Montgomery County, Illinois · Nursing home
Avenues at Litchfield
4 of 5 overall from CMS
1024 East Tyler, Litchfield, IL 62056
At a glance
- Overall rating 4 of 5 Above the state average of 2.5
- Nurse time per resident, per day 1.67 hours Below the state average of 3.45
- Nursing staff who left in a year 12.0% Below the state average of 44.5%
- Health citations, last 3 inspection cycles 15 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 97.1% of 65 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 Litchfield is a 65-bed nursing home in Litchfield, Illinois (Montgomery County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 1.67 nurse staffing hours per resident per day, below the Illinois average of 3.45. CMS lists no fines in the past three years.
- Certified beds
- 65
- Residents per day (average)
- 63.1
- Certified since
- 1974 (52 yrs)
For profit - Corporation Participates in Medicaid
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.
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 Litchfield
Chosen from this home's public data.
- Reported nurse staffing is 1.47 hours per resident on weekends against 1.67 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 97.1% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
- Registered nurse time is 0.20 hours per resident per day; the Illinois average is 0.72. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Illinois average 2.5
- Health inspections 4 of 5 Illinois average 2.7
- Staffing 1 of 5 Illinois average 2.1
- Quality measures 5 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 1.67 h Illinois average 3.45
- Nurse aides 0.91 h Illinois average 2.09
- Licensed practical nurses 0.56 h Illinois average 0.64
- Registered nurses 0.20 h Illinois average 0.72
- All staff, weekends 1.47 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 turnover12.0%
- Illinois average44.5%
- Registered nurse turnover40.0%
- 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 | 2.9% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.2% | 6.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.4% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 93.6% | 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 | 2.0% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% | 90.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 2.8% | 14.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 44.6% | 18.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 91.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.0% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.0% | 20.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 49.3% | 21.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.70 | 2.02 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.33 | 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 | Too few residents or stays to report | 69.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 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 15 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 2 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Oct 3, 2024 | 6 | 0 |
| Sep 19, 2023 | 3 | 0 |
| Jul 21, 2022 | 6 | 5 |
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 (15)
-
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 (Jun 10, 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 (Jun 10, 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 4, 2024)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Oct 4, 2024)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Oct 29, 2024)
Show 10 more
-
BPotential for minimal harm, pattern
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Deficient, Provider has date of correction (Oct 4, 2024)
-
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 6, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Oct 6, 2023)
-
CPotential for minimal harm, widespread
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Waiver has been granted (Oct 6, 2023)
-
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 (Aug 4, 2022)
-
FPotential for more than minimal harm, widespread
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Aug 4, 2022)
-
FPotential for more than minimal harm, widespread
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 4, 2022)
-
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 (Aug 4, 2022)
-
FPotential for more than minimal harm, widespread
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · Deficient, Provider has date of correction (Aug 4, 2022)
-
FPotential for more than minimal harm, widespread
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (Aug 4, 2022)
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
CMS lists no fines or payment denials for this home in the past three years.
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
- Size565 of 666 by certified beds
- Illinois average residents per day95.4
- ChainNone listed
- Resident or family councilResident
- Homes in Montgomery County4
Common questions
What is the CMS star rating for Avenues at Litchfield?
Avenues at Litchfield has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 1 and quality measures is 5.
How many beds does Avenues at Litchfield have?
Avenues at Litchfield has 65 certified beds. It averages 63.1 residents per day, about 97.1% of its certified beds.
How much nursing care do residents get at Avenues at Litchfield?
The home reports 1.67 hours of nurse staffing per resident per day, including 0.20 hours from registered nurses. The Illinois average is 3.45 hours and 0.72 hours from registered nurses.
Has Avenues at Litchfield been fined?
CMS lists no fines for this home in the past three years.
Does Avenues at Litchfield accept Medicare or Medicaid?
CMS lists its participation as "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
- 4 of 5 Litchfield Health & Rehab Center 92beds 66.2%in use 2.89nurse hours a day
- 1 of 5 Hillsboro Rehab & Hcc 121beds 70.2%in use 3.02nurse hours a day
- 4 of 5 Montgomery Nursing & Rehab Ctr 110beds 59.5%in use 2.99nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Montgomery 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 14E264. 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.