Kewanee, IL

Avenues At Royal Oak

1-star overall rating with 1-star inspections with abuse icon flag with $443,531 in total fines with 16 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

605 East Church Street, Kewanee, IL

(309) 852-3389

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

200

Certified beds

Average residents

128

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Arcadia Care

Operator or chain grouping

Approved since

1981-02-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.20

Registered nurse staffing

LPN hours / resident day

0.71

Licensed practical nurse staffing

Aide hours / resident day

1.67

Nurse aide staffing

Weekend hours

2.34

Weekend nurse staffing

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	2.0 1 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	3.4	2.3 1.1 pts worse	1.8 1.6 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	73.0%	89.6% 16.6 pts worse	93.4% 20.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	80.7%	91.6% 10.9 pts worse	95.5% 14.8 pts worse	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	2.8%	3.3% 0.5 pts better	3.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	94.0%	50.3% 43.7 pts worse	11.4% 82.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	3.4%	6.5% 3.1 pts better	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	37.9%	18.5% 19.4 pts worse	19.6% 18.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.4%	0.1% 0.3 pts worse	0.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	34.3%	17.2% 17.1 pts worse	16.3% 18 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	30.6%	15.0% 15.6 pts worse	14.9% 15.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	1.1% 0.2 pts better	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.8%	21.3% 5.5 pts better	19.8% 4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	3.6%	5.2% 1.6 pts better	5.1% 1.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	46.6%	68.8% 22.2 pts worse	81.7% 35.1 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.3% 2.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-16 · Fire 2025-09-16

16 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-09-25 · Fire 2024-09-25

23 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-10-26 · Fire 2023-10-26

32 health deficiencies

Top issue: Resident Rights (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-16

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2025-10-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-13

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-01-20

D · Potential for more than minimal harm 2026-01-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-20

F · Potential for more than minimal harm 2025-09-16

F727 · Nursing and Physician Services Deficiencies

Health

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 2025-10-01

F · Potential for more than minimal harm 2025-09-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-26

F · Potential for more than minimal harm 2025-09-16

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-09-26

E · Potential for more than minimal harm 2025-09-16

F584 · Resident Rights Deficiencies

Health

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 2025-10-01

D · Potential for more than minimal harm 2025-09-16

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-16

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-01

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-03

D · Potential for more than minimal harm 2025-08-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-08-03

D · Potential for more than minimal harm 2025-08-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-03

G · Actual harm 2025-05-20

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-05-31

D · Potential for more than minimal harm 2025-05-20

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-31

D · Potential for more than minimal harm 2025-03-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-09

D · Potential for more than minimal harm 2025-03-27

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-09

D · Potential for more than minimal harm 2025-02-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-03-09

F · Potential for more than minimal harm 2024-12-20

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-12-21

E · Potential for more than minimal harm 2024-12-20

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2024-12-21

D · Potential for more than minimal harm 2024-12-20

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-21

D · Potential for more than minimal harm 2024-12-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-12-21

D · Potential for more than minimal harm 2024-11-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-11-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-11

G · Actual harm 2024-09-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-13

G · Actual harm 2024-09-25

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-13

F · Potential for more than minimal harm 2024-09-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-13

F · Potential for more than minimal harm 2024-09-25

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-10-13

F · Potential for more than minimal harm 2024-09-25

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-10-13

E · Potential for more than minimal harm 2024-09-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-09-25

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-25

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-09-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-09-25

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-09-25

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-09-25

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-09-25

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-07-12

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-03

D · Potential for more than minimal harm 2024-05-08

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-05-21

E · Potential for more than minimal harm 2024-03-06

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-04-27

L · Immediate jeopardy 2024-02-14

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-05-15

K · Immediate jeopardy 2024-02-14

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-03-09

J · Immediate jeopardy 2024-02-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-15

J · Immediate jeopardy 2024-02-14

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-04-25

G · Actual harm 2024-02-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-09

F · Potential for more than minimal harm 2024-02-14

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2024-03-09

D · Potential for more than minimal harm 2024-02-14

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-03-09

D · Potential for more than minimal harm 2024-02-14

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-04-25

H · Actual harm 2023-10-26

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-12-13

G · Actual harm 2023-10-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-12-29

F · Potential for more than minimal harm 2023-10-26

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2023-12-13

F · Potential for more than minimal harm 2023-10-26

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-12-13

F · Potential for more than minimal harm 2023-10-26

F584 · Resident Rights Deficiencies

Health

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 2023-12-29

F · Potential for more than minimal harm 2023-10-26

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-12-13

F · Potential for more than minimal harm 2023-10-26

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-12-13

F · Potential for more than minimal harm 2023-10-26

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-12-13

E · Potential for more than minimal harm 2023-10-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-12-13

E · Potential for more than minimal harm 2023-10-26

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-29

D · Potential for more than minimal harm 2023-10-26

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-10-26

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-10-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-10-26

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-10-26

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-10-26

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-12-13

D · Potential for more than minimal harm 2023-10-26

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-12-13

C · Minimal harm 2023-10-26

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-12-13

L · Immediate jeopardy 2023-09-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-09-25

J · Immediate jeopardy 2023-09-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-09-25

F · Potential for more than minimal harm 2023-06-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-07

F · Potential for more than minimal harm 2023-06-24

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-07-03

D · Potential for more than minimal harm 2023-03-20

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-03-25

Penalties and ownership

What sits behind the stars

$33,150 2025-05-20

Fine

Fine · fine $33,150

Fine

$72,459 2024-09-25

Fine

Fine · fine $72,459

Fine

$0 2024-09-25

Payment Denial

Payment Denial · denial start 2024-10-19 · 25 days

25 day denial

$185,705 2024-02-14

Fine

Fine · fine $185,705

Fine

$0 2024-02-14

Payment Denial

Payment Denial · denial start 2024-03-15 · 67 days

67 day denial

$115,837 2023-10-26

Fine

Fine · fine $115,837

Fine

$0 2023-10-26

Payment Denial

Payment Denial · denial start 2023-11-21 · 38 days

38 day denial

$36,380 2023-09-13

Fine

Fine · fine $36,380

Fine

Ownership

Seitler, Dovid

5% Or Greater Direct Ownership Interest · Individual

47% 30 facilities 2024-12-01

David A Berkowitz Delta Trust

5% Or Greater Direct Ownership Interest · Organization

23% 29 facilities 2024-12-01

Yosef Meystel Delta Trust

5% Or Greater Direct Ownership Interest · Organization

23% 31 facilities 2024-12-01

Jh Family Trust

5% Or Greater Direct Ownership Interest · Organization

5% 12 facilities 2024-12-01

Arcadia Care Management LLC

Operational/Managerial Control · Organization

0% 21 facilities 2024-12-01

Gronsky, Amanda

Corporate Officer · Individual

0% 2 facilities 2024-12-01

Lee, Nicole

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-01

Martin, Laura

Operational/Managerial Control · Individual

0% 2 facilities 2024-12-01

Mcclure, Michelle

Operational/Managerial Control · Individual

0% 21 facilities 2024-12-01

Mcclure, Michelle

Corporate Officer · Individual

0% 21 facilities 2024-12-01

Seitler, Dovid

Operational/Managerial Control · Individual

0% 30 facilities 2024-12-01

Spector, Jennifer

Operational/Managerial Control · Individual

0% 88 facilities 2024-12-01

Spector, Jennifer

Corporate Officer · Individual

0% 88 facilities 2024-12-01

Turofsky, Steven

Operational/Managerial Control · Individual

0% 69 facilities 2024-12-01

Wilhelm, Naftali

Operational/Managerial Control · Individual

0% 63 facilities 2024-12-01

Nearby options

Other facilities in reach

Arcadia Care Kewanee

Kewanee, IL

1-star overall rating with 1-star inspections with $201,299 in total fines with 8 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 1 / 5
Staffing: 1 / 5
Fines: $201,299

Arcadia Care Toulon

Toulon, IL

1-star overall rating with 2-star inspections with abuse icon flag with $85,992 in total fines with 20 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 2 / 5
Staffing: 1 / 5
Fines: $85,992