Quick answers
- Where is Avenues at Royal Oak?
- 605 East Church Street, Kewanee, IL 61443, in Henry County, Illinois.
- What is the phone number of Avenues at Royal Oak?
- (309) 852-3389, as listed by Medicare (CMS).
- What is the Medicare star rating of Avenues at Royal Oak?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Avenues at Royal Oak been fined?
- Medicare lists 5 fines totaling $422,234 and 3 payment denials.
- What did inspectors find at Avenues at Royal Oak?
- In its last three inspection cycles (October 26, 2023 to August 7, 2026), Medicare lists 76 health citations; the most serious was level L. 11 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 26, 2023 to August 7, 2026), Avenues at Royal Oak had 76 health citations; the most serious was level L (immediate jeopardy to resident health or safety). 11 of them were level G or higher (actual harm or immediate jeopardy). It was fined $422,234 in total (5 fines, the latest on April 30, 2026) and had 3 Medicare payment denials. Nurse staffing is 2.80 hours per resident per day; the Illinois average is 3.47 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 16, 2025 — 20 health citations
Inspections in this cycle: September 16, 2025 (standard health inspection); January 13, 2026 (complaint investigation); February 27, 2026 (complaint investigation); April 30, 2026 (complaint investigation); May 29, 2026 (complaint investigation); June 12, 2026 (complaint investigation); August 7, 2026 (complaint investigation).
F0689 Level J
“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; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 19 less serious citations (levels A to F)
F0727 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0847 Level F
“Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.”
F0600 Level E
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0584 Level E
“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.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0584 Level D
“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.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
Previous cycle: September 25, 2024 — 27 health citations
Inspections in this cycle: September 25, 2024 (standard health inspection); November 4, 2024 (complaint investigation); December 20, 2024 (complaint investigation); February 28, 2025 (complaint investigation); March 27, 2025 (complaint investigation); May 20, 2025 (complaint investigation); August 1, 2025 (complaint investigation).
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0760 Level G
“Ensure that residents are free from significant medication errors.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
Show 24 less serious citations (levels A to F)
F0804 Level F
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0881 Level F
“Implement a program that monitors antibiotic use.”
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0567 Level E
“Honor the resident's right to manage his or her financial affairs.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0578 Level D
“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.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0688 Level D
“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.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0742 Level D
“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.”
Earlier cycle: October 26, 2023 — 29 health citations
Inspections in this cycle: October 26, 2023 (standard health inspection); February 14, 2024 (complaint investigation); March 6, 2024 (complaint investigation); May 8, 2024 (complaint investigation); July 12, 2024 (complaint investigation).
F0835 Level L
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
immediate jeopardy to resident health or safety; widespread (many residents) · Administration Deficiencies
F0607 Level K
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0600 Level J
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0622 Level J
“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.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Rights Deficiencies
F0697 Level H
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; pattern (some residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 22 less serious citations (levels A to F)
F0741 Level F
“Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.”
F0565 Level F
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0577 Level F
“Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”
F0584 Level F
“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.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0867 Level F
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0868 Level F
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0825 Level E
“Provide or get specialized rehabilitative services as required for a resident.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0825 Level D
“Provide or get specialized rehabilitative services as required for a resident.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0578 Level D
“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.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0758 Level D
“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.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0732 Level C
“Post nurse staffing information every day.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (1)
E0022 Level F
“Establish policies and procedures for sheltering.”
Fines and payment denials
Total fines over about the last three years: $422,234 (5 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| April 30, 2026 | Fine | $26,685 |
| May 20, 2025 | Fine | $21,548 |
| September 25, 2024 | Fine | $72,459 |
| September 25, 2024 | Payment denial | from October 19, 2024, 25 days |
| February 14, 2024 | Fine | $185,705 |
| February 14, 2024 | Payment denial | from March 15, 2024, 67 days |
| October 26, 2023 | Fine | $115,837 |
| October 26, 2023 | Payment denial | from November 21, 2023, 38 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Illinois | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.21 | 0.71 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.75 | 0.64 | 0.86 |
| Nurse aide hours per resident per day | 1.84 | 2.12 | 2.35 |
| Total nurse staff hours per resident per day | 2.80 | 3.47 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.54 | 3.08 | 3.43 |
| RN hours per resident per day on the weekend | 0.11 | 0.55 | 0.48 |
| Nursing staff turnover (per year) | 26.0% | 43.7% | 45.3% |
| RN turnover (per year) | 0.0% | 41.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 25 nursing homes: Arcadia Care.
Legal business name: Avenues at Royal Oak LLC.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Goldfarb, Brian | Direct owner | NOT APPLICABLE | December 1, 2024 |
| Arcadia Care Management LLC | Management company (operational or managerial control) | NOT APPLICABLE | December 1, 2024 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 200 |
| Average residents per day | 139.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Arcadia Care |
| Legal business name | Avenues at Royal Oak LLC |
| First approved by Medicare/Medicaid | 1981-02-08 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 605 East Church Street, Kewanee, IL 61443 |
| County | Henry County |
| State | Illinois |
| Phone | (309) 852‑3389 |
| CMS Certification Number | 145418 |
| Name in Medicare records | AVENUES AT ROYAL OAK |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Arcadia Care Kewanee1.5 mi · Kewanee, IL · 1 of 5 stars
- Arcadia Care Toulon10.0 mi · Toulon, IL · 1 of 5 stars
- Allure of Geneseo19 mi · Geneseo, IL · 4 of 5 stars
- Hammond-Henry District Hospital20 mi · Geneseo, IL · 4 of 5 stars
- Hillcrest Home20 mi · Geneseo, IL · 4 of 5 stars
Nearest hospital emergency rooms
- OSF Saint Luke Medical Center1.8 mi · Kewanee, IL · Critical Access Hospital
- Hammond Henry Hospital20 mi · Geneseo, IL · Critical Access Hospital
- OSF Saint Clare Medical Center26 mi · Princeton, IL · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13