Avenues at Springfield
525 So Martin Luther King Dr · Springfield, IL · 62703 · 2177891680
65 certified beds For profit - Limited Liability company
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- 4 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
1.59 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 1.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 1.38 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (36 in the current record)
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Potential for harm · E April 8, 2025 · found via complaint
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.
Corrected April 16, 2025 · Resident Rights
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Potential for harm · F April 8, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 21, 2025 · Nutrition and Dietary
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Immediate jeopardy · J January 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 30, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected August 5, 2024 · Quality of Life and Care
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Potential for harm · F August 1, 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.
Corrected August 5, 2024 · Nursing and Physician Services
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Potential for harm · F August 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 5, 2024 · Nutrition and Dietary
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No harm found · C August 1, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected August 5, 2024 · Environmental
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Potential for harm · F April 24, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 3, 2024 · Nursing and Physician Services
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Potential for harm · F April 24, 2024 · found via complaint
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.
Corrected May 8, 2024 · Nursing and Physician Services
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Potential for harm · D January 31, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 31, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 19, 2024 · Pharmacy Service
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Potential for harm · E October 2, 2023 · found via complaint
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.
Corrected October 4, 2023 · Resident Rights
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Potential for harm · E August 14, 2023 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected August 23, 2023 · Nursing and Physician Services
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Potential for harm · D August 14, 2023 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected August 23, 2023 · Nursing and Physician Services
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Actual harm · G July 12, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 24, 2023 · Quality of Life and Care
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Potential for harm · F July 12, 2023 · found via complaint
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.
Corrected July 24, 2023 · Nursing and Physician Services
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Potential for harm · D July 12, 2023 · found via complaint
Keep all essential equipment working safely.
Corrected July 24, 2023 · Environmental
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Actual harm · G June 15, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected June 28, 2023 · Quality of Life and Care
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Actual harm · G June 15, 2023
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected June 28, 2023 · Quality of Life and Care
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Potential for harm · D June 15, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 28, 2023 · Resident Rights
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Potential for harm · D June 15, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 28, 2023 · Quality of Life and Care
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Potential for harm · F June 15, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 28, 2023 · Nutrition and Dietary
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Potential for harm · E June 15, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 28, 2023 · Infection Control
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No harm found · C June 15, 2023
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected June 28, 2023 · Environmental
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Actual harm · G August 31, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 17, 2022 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 14E847 · certified since August 21, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.