Avenues at Litchfield
Litchfield, Illinois · CCN 14E264
19 surveys since 2011, 3 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 67
- Surveys
- 19
- Harm or worse
- 3
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 65
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- Montgomery · rural
- Medicare-certified since
- 1974
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 57 for-profit facilities with fewer than 66 beds in Illinois.
Last survey on record
May 20, 2026
173 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 1.67 | 3.43 |
| Registered-nurse hours per resident day | 0.20 | — |
| Annual nurse turnover | 12.0% | 45.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D426.7% | E16.7% | F853.3% |
| No harm, potential for minimal | A— | B16.7% | C16.7% |
Most frequently cited here
In CMS’s current monthly file.
- F7273×
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.
- F9123×
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6071×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F7561×
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
In the surveyor’s words
From the most serious findings on record at Avenues at Litchfield, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF727Oct 3, 2024
Based 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. Findings includes: The facility's partial August 2024 Daily assignment sheets for 8/30/2024 and 8/31/2024, documented that there was not consecutive 8 hours of consecutive RN coverage. The facility's September 2024's RN staffing documented that there was not consecutive 8 hours of consecutive RN coverage on 9/9/24, 9/10/24, 9/11/24, 9/13/24, 9/14/24, 9/15/24, 9/17/24, 9/18/24, 9/19/24, 9/23/24, 9/24/24, 9/25/24, 9/27/24, 9/28/24, 9/29/24. […]
- No harm, potential for more than minimal, widespreadF727Sep 19, 2023
Based 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. Findings include: On 09/17/2023 at 9:55 AM, V1, Administrator stated we are not having any issues with RN coverage. We have a RN working every day. On 9/17/2023 at 10:15 AM, V4, Licensed Practical Nurse (LPN) stated We did not have a RN working on Saturday because she had a wedding to go to. We were without a RN that night. Staffing schedules were reviewed from 8/25/2023 to 9/17/2023 and no RN was documented as working on Saturday, 9/16/2023. On 9/17/2023 at 9:57 AM, V1 stated We did have a RN call off on 9/16/2023 and we did not have a RN working that day. […]
- No harm, potential for more than minimal, widespreadF727Jul 21, 2022
Based 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. Findings include: On 7/20/22 at 11:30 AM, the Nursing Working staffing schedule from January 1, 2022, through July 19, 2022 was reviewed with V2, Director of Nurses. The facility did not have consecutive 8-hour RN coverage for the following days: 1/19/22, 3/24/22, 3/28/22, 3/29/22, 4/1/22 through 4/18/22, 4/21/22, 4/25/22, 4/29/22, 4/30/22, 5/8/22, 5/27/22, 6/6/22, 6/10/22, 6/18/22, and 6/19/22. On 7/20/22 at 11:00 am V2, Director of Nurses (DON), stated she knows there were some issues with RN coverage as one RN left and came back. […]
- No harm, potential for more than minimal, widespreadF761Jul 21, 2022
Based 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. Findings include: On 7/19/2022 at 8:14 AM the facility's medication room was inspected. The medication room contained the following medication: c1. A clear unlabeled bag of 53 dark pink pills. The clear bag had These are 50mg Benadryl not 25mg handwritten in red ink on the clear bag. On 7/19/2022 at 8:17 AM, V4, Licensed Practical Nurse (LPN), stated that she did not know what was in the bag. V4 stated that It's illegal and they (pills) are not supposed to be in there (bag). V4 stated that the medication was stock and used for everyone unless they have an allergy. […]
- No harm, potential for more than minimal, widespreadF803Jul 21, 2022
Based 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. Findings include: On 7/18/2022 at 11:00 AM, V9, Dietary Aid, was observed serving Pork Loin, Stuffing, Brussel Sprouts and Applesauce with cinnamon for lunch. The Facility's Diet Spreadsheet, Spring/Summer 2022 Week 4 documents that Pork Loin, Zucchini Cornbread Dressing Bake, Brussels Sprouts, and Banana Split Cake were on the menu to be served. […]
Read 23 findings in full →The most serious and the most recent: 23 of 67 on record.
Every survey on record
FindingsAt actual harm or above
- May 20, 2026Complaint2 findings
- Oct 3, 2024Standard4 findings
- Sep 19, 2023Standard3 findings
- Jul 21, 2022Standard6 findings
- Aug 26, 2021Standard4 findings
- Feb 5, 2021Infection control1 finding
- Jun 24, 2020Infection control1 finding
- Sep 10, 2019Standard5 findings
Show the 11 earlier surveys
- Aug 3, 2018Standard10 findings · 2 harm
- Dec 13, 2017Complaint1 finding
- Jul 20, 2017Standard9 findings
- Sep 16, 2016Standard1 finding
- Aug 6, 2015Standard1 finding
- Jul 21, 2014Standard8 findings
- Jan 30, 2014—1 finding
- Jan 28, 2014—1 finding · 1 harm
- Sep 20, 2013—2 findings
- Aug 29, 2012—1 finding
- Jul 21, 2011—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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