from this home's public data.
- CMS lists 5 fines totaling $422,234 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 16 health deficiencies in the latest inspection cycle (the standard inspection on Sep 16, 2025 plus complaint and infection-control inspections); the Illinois average is 12.6. Which have been corrected?Inspection results in CMS data
- About 67.0% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Illinois average 2.5
- Health inspections 1 of 5 Illinois average 2.7
- Staffing 2 of 5 Illinois average 2.1
- Quality measures 4 of 5 Illinois average 3.0
The vertical line marks the Illinois average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.03 h Illinois average 3.45
- Nurse aides 1.91 h Illinois average 2.09
- Licensed practical nurses 0.90 h Illinois average 0.64
- Registered nurses 0.21 h Illinois average 0.72
- All staff, weekends 2.82 h Illinois average 3.07
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Illinois average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover24.6%
- Illinois average44.5%
- Registered nurse turnover16.7%
- Illinois average41.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Illinois and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Illinois | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 16.1% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.6% | 6.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 0.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 96.9% | 54.2% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% | 90.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 22.7% | 14.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.0% | 18.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.7% | 91.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.5% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.0% | 20.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 60.1% | 21.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.04 | 2.02 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.59 | 2.22 | 1.78 |
Short-stay residents
| Measure | This home | Illinois | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.7% | 69.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 4.3% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 63.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 26.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 13.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 75 health deficiencies in the three most recent inspection cycles. Of these, 7 were at the immediate jeopardy level and 6 involved actual harm; the rest were graded as no actual harm. 37 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 30, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 16, 2025 | 16 | 1 |
| Sep 25, 2024 | 27 | 0 |
| Oct 26, 2023 | 32 | 0 |
Illinois homes averaged 12.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (75)
-
EPotential for more than minimal harm, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 13, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 30, 2026)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Mar 16, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 8, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 4, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 4, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 20, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 20, 2026)
-
FPotential for more than minimal harm, widespread
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 1, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 26, 2025)
-
FPotential for more than minimal harm, widespread
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Sep 26, 2025)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Oct 1, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Oct 2, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Oct 1, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Oct 1, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 3, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 3, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 3, 2025)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 31, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 31, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 9, 2025)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 9, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 9, 2025)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Dec 21, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to manage his or her financial affairs.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 21, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 21, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 21, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 11, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 11, 2024)
Showing the 30 most recent of 75.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Apr 30, 2026 | Fine | $26,685 |
| May 20, 2025 | Fine | $21,548 |
| Sep 25, 2024 | Fine | $72,459 |
| Sep 25, 2024 | Payment Denial | 25 days |
| Feb 14, 2024 | Fine | $185,705 |
| Feb 14, 2024 | Payment Denial | 67 days |
| Oct 26, 2023 | Fine | $115,837 |
| Oct 26, 2023 | Payment Denial | 38 days |
Illinois homes averaged 2.2 fines and $111,013 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Illinois
- Size105 of 666 by certified beds
- Illinois average residents per day95.4
- ChainArcadia Care
- Chain average overall rating1.4 of 5
- Resident or family councilResident
- Homes in Henry County5
Common questions
What is the CMS star rating for Avenues at Royal Oak?
Avenues at Royal Oak has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 4.
How many beds does Avenues at Royal Oak have?
Avenues at Royal Oak has 200 certified beds. It averages 134.0 residents per day, about 67.0% of its certified beds.
How much nursing care do residents get at Avenues at Royal Oak?
The home reports 3.03 hours of nurse staffing per resident per day, including 0.21 hours from registered nurses. The Illinois average is 3.45 hours and 0.72 hours from registered nurses.
Has Avenues at Royal Oak been fined?
Yes. CMS lists 5 fines totaling $422,234 in the past three years. It also lists 3 payment denials.
Does Avenues at Royal Oak accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Arcadia Care Kewanee 84beds 63.0%in use 3.12nurse hours a day
- 1 of 5 Arcadia Care Toulon 136beds 51.6%in use 2.90nurse hours a day
- 4 of 5 Allure of Geneseo 72beds 87.4%in use 3.37nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Henry County
Who to call in Illinois
These offices serve residents of every nursing home in Illinois.
- Long-term care ombudsman Illinois Long-Term Care Ombudsman Program 1-800-252-8966 (Senior HelpLine) An advocate for residents and their families.
- File a complaint about a nursing home Central Complaint Registry 1-800-252-4343 The state agency that inspects nursing homes.
Illinois staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 145418. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.