Avenues at Royal Oak
Nursing Home Facility
605 East Church Street, Kewanee, IL 61443
On behalf of the residents and staff of Royal Oaks Care Center, I would like to extend a very warm welcome to you and your loved one. The staff of Royal Oaks Care Center strives for excellence in obtaining each resident’s individual needs and goals to attain their highest level of independence.
Operated by Petersen Health Care, which runs 8 communities in our directory.
With 200 beds, Avenues at Royal Oak is one of the larger communities in the area, senior care communities in Henry County average about 99 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 67% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Henry County average about 2.8 stars. Its most recent standard health inspection was in September 2025 and recorded 19 deficiencies.
Residents receive about 3.0 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 25%.
The community is located in Henry County, IL.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 75 problems at Avenues at Royal Oak. 13 findings involved harm to a resident, including 7 that put residents in immediate danger. 37 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $306,397. Medicare also stopped paying for new admissions twice in that period.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Show 11 more
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, widespread
Nursing and Physician Services
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.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, widespread
Administration
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Avenues at Royal Oak offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 200
- Occupancy 67%
- Nursing hours per resident/day 3.0
- Annual staff turnover 25%
- Last health inspection September 2025
Resident & family reviews
No one has shared a review of Avenues at Royal Oak yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.