Starfile / Illinois

AVENUES AT ROYAL OAK

605 EAST CHURCH STREET, KEWANEE, IL 61443 · CCN 145418

Abuse icon

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$443,531

Number of fines

5

Number of penalties

8

Payment denials

3

Chain

Chain

ARCADIA CARE

Facilities in chain

21

Chain avg overall

1.80 / 5

Inspection citations (71)6 immediate jeopardy6 actual harm

1. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2026-01-13 · Health · corrected 2026-01-20

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-13 · Health · corrected 2026-01-20

   Potential for more than minimal harm

3. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-16 · Health · corrected 2025-10-02

   Potential for more than minimal harm

4. DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-16 · Health · corrected 2025-10-01

   Potential for more than minimal harm

5. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-09-16 · Health · corrected 2025-10-01

   Potential for more than minimal harm

6. EF0584Honor 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.2025-09-16 · Health · corrected 2025-10-01

   Potential for more than minimal harm

7. FF0727Have 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.2025-09-16 · Health · corrected 2025-10-01

   Potential for more than minimal harm

8. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-16 · Health · corrected 2025-09-26

   Potential for more than minimal harm

9. FF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-09-16 · Health · corrected 2025-09-26

   Potential for more than minimal harm

10. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-01 · Health · corrected 2025-08-03

    Potential for more than minimal harm

11. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-01 · Health · corrected 2025-08-03

    Potential for more than minimal harm

12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-01 · Health · corrected 2025-08-03

    Potential for more than minimal harm

13. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-20 · Health · corrected 2025-05-31

    Potential for more than minimal harm

14. GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-20 · Health · corrected 2025-05-31

    Actual harm

15. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-27 · Health · corrected 2025-04-09

    Potential for more than minimal harm

16. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-03-27 · Health · corrected 2025-04-09

    Potential for more than minimal harm

17. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-28 · Health · corrected 2025-03-09

    Potential for more than minimal harm

18. EF0567Honor the resident's right to manage his or her financial affairs.2024-12-20 · Health · corrected 2024-12-21

    Potential for more than minimal harm

19. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-20 · Health · corrected 2024-12-21

    Potential for more than minimal harm

20. DF0610Respond appropriately to all alleged violations.2024-12-20 · Health · corrected 2024-12-21

    Potential for more than minimal harm

21. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-12-20 · Health · corrected 2024-12-21

    Potential for more than minimal harm

22. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-04 · Health · corrected 2024-11-11

    Potential for more than minimal harm

23. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-04 · Health · corrected 2024-11-11

    Potential for more than minimal harm

24. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

25. DF0578Honor 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.2024-09-25 · Health · corrected 2024-11-13

    Potential for more than minimal harm

26. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

27. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

28. DF0688Provide 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.2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

29. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-25 · Health · corrected 2024-10-13

    Actual harm

30. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

31. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

32. DF0742Provide 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.2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

33. GF0760Ensure that residents are free from significant medication errors.2024-09-25 · Health · corrected 2024-10-13

    Actual harm

34. FF0880Provide and implement an infection prevention and control program.2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

35. FF0881Implement a program that monitors antibiotic use.2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

36. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-09-25 · Health · corrected 2024-10-13

    Potential for more than minimal harm

37. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-12 · Health · corrected 2024-08-03

    Potential for more than minimal harm

38. DF0825Provide or get specialized rehabilitative services as required for a resident.2024-05-08 · Health · corrected 2024-05-21

    Potential for more than minimal harm

39. EF0825Provide or get specialized rehabilitative services as required for a resident.2024-03-06 · Health · corrected 2024-04-27

    Potential for more than minimal harm

40. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-02-14 · Health · corrected 2024-03-09

    Potential for more than minimal harm

41. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-14 · Health · corrected 2024-05-15

    Immediate jeopardy

42. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-14 · Health · corrected 2024-03-09

    Immediate jeopardy

43. JF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-02-14 · Health · corrected 2024-04-25

    Immediate jeopardy

44. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-02-14 · Health · corrected 2024-04-25

    Potential for more than minimal harm

45. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-14 · Health · corrected 2024-03-09

    Actual harm

46. FF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2024-02-14 · Health · corrected 2024-03-09

    Potential for more than minimal harm

47. LF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-02-14 · Health · corrected 2024-05-15

    Immediate jeopardy

48. FF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

49. FF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

50. DF0578Honor 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.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

51. FF0584Honor 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.2023-10-26 · Health · corrected 2023-12-29

    Potential for more than minimal harm

52. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-26 · Health · corrected 2023-12-29

    Actual harm

53. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

54. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

55. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

56. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-26 · Health · corrected 2023-12-29

    Potential for more than minimal harm

57. HF0697Provide safe, appropriate pain management for a resident who requires such services.2023-10-26 · Health · corrected 2023-12-13

    Actual harm

58. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

59. CF0732Post nurse staffing information every day.2023-10-26 · Health · corrected 2023-12-13

    Potential for minimal harm

60. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

61. DF0758Implement 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.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

62. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

63. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

64. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

65. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-10-26 · Health · corrected 2023-12-13

    Potential for more than minimal harm

66. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-13 · Health · corrected 2023-09-25

    Immediate jeopardy

67. LF0610Respond appropriately to all alleged violations.2023-09-13 · Health · corrected 2023-09-25

    Immediate jeopardy

68. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-13 · Health · corrected 2023-09-25

    Potential for more than minimal harm

69. FF0880Provide and implement an infection prevention and control program.2023-06-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

70. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-06-24 · Health · corrected 2023-07-03

    Potential for more than minimal harm

71. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-20 · Health · corrected 2023-03-25

    Potential for more than minimal harm

Ownership

Other facilities in KEWANEE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.