
Report
TheVardellReport
Avenues at Royal Oak
Skilled nursing facility and nursing facility
605 East Church Street
Kewanee, IL 61443

TheVardellReport
Skilled nursing facility and nursing facility
605 East Church Street
Kewanee, IL 61443
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 19 inspections from October 2023 to August 2026, state surveyors documented 76 findings at Avenues at Royal Oak; 76 have a recorded correction; CMS lists 8 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2023 | 1 | 18 | 2 |
| 2024 | 7 | 30 | 7 |
| 2025 | 5 | 15 | 1 |
| 2026 | 6 | 13 | 1 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
4 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
7 findings
Enforcement Action
Civil money penalty, $26,685 imposed April 30, 2026. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of September 16, 2025, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
4 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
13 findings
Enforcement Action
Civil money penalty, $72,459 imposed September 25, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of September 25, 2024, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed September 25, 2024. Status: Closed, November 13, 2024. CMS does not tie a penalty to a survey; listed with the standard health inspection of September 25, 2024, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $21,548 imposed May 20, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of September 25, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
8 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
18 findings
Enforcement Action
Civil money penalty, $115,837 imposed October 26, 2023. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 26, 2023, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed October 26, 2023. Status: Closed, December 29, 2023. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 26, 2023, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $185,705 imposed February 14, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 26, 2023, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed February 14, 2024. Status: Closed, May 21, 2024. CMS does not tie a penalty to a survey; listed with the standard health inspection of October 26, 2023, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F600 in October 2023, February 2024, July 2024, November 2024, February 2025, March 2025, May 2025, February 2026, June 2026 and August 2026. This citation covers whether residents are protected from abuse and neglect by anyone. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F609 in November 2024, December 2024, August 2025, January 2026 and August 2026. This citation covers whether suspected abuse, neglect or theft is reported to the authorities on time, with the results of the home’s investigation. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F550 in September 2024, August 2025, September 2025 and May 2026. This citation covers residents’ right to dignity, to make their own choices and to communicate. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F689 in February 2024, September 2024, August 2025 and April 2026. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F584 in October 2023, September 2025 and May 2026. This citation covers whether rooms and shared spaces are kept safe, clean, comfortable and homelike. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F607 in February 2024, January 2026 and August 2026. The agency describes it this way: Develop and implement policies and procedures to prevent abuse, neglect, and theft. The most serious of these was recorded at level K (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F578 in October 2023 and September 2024. This citation covers residents’ right to accept or refuse treatment and to make an advance directive. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F610 in December 2024 and August 2026. This citation covers how the home responds to and investigates an allegation of abuse, neglect or mistreatment. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F697 in October 2023 and May 2025. The agency describes it this way: Provide safe, appropriate pain management for a resident who requires such services. The most serious of these was recorded at level H (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F825 in March 2024 and May 2024. The agency describes it this way: Provide or get specialized rehabilitative services as required for a resident. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
What happened after the abuse or neglect citation, and what changed in training or supervision?
Protection From Abuse and Neglect: cited in ten inspections, most seriously at level J.
How are staff trained to report suspected abuse or neglect, and who reports it to the state?
Reporting Suspected Abuse: cited in five inspections, most seriously at level D.
How do staff learn each resident’s preferences, and how is a complaint about dignity handled?
Dignity and Resident Rights: cited in four inspections, most seriously at level E.
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in four inspections, most seriously at level J.
What was done about the cleanliness citation, and how are rooms and shared spaces checked now?
A Clean, Homelike Setting: cited in three inspections, most seriously at level F.
What changed after F607 was cited, and how do you check it now?
Citation F607: cited in three inspections, most seriously at level K.
How are a resident’s advance directive and treatment wishes recorded and shared with every shift?
Treatment Choices and Advance Directives: cited in two inspections, most seriously at level D.
When an allegation is made, who investigates it, and how are residents protected in the meantime?
Investigating Alleged Violations: cited in two inspections, most seriously at level D.
What changed after F697 was cited, and how do you check it now?
Citation F697: cited in two inspections, most seriously at level H.
What changed after F825 was cited, and how do you check it now?
Citation F825: cited in two inspections, most seriously at level E.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
What led to the 2026 fine, and has it been paid?
A $26,685 civil money penalty was imposed April 30, 2026. CMS publishes the fine, not whether it has been paid. The record holds eight enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Illinois state survey agency.
Illinois state survey agency
Inspection Oct 26, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Feb 14, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Mar 6, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection May 8, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Jul 12, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Sep 25, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Nov 4, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Dec 20, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Feb 28, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Mar 27, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection May 20, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Aug 1, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Sep 16, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Jan 13, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Feb 27, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Apr 30, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection May 29, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Jun 12, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Illinois state survey agency
Inspection Aug 7, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 145418
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowOctober 26, 2023 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.