Avenues at Royal Oak

605 East Church Street, Kewanee, IL 61443 · (309) 852-3389
For profit - Corporation · 200 certified beds

Avenues at Royal Oak has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2025, found 7 citations (the Illinois average is 12.6). It was fined 5 times in the last three years, $422,234 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on September 16, 2025 found 7 citations. What an inspection citation means

• 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.September 16, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 16, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.September 16, 2025 · F0847 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.September 16, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.September 16, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.September 16, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.September 16, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 34 citations.

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 12, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 29, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 29, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.April 30, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 30, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 27, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.February 27, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.January 13, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 13, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 1, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.August 1, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 1, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 20, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.May 20, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 27, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.March 27, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 28, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to manage his or her financial affairs.December 20, 2024 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 20, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.December 20, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.December 20, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 4, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 4, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 12, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or get specialized rehabilitative services as required for a resident.May 8, 2024 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or get specialized rehabilitative services as required for a resident.March 6, 2024 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.February 14, 2024 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 14, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.February 14, 2024 · F0607 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• 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.February 14, 2024 · F0622 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.February 14, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 14, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.February 14, 2024 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.February 14, 2024 · F0835 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many

Fines and payment denials

• Fine of $26,685April 30, 2026
• Fine of $21,548May 20, 2025
• Fine of $72,459September 25, 2024
• Fine of $185,705February 14, 2024
• Fine of $115,837October 26, 2023
• Medicare payment denial for 25 daysStarting October 19, 2024
• Medicare payment denial for 67 daysStarting March 15, 2024
• Medicare payment denial for 38 daysStarting November 21, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home