Avenues at Royal Oak: Staffing, Turnover, and Inspection Record
Avenues at Royal Oak is a 200-bed for-profit nursing home in Kewanee, Illinois, part of Arcadia Care. In the CMS August 2026 release it reported 1.91 nurse aide hours per resident per day, 9% below the Illinois average of 2.09, and 24.6% nursing staff turnover (Illinois average 44.5%).
Avenues at Royal Oak
605 East Church StreetKewanee, IL 61443
Henry County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avenues at Royal Oak, nurse aides logged 1.91 hours per resident per day, 9% below the Illinois average. With about 134 residents a day, that works out to roughly 256 aide hours a day, or about 32 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Illinois avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.91 | 2.09 | 2.32 |
| Licensed practical nurses | 0.90 | 0.64 | 0.86 |
| Registered nurses | 0.21 | 0.72 | 0.69 |
| All nursing staff | 3.03 | 3.45 | 3.86 |
| All nursing staff, weekends | 2.82 | 3.08 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
24.6% of nursing staff at Avenues at Royal Oak left over the year CMS measured, against a Illinois average of 44.5% and a US average of 45.8%. Registered nurse turnover was 16.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 16, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 19 health deficiencies (Illinois average 12.5). CMS lists 6 fines totaling $458,614 and 3 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 30, 2026 | Fine | $26,685 |
| May 20, 2025 | Fine | $21,548 |
| Sep 25, 2024 | Payment Denial | 25 days from Oct 19, 2024 |
| Sep 25, 2024 | Fine | $72,459 |
| Feb 14, 2024 | Payment Denial | 67 days from Mar 15, 2024 |
| Feb 14, 2024 | Fine | $185,705 |
| Oct 26, 2023 | Payment Denial | 38 days from Nov 21, 2023 |
| Oct 26, 2023 | Fine | $115,837 |
| Sep 13, 2023 | Fine | $36,380 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avenues at Royal Oak holds 1 of 5 overall; the Illinois average is 2.5.
About Avenues at Royal Oak
- Ownership: For profit - Corporation
- Chain: Arcadia Care, 25 homes
- Legal name: Avenues at Royal Oak LLC
- Medicare and Medicaid certified since: Feb 8, 1981
- Councils: resident council
- Area: urban
Nursing homes near Avenues at Royal Oak
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Arcadia Care Kewanee Kewanee · many days without an RN | 1.5 | 84 | 1.85 | 3.12 | 31.1% | 1 | $201,299 |
| Arcadia Care Toulon Toulon · SFF candidate · abuse citation | 10.0 | 136 | 2.10 | 2.90 | 45.1% | 1 | $379,356 |
| Allure of Geneseo Geneseo | 19.2 | 72 | 2.12 | 3.37 | 25.0% | 4 | None |
| Hammond-Henry District Hsp Geneseo · abuse citation | 20.3 | 38 | 2.55 | 3.76 | 40.0% | 4 | $75,020 |
| Hillcrest Home Geneseo | 20.3 | 99 | 1.83 | 3.27 | 60.9% | 4 | None |
| Goldwater Care Princeton Princeton | 26.0 | 92 | 1.83 | 2.75 | 42.4% | 3 | None |
| Manor Court of Princeton Princeton | 26.2 | 125 | 2.64 | 3.92 | 32.5% | 4 | None |
| Allure of Walnut Walnut | 27.8 | 62 | 2.04 | 3.38 | 37.5% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.