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No fines or payment denials in the published 3-year window.
Avenues at Litchfield
1024 East Tyler, Litchfield, IL 62056 (opens Google Maps) · Montgomery County · (217) 324-3842· 65 certified beds · avg 63 residents/day · certified since Mar 31, 1974 · Medicaid only — not Medicare certified
Certified for Medicaid only. It cannot bill Medicare, so a short post-hospital rehabilitation stay would not be covered the usual way here. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Oct 3, 2024
0
Serious findings on record
$0
Fines, last 3 years
1.34
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
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 F-0600
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 F-0607
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. F-0727
View all 15 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 20, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| May 20, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0607 |
| Oct 3, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0727 |
| Oct 3, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Oct 3, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Oct 3, 2024 | B · Potential for minimal harm, pattern | 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. · F-0912 |
| Sep 19, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0727 |
| Sep 19, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Sep 19, 2023 | C · Potential for minimal harm, widespread | 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. · F-0912 |
| Jul 21, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0727 |
| Jul 21, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0761 |
| Jul 21, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0803 |
| Jul 21, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 21, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0912 |
| Jul 21, 2022 | F · Potential for more than minimal harm, widespread | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
All citationsSerious citations (G–L)
2022
All citations: 6
Serious citations (G–L): 0
2023
All citations: 3
Serious citations (G–L): 0
2024
All citations: 4
Serious citations (G–L): 0
2026
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | F |
| 2023 | 3 | 0 | F |
| 2024 | 4 | 0 | F |
| 2026 | 2 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIllinois averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 1.34
Illinois average: 2.99
U.S. average: 3.95
Registered Nurse hours
This facility: 0.16
Illinois average: 0.63
U.S. average: 0.69
Weekend total nurse staffing
This facility: 1.18
Illinois average: 2.67
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (1.67 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Avenues at Litchfield. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
All 1 owning or managing party CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Illinois midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 12% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 14E264.
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