Avenues at Royal Oak
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 63 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (16 vs median 11.0)
Bottom 25% in IL · Critically understaffed (RN) · Significantly below average staffing · Worst in ARCADIA CARE chain · $443,531 in fines · Abuse citation
What this means for your family
While many residents report a warm, home-like environment and excellent therapy services, there are serious, recurring reports of understaffing and poor facility maintenance. We strongly recommend visiting during off-hours to observe staffing levels and checking the cleanliness of resident areas personally before making a decision.
Google Reviews
Google Reviews
63 reviews on Google“Avenues at Royal Oak receives polarized feedback, with many residents and family members praising the compassionate, family-like atmosphere and the helpfulness of the nursing and therapy staff. However, significant concerns exist regarding chronic understaffing, lack of basic supplies, and reports of punitive treatment toward residents, including threats of relocation to a 'behavior unit'.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and helpful nursing and CNA staff
- Strong, motivating therapy department
- Welcoming, home-like environment
- Supportive social services team
Concerns
- Chronic understaffing and lack of basic supplies (mentioned by 2 reviewers)
- Punitive treatment and threats toward residents (mentioned by 2 reviewers)
- Unsanitary conditions and poor building maintenance (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 64 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the recent focus on facility maintenance, could you walk me through your current schedule and protocols for deep cleaning resident rooms and common areas?
- 2I noticed some concerns regarding supply availability; how do you ensure that staff always have the necessary medical and personal care supplies on hand to support residents throughout their shifts?
- 3With your CMS staffing rating in mind, what specific steps are you taking to improve staff retention and ensure consistent, high-quality care for all 200 residents?
- 4I see that your therapy department is highly regarded; how do you integrate those motivating therapy sessions into the daily routine of residents who might need extra encouragement?
- 5How does your leadership team foster a culture of open communication and respect to ensure that every resident feels safe, heard, and treated with dignity at all times?
- 6Can you explain your process for medication management and how you communicate any changes in a resident's health or treatment plan to family members?
Personalized based on this facility's data
Key Review Excerpts
“The therapy department is great. There are a lot of great people who work here. They help you achieve your goals. They are also great motivators.”
“Doesn't have enough staff to help take care of their residents. There's no activities majority of the day. CNA's don't even have any materials to take care of their residents. Not enough briefs, no towels, no bedding, no medical gloves.”
“I love the way they threaten residents with punishment here, instead of correction, they threaten residents with A-wing, as residents know it and call it for it's well known name 'the behavior unit', where they keep bad people.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
6
measures
9
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for the flu
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Avenues at Royal Oak shows concerning patterns with repeated deficiencies in abuse and neglect protection, with families filing numerous complaints that triggered 31 of 72 total violations. The facility struggles most with protecting residents from abuse and neglect, ensuring resident rights, and maintaining care planning standards. While all deficiencies show correction dates, the recurring nature of abuse protection failures and high complaint volume suggest persistent care quality challenges that warrant careful consideration before placement.
Apr 30, 2026Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Feb 27, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Jan 13, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Sep 16, 2025Routine8
Nursing and Physician Services Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Aug 1, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 20, 2025Complaint2
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal Penalties
Fine
May 20, 2025
$21,548
Payment Denial
Sep 25, 2024
25-day denial
Fine
Sep 25, 2024
$72,459
Fine
Feb 14, 2024
$185,705
Payment Denial
Feb 14, 2024
67-day denial
Payment Denial
Oct 26, 2023
38-day denial
Fine
Oct 26, 2023
$115,837
Fine
Sep 13, 2023
$36,380
Ownership & Operations
Who Operates This Facility
Avenues at Royal Oak
for profit
Chain Affiliation
Arcadia Care
22 facilities nationwide
Chain avg rating: 1.8/5 · Rank 19 of 19 (Worst)
Ownership & Management
Owners
Goldfarb, Brian
Owner
Berkowitz, David
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Meystel, Yosef
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
63 reviews from families & visitors
Official Website
Visit arcadialtc.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.