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Avenues at Royal Oak

605 East Church Street, Kewanee, IL 61443 · 3098523389 · 200 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★☆☆☆ 2/5
Quality measures★☆☆☆☆ 1/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership group

Per CMS filings, this facility is affiliated with Arcadia Care, a group operating 24 facilities in 2 states. Group record: average rating 1.3/5, 12 abuse citation icons, 6 facilities on the Special Focus list, $4,550,694 in federal fines. This facility rates below its group average (1.3/5).

See all 24 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.03 (Illinois median: 3.29). RN hours: 0.21. Weekend total: 2.82. Nursing staff turnover: 25%.

Inspection deficiencies

All-time on record: 74 deficiency citations, including 7 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-29Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2026-06-03
2026-05-29Honor 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. Dcomplaintcorrected 2026-05-30
2026-04-30Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2026-03-16
2026-04-30Protect each resident from the wrongful use of the resident's belongings or money. Dcomplaintcorrected 2026-05-08
2026-02-27Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2026-03-04
2026-02-27Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Dcomplaintcorrected 2026-03-04
2026-01-13Develop and implement policies and procedures to prevent abuse, neglect, and theft. Dcomplaintcorrected 2026-01-20
2026-01-13Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2026-01-20
2025-09-16Have 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. FHealthcorrected 2025-10-01
2025-09-16Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-09-26
2025-09-16Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. FHealthcorrected 2025-09-26
2025-09-16Honor 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. EHealthcorrected 2025-10-01
2025-09-16Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2025-10-02
2025-09-16Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2025-10-01
2025-09-16Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. DHealthcorrected 2025-10-01
2025-08-01Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2025-08-03
2025-08-01Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-08-03
2025-08-01Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-08-03
2025-05-20Provide safe, appropriate pain management for a resident who requires such services. Gcomplaintcorrected 2025-05-31
2025-05-20Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-05-31
2025-03-27Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-04-09
2025-03-27Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Dcomplaintcorrected 2025-04-09
2025-02-28Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-03-09
2024-12-20Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Fcomplaintcorrected 2024-12-21
2024-12-20Honor the resident's right to manage his or her financial affairs. Ecomplaintcorrected 2024-12-21
2024-12-20Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-12-21
2024-12-20Respond appropriately to all alleged violations. Dcomplaintcorrected 2024-12-21
2024-11-04Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2024-11-11
2024-11-04Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2024-11-11
2024-09-25Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. GHealthcorrected 2024-10-13
2024-09-25Ensure that residents are free from significant medication errors. GHealthcorrected 2024-10-13
2024-09-25Provide and implement an infection prevention and control program. FHealthcorrected 2024-10-13
2024-09-25Implement a program that monitors antibiotic use. FHealthcorrected 2024-10-13
2024-09-25Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. FHealthcorrected 2024-10-13
2024-09-25Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. EHealthcorrected 2024-10-13
2024-09-25Honor 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. DHealthcorrected 2024-11-13
2024-09-25Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted DHealthcorrected 2024-10-13
2024-09-25Provide appropriate pressure ulcer care and prevent new ulcers from developing. DHealthcorrected 2024-10-13
2024-09-25Provide 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. DHealthcorrected 2024-10-13
2024-09-25Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2024-10-13

Federal penalties

DateTypeAmount
2026-04-30Fine$26,685
2025-05-20Fine$21,548
2024-09-25Fine$72,459
2024-09-25Payment Denial25 days payment denial
2024-02-14Fine$185,705
2024-02-14Payment Denial67 days payment denial
2023-10-26Fine$115,837
2023-10-26Payment Denial38 days payment denial
2023-09-13Fine$36,380

Ownership & control records (CMS filings)

NameRoleType%Since
GOLDFARB, BRIANDirect Ownership InterestIndividualNOT APPLICABLEsince 12/01/2024
MARTIN, LAURAManaging Control - Governing BodyIndividualNOT APPLICABLEsince 12/01/2024
MCCLURE, MICHELLEManaging Control - Governing BodyIndividualNOT APPLICABLEsince 12/01/2024
SEITLER, DOVIDManaging Control - Governing BodyIndividualNOT APPLICABLEsince 12/01/2024
GRONSKY, AMANDACorporate OfficerIndividualNOT APPLICABLEsince 12/01/2024
MCCLURE, MICHELLECorporate OfficerIndividualNOT APPLICABLEsince 12/01/2024
SPECTOR, JENNIFERCorporate OfficerIndividualNOT APPLICABLEsince 12/01/2024
ARCADIA CARE MANAGEMENT LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 12/01/2024
LEE, NICOLEOperational/Managerial ControlIndividualNOT APPLICABLEsince 12/01/2024
MARTIN, LAURAOperational/Managerial ControlIndividualNOT APPLICABLEsince 12/01/2024
MCCLURE, MICHELLEOperational/Managerial ControlIndividualNOT APPLICABLEsince 12/01/2024
SEITLER, DOVIDOperational/Managerial ControlIndividualNOT APPLICABLEsince 12/01/2024
SPECTOR, JENNIFEROperational/Managerial ControlIndividualNOT APPLICABLEsince 12/01/2024
TUROFSKY, STEVENOperational/Managerial ControlIndividualNOT APPLICABLEsince 12/01/2024
WILHELM, NAFTALIOperational/Managerial ControlIndividualNOT APPLICABLEsince 12/01/2024

Compare nearby (Henry County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 145418. Corrections: data@carerecords.org.