Avenues at Litchfield

Name: Avenues at Litchfield
Address: 1024 EAST TYLER, Litchfield, IL, 62056, US
Telephone: 2173243842

1024 East Tyler, Litchfield, IL 62056 · Montgomery County · 65 certified beds · avg 63 residents/day · certified since Mar 31, 1974

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

1.34

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (15)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 20, 2026	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
May 20, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Oct 3, 2024	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Oct 3, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Oct 3, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 3, 2024	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Sep 19, 2023	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Sep 19, 2023	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 19, 2023	C · Minimal risk, facility-wide	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Jul 21, 2022	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jul 21, 2022	F · Potential for harm, facility-wide	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 21, 2022	F · Potential for harm, facility-wide	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jul 21, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 21, 2022	F · Potential for harm, facility-wide	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Jul 21, 2022	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 4).

Year	Citations	Worst severity that year
2022	6	F
2023	3	F
2024	4	F
2026	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Illinois avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	1.34	2.99	3.95	bottom 1% in Illinois; bottom 1% in the U.S.
Registered Nurse hours	0.16	0.63	0.69	bottom 2% in Illinois; bottom 1% in the U.S.
Weekend total nurse staffing	1.18	2.67	3.50	bottom 1% in Illinois; bottom 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.13	0.56	0.48	bottom 3% in Illinois; bottom 3% in the U.S.
Total nursing staff turnover (%)	12.0	44.5	45.8	top 1% in Illinois; top 1% in the U.S.
RN turnover (%)	40.0	41.8	42.9	top 49% in Illinois; top 46% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 1.67, RN 0.20, weekend 1.47. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can I see the actual room my family member would live in before we decide?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Litchfield Health & Rehab Center	0.7 mi	Litchfield, IL	★★★★☆	4/5
Hillsboro Rehab & HCC	8.9 mi	Hillsboro, IL	★☆☆☆☆	1/5	abuse
Montgomery Nursing & Rehab Ctr	10.1 mi	Hillsboro, IL	★★★☆☆	4/5
Gillespie Health & Rehab Ctr	10.1 mi	Gillespie, IL	★★★★☆	4/5
Staunton Health and Rehab Ctr	13.2 mi	Staunton, IL	★★☆☆☆	3/5
Lakeside Health & Rehab Center	15.0 mi	Carlinville, IL	★☆☆☆☆	2/5
Hallmark HC of Carlinville	15.0 mi	Carlinville, IL	★★☆☆☆	3/5
Carlinville Rehab & HCC	15.3 mi	Carlinville, IL	★☆☆☆☆	2/5	abuse
Alhambra Rehab & Healthcare	19.8 mi	Alhambra, IL	★★★★☆	5/5

Compare this facility with the 3 closest →

All facilities in Litchfield →

Facility data as of CMS processing date 2026-08-01. CCN 14E264.

The Care File

Visit checklist — Avenues at Litchfield

1024 East Tyler, Litchfield, IL 62056 · 2173243842

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can I see the actual room my family member would live in before we decide?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 14E264 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)