Springfield, IL

Avenues At Springfield

2-star overall rating with 3-star inspections with 6 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

525 So Martin Luther King Dr, Springfield, IL

(217) 789-1680

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

65

Certified beds

Average residents

61

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1986-08-21

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.25

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.41

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.00

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

1.66

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

0.67

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

1.38

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.11

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.20

CMS adjusted RN staffing hours

Adjusted total hours

1.34

CMS adjusted total nurse staffing hours

Case-mix index

1.70

Higher values indicate more complex resident acuity

RN turnover

83%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 46% · national 46%

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community Not Available
50.57%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary Not Available
1.02
This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
2.0
0.3 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.5 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
2.3
0.9 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 2.1 · Expected 2.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.1%
89.6%
2.5 pts better
93.4%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 86.7% · Q2 93.5% · Q3 96.6% · Q4 91.5% · 4Q avg 92.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.8%
91.6%
2.2 pts better
95.5%
1.7 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8%
Percentage of long-stay residents experiencing one or more falls with major injury 1.2%
3.3%
2.1 pts better
3.3%
2.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.7% · Q4 1.7% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 93.8%
50.3%
43.5 pts worse
11.4%
82.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 94.6% · Q3 85.7% · Q4 94.6% · 4Q avg 93.8%
Percentage of long-stay residents who lose too much weight 12.8%
6.5%
6.3 pts worse
5.4%
7.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 11.5% · Q3 13.8% · Q4 10.5% · 4Q avg 12.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 41.7%
18.5%
23.2 pts worse
19.6%
22.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.9% · Q2 37.7% · Q3 55.2% · Q4 40.4% · 4Q avg 41.7%
Percentage of long-stay residents who received an antipsychotic medication 55.4%
22.8%
32.6 pts worse
16.7%
38.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 55.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 4.9%
17.2%
12.3 pts better
16.3%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 8.8% · Q3 0.0% · Q4 6.1% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.0%
15.0%
About the same
14.9%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 14.8% · Q3 6.9% · Q4 21.1% · 4Q avg 15.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.1%
1.1 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.8%
1.7%
0.9 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.0% · Q4 1.7% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.3%
21.3%
7 pts better
19.8%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 7.3% · Q3 11.8% · Q4 18.8% · 4Q avg 14.3%
Percentage of long-stay residents with pressure ulcers 0.6%
5.2%
4.6 pts better
5.1%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 43.5%
68.8%
25.3 pts worse
81.7%
38.2 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 43.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-01 · Fire 2024-08-01

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-06-15 · Fire 2023-06-15

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2022-08-31 · Fire 2022-08-31

22 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-01

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-08-13

F · Potential for more than minimal harm 2024-08-01

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-08-13

F · Potential for more than minimal harm 2024-08-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-13

F · Potential for more than minimal harm 2024-08-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-16

F · Potential for more than minimal harm 2024-08-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-08-01

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-08-01

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-08-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-08-01

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-08-13

F · Potential for more than minimal harm 2023-06-15

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-07-21

F · Potential for more than minimal harm 2023-06-15

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-07-21

F · Potential for more than minimal harm 2023-06-15

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-07-25

F · Potential for more than minimal harm 2023-06-15

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-07-21

F · Potential for more than minimal harm 2023-06-15

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-21

F · Potential for more than minimal harm 2023-06-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-21

F · Potential for more than minimal harm 2023-06-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-07-21

E · Potential for more than minimal harm 2023-06-15

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2023-07-21

F · Potential for more than minimal harm 2022-08-31

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-09-23

F · Potential for more than minimal harm 2022-08-31

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-09-23

F · Potential for more than minimal harm 2022-08-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-23

F · Potential for more than minimal harm 2022-08-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-09-23

F · Potential for more than minimal harm 2022-08-31

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-09-23

E · Potential for more than minimal harm 2022-08-31

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-09-23

E · Potential for more than minimal harm 2022-08-31

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-23

E · Potential for more than minimal harm 2022-08-31

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-09-23

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-08

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 2025-04-21

E · Potential for more than minimal harm 2025-04-08

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 2025-04-16

J · Immediate jeopardy 2025-01-15

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 2024-12-30

F · Potential for more than minimal harm 2024-08-01

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 2024-08-05

F · Potential for more than minimal harm 2024-08-01

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 2024-08-05

D · Potential for more than minimal harm 2024-08-01

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-08-05

C · Minimal harm 2024-08-01

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-08-05

F · Potential for more than minimal harm 2024-04-24

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-05-03

F · Potential for more than minimal harm 2024-04-24

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 2024-05-08

E · Potential for more than minimal harm 2024-01-31

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 2024-02-19

D · Potential for more than minimal harm 2024-01-31

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-19

E · Potential for more than minimal harm 2023-10-02

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 2023-10-04

E · Potential for more than minimal harm 2023-08-14

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2023-08-23

D · Potential for more than minimal harm 2023-08-14

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2023-08-23

G · Actual harm 2023-07-12

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 2023-07-24

F · Potential for more than minimal harm 2023-07-12

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 2023-07-24

D · Potential for more than minimal harm 2023-07-12

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-07-24

G · Actual harm 2023-06-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-06-28

G · Actual harm 2023-06-15

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-06-28

F · Potential for more than minimal harm 2023-06-15

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 2023-06-28

E · Potential for more than minimal harm 2023-06-15

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-06-28

D · Potential for more than minimal harm 2023-06-15

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 2023-06-28

D · Potential for more than minimal harm 2023-06-15

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 2023-06-28

C · Minimal harm 2023-06-15

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-05-30

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-05-30

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2023-06-09

G · Actual harm 2022-08-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-11-17

F · Potential for more than minimal harm 2022-08-31

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2022-11-17

F · Potential for more than minimal harm 2022-08-31

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 2022-11-17

F · Potential for more than minimal harm 2022-08-31

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-11-17

E · Potential for more than minimal harm 2022-08-31

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 2022-11-17

E · Potential for more than minimal harm 2022-08-31

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-11-17

D · Potential for more than minimal harm 2022-08-31

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 2022-11-17

D · Potential for more than minimal harm 2022-08-31

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-11-17

D · Potential for more than minimal harm 2022-08-31

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 2022-11-17

D · Potential for more than minimal harm 2022-08-31

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 2022-11-17

D · Potential for more than minimal harm 2022-08-31

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-11-17

C · Minimal harm 2022-08-31

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2022-09-20

Penalties and ownership

What sits behind the stars

Ownership

Nearby options

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#3

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