Avenues at Royal Oak

Certification

Medicare-certified.

Ratings

Inspection history (76)

Records from June 2023 to May 2026.

• October 26, 2023

  Tag F0867

  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 13, 2023.

• October 26, 2023

  Tag F0604

  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 13, 2023.

• October 26, 2023

  Tag F0584

  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.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 29, 2023.

• October 26, 2023

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 13, 2023.

• October 26, 2023

  Tag F0697

  Provide safe, appropriate pain management for a resident who requires such services.

  Severity H: pattern, actual harm. Corrected December 13, 2023.

• October 26, 2023

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 13, 2023.

• October 26, 2023

  Tag F0677

  Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 29, 2023.

• October 26, 2023

  Tag F0865

  Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 13, 2023.

• October 26, 2023

  Tag F0758

  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….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 13, 2023.

• October 26, 2023

  Tag F0868

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 13, 2023.

• October 26, 2023

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity G: isolated, actual harm. Corrected December 29, 2023.

• September 13, 2023

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity J: isolated, immediate jeopardy. Corrected September 25, 2023.

• September 13, 2023

  Tag F0610

  Respond appropriately to all alleged violations.

  Severity L: widespread, immediate jeopardy. Corrected September 25, 2023.

• September 13, 2023

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2023.

• June 24, 2023

  Tag F0882

  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 3, 2023.

• June 24, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 7, 2023.

Penalties (9)

Total fines: $458,614

• April 30, 2026 · Fine

  CMS recorded a civil money penalty of $26,685 against this nursing home on April 30, 2026.

• May 20, 2025 · Fine

  CMS recorded a civil money penalty of $21,548 against this nursing home on May 20, 2025.

• September 25, 2024 · Fine

  CMS recorded a civil money penalty of $72,459 against this nursing home on September 25, 2024.

• September 25, 2024 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting October 19, 2024, lasting 25 days (triggered by inspection on September 25, 2024).

• February 14, 2024 · Fine

  CMS recorded a civil money penalty of $185,705 against this nursing home on February 14, 2024.

• February 14, 2024 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting March 15, 2024, lasting 67 days (triggered by inspection on February 14, 2024).

• October 26, 2023 · Fine

  CMS recorded a civil money penalty of $115,837 against this nursing home on October 26, 2023.

• October 26, 2023 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting November 21, 2023, lasting 38 days (triggered by inspection on October 26, 2023).

• September 13, 2023 · Fine

  CMS recorded a civil money penalty of $36,380 against this nursing home on September 13, 2023.

Staffing

2.80 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Corporation