Avenues at Royal Oak
605 East Church Street, Kewanee, IL 61443Map
Medicare/Medicaid certified200 certified beds~133 residents/dayFor profit - Corporation
What the abuse icon means moreless
CMS flags a facility with its abuse icon when inspectors cited it for abuse that harmed a resident within the past year, or for abuse that could have harmed a resident in each of the last two years. CMS shows this same icon on its own Care Compare site, and caps the facility's ratings while it's flagged. The icon is removed when newer inspections come back clean. The deficiency list below will contain the underlying citations — read them.
What to do with this: read the abuse-related citations below, and ask the facility directly what happened and what changed. Verify the current status at medicare.gov/care-compare.
What Special Focus status means moreless
CMS keeps a short national list of nursing homes with the most persistent serious problems — the Special Focus Facility (SFF) program. SFF homes get inspected about twice as often and must improve or face termination from Medicare/Medicaid. 'SFF candidate' means the home qualifies for the list but isn't on it yet (the list has limited slots per state). Some SFF homes do graduate and improve; the designation means CMS is watching closely right now.
What to do with this: ask the administrator where the home is in the SFF process and what the improvement plan is. Verify status at medicare.gov/care-compare.
Last standard health inspection: September 16, 2025
Avenues at Royal Oak is a 200-bed for-profit, corporation-owned nursing home in Kewanee, Henry County, Illinois, serving an average of 133 residents per day. As of CMS data processed June 1, 2026, its overall rating is 1 of 5 stars.
CMS star ratings
CMS scores every nursing home 1–5 stars overall, built from three sub-ratings. moreless
Medicare inspects and measures every certified nursing home, then rolls the results into a 1–5 star overall rating. It combines three parts: health inspections, staffing, and quality measures. Five stars means much better than average — it does not mean perfect. One star means much worse than average — it does not mean every shift is bad. Stars are a screening tool, not a verdict. They can lag reality by months, and they can't see things like how kind the aides are or how the building smells at 7am.
What to do with this: use stars to build a shortlist, then visit in person. Nothing on this site replaces walking the halls.
Health-inspection stars are graded on a curve within each state — never compare stars across state lines. moreless
CMS sets health-inspection star cutoffs separately for each state: roughly the top 10% of homes in a state get 5 stars, the bottom 20% get 1 star, no matter how the state compares to others. That means a 4-star home in one state and a 4-star home in another state may have very different inspection records. The stars tell you how a home compares to its neighbors, not to the whole country. That's why this site shows your state's median next to each star rating — and never a national star comparison.
What to do with this: compare stars only between homes in the same state. To compare across states, use staffing hours — those are real numbers, not curves.
Not all three sub-ratings are equally hard to game: inspections are the most objective, quality measures the least. moreless
The three sub-ratings come from different sources. Health inspections are done on-site by trained state surveyors who show up mostly unannounced — the most objective signal. Staffing comes from payroll records that facilities must submit and CMS audits — quite reliable. Quality measures are partly self-reported by the facility from its own resident assessments — useful, but the facility grades some of its own homework.
What to do with this: when sub-ratings disagree, weigh the inspection star most and the quality-measure star least.
Staffing
Reported hours per resident per day, from payroll records. Hours, unlike stars, can be compared across states.
Hours per resident per day: total staff hours worked, divided by the number of residents. moreless
If a home reports 3.5 total nursing hours per resident per day, that's all nursing staff time across 24 hours — roughly one caregiver-hour every 7 hours per resident, spread across day, evening, and night shifts. On a real floor it decides whether call lights get answered in 5 minutes or 25, whether someone has time to help with dinner, and whether night shift is one aide for a hall or two. Unlike star ratings, hours are actual numbers, so they CAN be compared across state lines.
What to do with this: compare a home's hours to the state and national medians shown, and ask the facility how the hours split across day, evening, and night shifts.
RN (registered nurse) hours
LPN (licensed practical nurse) hours
Nurse aide hours
Total nursing hours
CMS also adjusts these numbers for how sick each home’s residents are — a home with sicker residents needs more staff for the same star. This home’s case-mix-adjusted total: 1.88 (US median, adjusted: 3.78).
CMS also adjusts staffing numbers for how sick each home's residents are. moreless
A home full of short-term rehab patients needs different staffing than a home caring for people with advanced dementia or ventilators. Case-mix adjustment estimates how many hours a home's particular residents need, then scales the reported hours so homes can be compared fairly. A home with sicker residents needs more staff for the same star. This page shows reported (raw payroll) numbers and compares them only to other reported numbers — like with like.
What to do with this: if a home's reported hours look low, check whether its residents may simply need less care — and ask the facility directly.
Staff turnover
Turnover: The facility's staffing data was missing or invalid for calculating turnover, so this measure receives the minimum staffing points.
The share of nursing staff who left within the year. Lower is steadier. moreless
Total nursing staff turnover is the percentage of the home's nurses and aides who stopped working there during the year. Around half of nursing-home staff leaving annually is sadly common in this industry. High turnover means residents are cared for by people who don't know them — which matters enormously for dementia care, pain management, and noticing the small changes that catch problems early. Low turnover usually means staff are treated well enough to stay.
What to do with this: when you visit, ask aides how long they've worked there. Long-tenured aides are the best sign a building has.
Inspections & deficiencies
The last 3 inspection cycles, from CMS’s federal health-survey file. State-only citations and fire-safety surveys are not included — an empty list means nothing federal is in this file, not that nothing ever happened.
Each deficiency gets a letter A–L: how severe it was × how widespread it was. moreless
Surveyors grade every deficiency on a grid. Severity runs from 'potential for minimal harm' up to 'immediate jeopardy to resident health or safety.' Scope runs from isolated (one or a few residents) to pattern to widespread. A and B are paperwork-level; D–F caused no actual harm but had the potential; G–I caused actual harm; J, K, and L mean immediate jeopardy — the most serious finding a surveyor can make. Most citations nationally are D–E.
What to do with this: scan for G or higher. One J/K/L tells you more than ten D's.
Standard surveys are routine; complaint surveys happen because someone reported a problem. moreless
A standard survey is the routine top-to-bottom inspection every home gets on a recurring cycle. A complaint survey happens because a resident, family member, or staff member reported something to the state — surveyors come specifically to investigate it. Infection-control surveys focus on practices like hand hygiene and isolation procedures. A deficiency found during a complaint survey means someone cared enough to report it and a surveyor confirmed enough to cite it.
What to do with this: note which deficiencies came from complaints — they show you what residents and families actually experienced.
The F-number on each deficiency is CMS's code for which federal requirement was violated. moreless
Every federal nursing-home requirement has a tag number. F0686, for example, is the pressure-ulcer requirement; F0600 is freedom from abuse. The tag tells you exactly which rule was broken, and the description next to it is CMS's own plain-language summary of that rule. The same tag appearing across multiple inspections is a pattern worth noticing.
What to do with this: if the same tag repeats across surveys, ask the facility what changed since the last citation.
This data shows federal health surveys only — state-only citations and fire-safety surveys aren't included. moreless
CMS's public deficiency file contains federal health-survey citations. It does not include citations issued under state-only rules, fire-safety (Life Safety Code) surveys, or anything older than three inspection cycles. A facility with no rows here may still have state citations or fire-safety findings. 'No deficiencies in this file' never means 'no violations ever.'
What to do with this: for the full picture, check your state health department's site and medicare.gov/care-compare, which shows fire-safety results separately.
74 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Freedom from Abuse, Neglect, and Exploitation: 19
- Quality of Life and Care: 16
- Resident Rights: 16
- Resident Assessment and Care Planning: 6
- Administration: 5
- Infection Control: 5
- Pharmacy Service: 3
- Nursing and Physician Services: 2
- Nutrition and Dietary: 2
April 30, 2026Complaint surveyTag F0602D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Deficient, Provider has date of correction · corrected May 8, 2026
April 30, 2026Complaint surveyTag F0689J — immediate jeopardy to resident health or safety, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · corrected March 16, 2026
February 27, 2026Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected March 4, 2026
February 27, 2026Complaint surveyTag F0628D — no actual harm, potential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Deficient, Provider has date of correction · corrected March 4, 2026
January 13, 2026Complaint surveyTag F0607D — no actual harm, potential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected January 20, 2026
January 13, 2026Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected January 20, 2026
September 16, 2025Standard surveyTag F0550D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected October 2, 2025
September 16, 2025Standard surveyTag F0558D — no actual harm, potential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected October 1, 2025
September 16, 2025Standard surveyTag F0561D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Deficient, Provider has date of correction · corrected October 1, 2025
September 16, 2025Standard surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected October 1, 2025
Show 64 more deficiencies
September 16, 2025Standard surveyTag F0727F — no actual harm, potential for more than minimal harm, widespread
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.
Deficient, Provider has date of correction · corrected October 1, 2025
September 16, 2025Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected September 26, 2025
September 16, 2025Standard surveyTag F0847F — no actual harm, potential for more than minimal harm, widespread
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Deficient, Provider has date of correction · corrected September 26, 2025
August 1, 2025Complaint surveyTag F0550D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected August 3, 2025
August 1, 2025Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected August 3, 2025
August 1, 2025Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected August 3, 2025
May 20, 2025Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected May 31, 2025
May 20, 2025Complaint surveyTag F0697G — actual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Deficient, Provider has date of correction · corrected May 31, 2025
March 27, 2025Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected April 9, 2025
March 27, 2025Complaint surveyTag F0644D — no actual harm, potential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Deficient, Provider has date of correction · corrected April 9, 2025
February 28, 2025Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected March 9, 2025
December 20, 2024Complaint surveyTag F0567E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to manage his or her financial affairs.
Deficient, Provider has date of correction · corrected December 21, 2024
December 20, 2024Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected December 21, 2024
December 20, 2024Complaint surveyTag F0610D — no actual harm, potential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected December 21, 2024
December 20, 2024Complaint surveyTag F0804F — no actual harm, potential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected December 21, 2024
November 4, 2024Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected November 11, 2024
November 4, 2024Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected November 11, 2024
September 25, 2024Standard surveyTag F0550E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0578D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected November 13, 2024
September 25, 2024Standard surveyTag F0655D — no actual harm, potential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0686D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0688D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0689G — actual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0698D — no actual harm, potential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0742D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0760G — actual harm, isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0880F — no actual harm, potential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0881F — no actual harm, potential for more than minimal harm, widespread
Implement a program that monitors antibiotic use.
Deficient, Provider has date of correction · corrected October 13, 2024
September 25, 2024Standard surveyTag F0882F — no actual harm, potential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Deficient, Provider has date of correction · corrected October 13, 2024
July 12, 2024Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected August 3, 2024
May 8, 2024Complaint surveyTag F0825D — no actual harm, potential for more than minimal harm, isolated
Provide or get specialized rehabilitative services as required for a resident.
Deficient, Provider has date of correction · corrected May 21, 2024
March 6, 2024Complaint surveyTag F0825E — no actual harm, potential for more than minimal harm, pattern
Provide or get specialized rehabilitative services as required for a resident.
Deficient, Provider has date of correction · corrected April 27, 2024
February 14, 2024Complaint surveyTag F0557D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Deficient, Provider has date of correction · corrected March 9, 2024
February 14, 2024Complaint surveyTag F0600J — immediate jeopardy to resident health or safety, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected May 15, 2024
February 14, 2024Complaint surveyTag F0607K — immediate jeopardy to resident health or safety, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected March 9, 2024
February 14, 2024Complaint surveyTag F0622J — immediate jeopardy to resident health or safety, isolated
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.
Deficient, Provider has date of correction · corrected April 25, 2024
February 14, 2024Complaint surveyTag F0623D — no actual harm, potential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Deficient, Provider has date of correction · corrected April 25, 2024
February 14, 2024Complaint surveyTag F0689G — actual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected March 9, 2024
February 14, 2024Complaint surveyTag F0741F — no actual harm, potential for more than minimal harm, widespread
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Deficient, Provider has date of correction · corrected March 9, 2024
February 14, 2024Complaint surveyTag F0835L — immediate jeopardy to resident health or safety, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Deficient, Provider has date of correction · corrected May 15, 2024
October 26, 2023Standard surveyTag F0565F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0577F — no actual harm, potential for more than minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0578D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0584F — no actual harm, potential for more than minimal harm, widespread
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.
Deficient, Provider has date of correction · corrected December 29, 2023
October 26, 2023Standard surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected December 29, 2023
October 26, 2023Standard surveyTag F0604D — no actual harm, potential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0656D — no actual harm, potential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0657E — no actual harm, potential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0677E — no actual harm, potential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected December 29, 2023
October 26, 2023Standard surveyTag F0697H — actual harm, pattern
Provide safe, appropriate pain management for a resident who requires such services.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0699D — no actual harm, potential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0732C — no actual harm, potential for minimal harm, widespread
Post nurse staffing information every day.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0755D — no actual harm, potential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0758D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0842D — no actual harm, potential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0865F — no actual harm, potential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0867F — no actual harm, potential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Deficient, Provider has date of correction · corrected December 13, 2023
October 26, 2023Standard surveyTag F0868F — no actual harm, potential for more than minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Deficient, Provider has date of correction · corrected December 13, 2023
September 13, 2023Complaint surveyTag F0600J — immediate jeopardy to resident health or safety, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected September 25, 2023
September 13, 2023Complaint surveyTag F0610L — immediate jeopardy to resident health or safety, widespread
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected September 25, 2023
September 13, 2023Complaint surveyTag F0656D — no actual harm, potential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected September 25, 2023
June 24, 2023Infection control surveyTag F0880F — no actual harm, potential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected July 7, 2023
June 24, 2023Infection control surveyTag F0882F — no actual harm, potential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Deficient, Provider has date of correction · corrected July 3, 2023
Fines & penalties
CMS can fine a home or stop paying for new admissions. Shown per CMS's current data window (~3 years) — not all-time. moreless
When deficiencies are serious or aren't fixed, CMS can impose a fine (a civil money penalty) or a payment denial — refusing to pay for new Medicare/Medicaid admissions until the home fixes the problem. Payment denials hit harder than most fines because they stop revenue. CMS's public dataset covers a rolling window of roughly the last three years, so the totals here are recent history, not an all-time record. Many facilities have no penalties in the window — that's common, not remarkable.
What to do with this: a recent large fine deserves a direct question on your visit — what happened, and what changed?
Fines: 5 totaling $431,929 · Payment denials: 3 — per CMS data (rolling ~3-year window).
| Date | Type | Amount / length |
|---|---|---|
| May 20, 2025 | Fine | $21,548 |
| September 25, 2024 | Fine | $72,459 |
| September 25, 2024 | Payment Denial | 25 days, from October 19, 2024 |
| February 14, 2024 | Fine | $185,705 |
| February 14, 2024 | Payment Denial | 67 days, from March 15, 2024 |
| October 26, 2023 | Fine | $115,837 |
| October 26, 2023 | Payment Denial | 38 days, from November 21, 2023 |
| September 13, 2023 | Fine | $36,380 |
Ownership & chain
Who actually owns and controls the facility — individuals, companies, and their stakes. moreless
Nursing homes are often owned through layers: an operating company, a property company, management companies, and individual investors with percentage stakes. CMS publishes who holds 5%-or-greater interests and who has operational control. Ownership matters because it sets the budget: research has linked some ownership structures, especially certain chains and investment vehicles, to lower staffing. That's a pattern across the industry, not a verdict on any one building.
What to do with this: know who owns the home before you sign anything, and ask the administrator who actually sets the staffing budget.
Part of Arcadia Care (22 facilities). Chain average overall rating: 1.5★ — this facility: 1★.
Most US nursing homes belong to a chain. The chain's average rating is context for this home's rating. moreless
A chain is a group of facilities sharing an owner or operator. Chains share budgets, policies, and management practices, so a chain's average rating tells you something about the company behind the building. A home rating well above its chain's average may have an unusually strong local team; one below it may be the chain's neglected building. Either way, the chain sets the constraints the local staff work within.
What to do with this: if the chain average is low, ask the administrator what this building does differently.
| Owner / manager | Role | Stake | Since |
|---|---|---|---|
| Ahearn, Michael (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Arcadia Care Management LLC (Organization) | Adp of the snf | NOT APPLICABLE | 03/12/2025 |
| Curis Services LLC (Organization) | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Gronsky, Amanda (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Lee, Nicole (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Martin, Laura (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Mcclure, Michelle (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Petersen SNF Holdings LLC (Organization) | Adp of the snf | NOT APPLICABLE | 02/17/2025 |
| Seitler, Dovid (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Spector, Jennifer (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Wilhelm, Naftali (Individual) | Adp of the snf | NOT APPLICABLE | 12/01/2024 |
| Gronsky, Amanda (Individual) | Corporate officer | NOT APPLICABLE | 12/01/2024 |
| Mcclure, Michelle (Individual) | Corporate officer | NOT APPLICABLE | 12/01/2024 |
| Spector, Jennifer (Individual) | Corporate officer | NOT APPLICABLE | 12/01/2024 |
| Goldfarb, Brian (Individual) | Direct ownership interest | NOT APPLICABLE | 12/01/2024 |
| Berkowitz, David (Individual) | Individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 02/26/2025 |
| Meystel, Yosef (Individual) | Individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 02/26/2025 |
| Martin, Laura (Individual) | Managing control - governing body | NOT APPLICABLE | 12/01/2024 |
| Mcclure, Michelle (Individual) | Managing control - governing body | NOT APPLICABLE | 12/01/2024 |
| Seitler, Dovid (Individual) | Managing control - governing body | NOT APPLICABLE | 12/01/2024 |
| Arcadia Care Management LLC (Organization) | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| Lee, Nicole (Individual) | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| Martin, Laura (Individual) | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| Mcclure, Michelle (Individual) | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| Seitler, Dovid (Individual) | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| Spector, Jennifer (Individual) | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| Turofsky, Steven (Individual) | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| Wilhelm, Naftali (Individual) | Operational/managerial control | NOT APPLICABLE | 12/01/2024 |
Nearby facilities in Henry County
Most families compare 2–3 homes. Same county, sorted by overall rating:
Visiting? Go in with questions.
Built from this facility’s own CMS data — bring them on the tour.
- CMS has applied its abuse icon to this facility — ask what happened, what the corrective plan was, and how staff are trained now.
- CMS lists this facility as a Special Focus Facility candidate — ask where the home is in the program and what the improvement plan is.
- Their reported RN hours (0.21/resident/day) are below the IL median (0.62) — ask how nights and weekends are staffed.
- CMS data shows 5 fines totaling $431,929 in its current data window — ask what the citations were for and what changed afterward.
- Their weekend total nurse staffing (2.57/resident/day) is lower than their overall figure (2.79) — ask who covers weekends and how shifts are filled when someone calls out.
- Their last standard health inspection was September 16, 2025 — ask what's improved since then.
- CMS records that this facility has a resident council — ask to speak with a council member before deciding.
Data: Centers for Medicare & Medicaid Services (data.cms.gov), processing date June 1, 2026. This site is not affiliated with CMS or any government agency.