ElderGrade
F

25/100

Poor

Avenues At Royal Oak

605 East Church Street, Kewanee, IL 61443

CMS 1/5 stars #5 of 5 in Henry County (309) 852-3389
Certified beds
200
Occupancy
67%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 13 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $458,614 in federal fines

    CMS has fined this facility across 6 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 7 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 6 actual-harm citation(s) in the last 3 years
  • -10 for 74 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.04 total nurse hours per resident per day (national median 3.77)
  • 0.21 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 25% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $458,614 in federal fines across 6 action(s)
  • -0 for 3 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.03 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.21 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.82 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 24.60%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 74 citations

Last standard health inspection: September 16, 2025 (11 months ago).

D May 29, 2026 F0550 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D May 29, 2026 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

J Apr 30, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Immediate jeopardy to resident health or safety

D Apr 30, 2026 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

No actual harm, potential for more than minimal harm

D Feb 27, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Feb 27, 2026 F0628 From a complaint

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Jan 13, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 13, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of ARCADIA CARE, which operates 24 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
GOLDFARB, BRIAN Individual DIRECT OWNERSHIP INTEREST
MARTIN, LAURA Individual MANAGING CONTROL - GOVERNING BODY
MCCLURE, MICHELLE Individual MANAGING CONTROL - GOVERNING BODY
SEITLER, DOVID Individual MANAGING CONTROL - GOVERNING BODY
GRONSKY, AMANDA Individual CORPORATE OFFICER
MCCLURE, MICHELLE Individual CORPORATE OFFICER
SPECTOR, JENNIFER Individual CORPORATE OFFICER
ARCADIA CARE MANAGEMENT LLC Organization OPERATIONAL/MANAGERIAL CONTROL
LEE, NICOLE Individual OPERATIONAL/MANAGERIAL CONTROL
MARTIN, LAURA Individual OPERATIONAL/MANAGERIAL CONTROL
MCCLURE, MICHELLE Individual OPERATIONAL/MANAGERIAL CONTROL
SEITLER, DOVID Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Avenues At Royal Oak

What is the ElderGrade for Avenues At Royal Oak? +

Avenues At Royal Oak holds an ElderGrade of F (25 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avenues At Royal Oak? +

Residents receive an average of 3.03 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avenues At Royal Oak been cited for harming residents? +

Yes. 13 of the 74 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Avenues At Royal Oak accept Medicaid? +

Yes, Avenues At Royal Oak is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.