Avenues at Royal Oak

Inspection history (76)

Records from June 2023 to May 2026.

• October 26, 2023 · F

  Citation F0867

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2023-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0604

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0604 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. The deficiency was recorded as corrected on 2023-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · F

  Citation F0584

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0584 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · H

  Citation F0697

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0697 (CMS scope/severity H: pattern, actual harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2023-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · E

  Citation F0677

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · F

  Citation F0865

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2023-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2023-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · F

  Citation F0868

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0868 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2023-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · G

  Citation F0600

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0600 (CMS scope/severity G: isolated, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2023-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• September 13, 2023 · J

  Citation F0600

  Federal surveyors cited this nursing home on 2023-09-13 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2023-09-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-13.GOV

• September 13, 2023 · L

  Citation F0610

  Federal surveyors cited this nursing home on 2023-09-13 under CMS tag F0610 (CMS scope/severity L: widespread, immediate jeopardy) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2023-09-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-13.GOV

• September 13, 2023 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2023-09-13 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-09-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-13.GOV

• June 24, 2023 · F

  Citation F0882

  Federal surveyors cited this nursing home on 2023-06-24 under CMS tag F0882 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2023-07-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-24.GOV

• June 24, 2023 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2023-06-24 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-07-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-24.GOV

Penalties (9)

Total fines on file: $458,614

• April 30, 2026 · Fine

  Citation FINE-139336

  CMS recorded a civil money penalty of $26,685 against this nursing home on 2026-04-30 (Fine ID: 139336). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOV

• May 20, 2025 · Fine

  Citation FINE-70569

  CMS recorded a civil money penalty of $21,548 against this nursing home on 2025-05-20 (Fine ID: 70569). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-20.GOV

• September 25, 2024 · Fine

  Citation FINE-70056

  CMS recorded a civil money penalty of $72,459 against this nursing home on 2024-09-25 (Fine ID: 70056). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-25.GOV

• September 25, 2024 · Payment Denial

  Citation PAYDEN-2024-10-19

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-10-19, lasting 25 days (triggered by inspection on 2024-09-25). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-25.GOV

• February 14, 2024 · Fine

  Citation FINE-69468

  CMS recorded a civil money penalty of $185,705 against this nursing home on 2024-02-14 (Fine ID: 69468). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• February 14, 2024 · Payment Denial

  Citation PAYDEN-2024-03-15

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-03-15, lasting 67 days (triggered by inspection on 2024-02-14). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-14.GOV

• October 26, 2023 · Fine

  Citation FINE-68936

  CMS recorded a civil money penalty of $115,837 against this nursing home on 2023-10-26 (Fine ID: 68936). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · Payment Denial

  Citation PAYDEN-2023-11-21

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2023-11-21, lasting 38 days (triggered by inspection on 2023-10-26). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• September 13, 2023 · Fine

  Citation FINE-68746

  CMS recorded a civil money penalty of $36,380 against this nursing home on 2023-09-13 (Fine ID: 68746). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-13.GOV

Staffing

Latest: 3.03 nurse staffing hours per resident per day (2026Q1)

Ownership

For profit

1. Parent organization: Arcadia Care Management LLC

   chain · PAC 6608265343

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Corporation".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit - Corporation".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)