What is Avenues at Litchfield's Medicare star rating?

CMS rates Avenues at Litchfield 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Avenues at Litchfield get at its last inspection?

4 health deficiencies at the standard inspection on October 3, 2024. The Illinois average is 12.6.

Has Avenues at Litchfield been fined?

CMS lists no fines in the last three years.

Does Avenues at Litchfield accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Avenues at Litchfield?

CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Avenues at Litchfield: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on October 3, 2024, inspectors cited 4 health deficiencies (the Illinois average is 12.6, the national average 9.2).

None of its 15 health citations since July 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 1.67 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.20 of those hours.

12.0% of nursing staff left within the year CMS measured (Illinois average 44.5%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

607/22

309/23

410/24

205/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

May 20, 2026Complaint inspection · 2 citations

D

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

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2026

Inspectors wroteBased on interview and record review the facility failed to prevent resident to resident abuse for 2 (R3, R4) residents reviewed for abuse in the sample of 3.
D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2026

Inspectors wroteBased on interview and record review the facility failed to follow the facility policy and prevent resident to resident abuse for 2 (R3, R4) residents reviewed for abuse in the sample of 3.

October 3, 2024Standard inspection · 4 citations

F

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.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 4, 2024

Inspectors wroteBased on interview and record review, the Facility failed to ensure a Registered Nurse (RN) was working at least 8 consecutive hours a day, 7 days a week. This has the potential to affect all 62 residents living in the facility.
E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 4, 2024

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was at the proper holding temperature at the steam table for 4 of 12 residents (R8, R21, R23, R35) reviewed for food temperatures in the sample of 62.
D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 29, 2024

Inspectors wroteBased on interview and record review, the Facility failed to ensure residents were receiving the lowest effective doses, recommended by licensed pharmacists, in a timely fashion for 2 of 5 residents (R14, R38) reviewed for unnecessary medications, in the sample of 62.
B

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

F912 · Environmental · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) October 4, 2024

Inspectors wroteBased on observation, and interview the facility failed to provide 80 square feet of floor space per resident bed for 58 of 62 residents (R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R13, R14, R15, R16, R17, R18, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, R31, R32, R33, R34, R35, R36, R37, R38, R39, R41, R42, R43, R44, R45, R46, R47, R48, R49, R50, R51, R52, R53, R54, R55, R56, R57, R58, R59, R60, R61 and R62) reviewed for room size requirements in the sample of 62.

September 19, 2023Standard inspection · 3 citations

F

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.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 6, 2023

Inspectors wroteBased on interview and record review the Facility failed to ensure a Registered Nurse (RN) was working at least 8 consecutive hours a day, 7 days a week. This has the potential to affect all 62 residents living in the facility.
D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 6, 2023

Inspectors wroteBased on interview and record review, the facility failed to obtain lab draws as ordered by the physician for monitoring therapeutic drug levels for 1 of 7 residents (R11) reviewed for unnecessary medications in the sample of 64.
C

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

F912 · Environmental · No actual harm, potential for minimal harm, widespread · Waiver October 6, 2023

Inspectors wroteBased on observation, and interview the facility failed to provide 80 square feet of floor space per resident bed for 62 of 64 residents ( R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R13, R14, R15, R17, R18, R19, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, R31, R32, R33, R34, R35, R36, R37, R38, R39, R40, R41, R43, R44, R45, R46, R47, R48, R49, R50, R51,R52, R53, R54, R55, R56, R57, R58, F59, R60, R61, and R62) reviewed for room size requirements in the sample of 64.

July 21, 2022Standard inspection · 6 citations

F

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.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2022

Inspectors wroteBased on interview and record review, the facility failed to provide consecutive 8 hour Registered Nurse (RN) coverage in the facility. This has the potential to affect all 64 residents in the facility.
F

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2022

Inspectors wroteBased on observation, interview, and record review, the facility failed to properly label and store medication. This failure has the potential to affect all 64 residents living in the facility.
F

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2022

Inspectors wroteBased on observation, interview and record review, the Facility failed to document and receive prior approval from the dietician before utilizing substitutions. This failure has the potential to affect all 64 residents residing in the facility.
F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2022

Inspectors wroteBased on observation, interview and record review, the Facility failed to maintain a sanitary environment in the food storage, prep, and serving area. This failure has the potential to affect all 64 residents residing in the building.
F

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

F912 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2022

Inspectors wroteBased on observation, and record review, the facility failed to provide 80 square feet of floor space per resident bed for 33 two-bed resident rooms for 60 of 62 residents (R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, R12, R13, R14, R15, R16, R18, R19, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, R31,R32, R33, R34, R35, R36, R37, R38, R39, R40, R41, R42, R43, R45, R46, R48, R49, R50, R51, R52, R53, R54, R55, R56, R57, R58, R59, R60, R61, R62 and R63 ) reviewed for room sizes in the sample of 63.
F

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

F925 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2022

Inspectors wroteBased on observation, interview and record review the facility failed to provide effective pest control program so that the facility is free of pests. 1. On 7/18/22 at 10:30 AM R38 stated that she has had to kill multiple bugs in her room. R38 stated that she has squashed spiders and roaches in her room. 2. On 7/19/2022 from 1:30 PM to 2:00 PM multiple large blackish brown bugs approximately 1 inch in length with antennas was observed crawling on the floor. On 7/19/22 at 2:00 PM V2, Director of Nursing (DON) identified the bug as a roach. 3. On 7/21/2022 at 11:50 AM observed a large black bug running across the floor in the social service office. On 7/21/22 at 3:00 PM V10, Maintenance, stated that they do have an exterminator company that comes out monthly. V10 stated that the company was out last month but they only spray the entry points. [...]

Fire safety inspections

5 fire safety citations on file: 5 on July 21, 2022.

Every fire safety citation5 citations

F
Conduct risk assessment and an All-Hazards approach.

E 6 · July 21, 2022 · Corrected (the home has a date of correction)
F
Address patient/client population and determine types of services needed.

E 7 · July 21, 2022 · Corrected (the home has a date of correction)
F
Provide a means of sharing information on occupancy/needs.

E 34 · July 21, 2022 · Corrected (the home has a date of correction)
F
Provide family notifications of emergency plan.

E 35 · July 21, 2022 · Corrected (the home has a date of correction)
F
Establish staff and initial training requirements.

E 37 · July 21, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Illinois	United States
All nursing staff (RN, LPN and aides)	1.67	3.45	3.86
Registered nurses	0.20	0.72	0.69
All nursing staff on weekends	1.47	3.07	3.42
Nurse aides	0.91
Licensed practical nurses	0.56
Nursing staff turnover (share who left in a year)	12.0%	44.5%	45.8%
Registered nurse turnover	40.0%	41.8%	42.9%
Administrators who left	0

CMS expects 4.78 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 1.75 on weekdays and 1.47 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 1.76 in April to June 2025 to 1.67 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	1.67	0.20	1.75	1.47	0.7%	3 of 90	63
Oct to Dec 2025	1.72	0.21	1.83	1.45	0.1%	3 of 92	62
Jul to Sep 2025	1.84	0.26	1.93	1.61	0.3%	1 of 92	61
Apr to Jun 2025	1.76	0.22	1.85	1.52	0.5%	3 of 91	61
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Illinois, Jan to Mar 2026	3.26	0.65	3.40	2.92	5.4%	0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Illinois	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	2.9	13.4	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.4	1.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.0	3.1	3.2
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	2.8	14.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	0.0	4.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	49.3	21.7	15.4
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.7	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.3	2.2	1.8

Owners and operators

Legal business name: Legal Business Name Not Available.

Name	Role	Type	Share	Since
	Ownership data not available

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 4 problems in this area, most recently on October 3, 2024: "Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on October 3, 2024: "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."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on October 3, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on October 3, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 1.47 hours per resident per day, below the Illinois average of 3.07.

Other nursing homes nearby

Litchfield Health & Rehab Center
Litchfield, 0.7 mi · 4 of 5 stars · 8 citations
Hillsboro Rehab & HCC
Hillsboro, 8.9 mi · 1 of 5 stars · 69 citations
Montgomery Nursing & Rehab Ctr
Hillsboro, 10.1 mi · 4 of 5 stars · 11 citations
Gillespie Health & Rehab Ctr
Gillespie, 10.1 mi · 4 of 5 stars · 16 citations
Staunton Health and Rehab Ctr
Staunton, 13.1 mi · 2 of 5 stars · 26 citations
Lakeside Health & Rehab Center
Carlinville, 15 mi · 1 of 5 stars · 37 citations
Hallmark Hc of Carlinville
Carlinville, 15 mi · 2 of 5 stars · 24 citations
Carlinville Rehab & HCC
Carlinville, 15.3 mi · 1 of 5 stars · 38 citations

Illinois contacts for a concern about a nursing home

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.

Common questions

What is Avenues at Litchfield's Medicare star rating?: CMS rates Avenues at Litchfield 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avenues at Litchfield get at its last inspection?: 4 health deficiencies at the standard inspection on October 3, 2024. The Illinois average is 12.6.
Has Avenues at Litchfield been fined?: CMS lists no fines in the last three years.
Does Avenues at Litchfield accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Avenues at Litchfield?: CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.