Avenues at Royal Oak is a large, for-profit senior care facility with 200 certified beds, usually having about 130 residents each day, and it's operated by Petersen Health Care. A recent change in ownership took place over the last year, and the site is listed as a Special Focus Facility Candidate, with a history of serious quality issues reported but not yet formally flagged by the government. The facility has seen complaints and a total of 73 deficiencies in recent reports, including six related to infection control, and there are concerns about freedom from abuse, neglect, and exploitation, though staff work to create a safe and supportive environment. Nurse turnover is 38.8%, which is better than the state average, but nurse staffing hours per resident each day are lower than state numbers, usually at 2.21 hours instead of 3.4. There are nurses and care aides around for most of the day, but staffing may vary on weekends. The care team helps with bathing, dressing, transfers, medication management, and therapy services like occupational, physical, and speech therapy, plus wound care, respiratory support, diabetic diets, and dialysis transport, making both short-term rehab and long-term stays possible, and there's Alzheimer's and memory care as well.
Residents have furnished rooms with private bathrooms, air conditioning, kitchenettes, and a 24-hour call system, with some private rooms available. The facility has a dining room with restaurant-style meals, dietary options, and daily housekeeping, along with spaces for group gatherings, a computer room, small library, gardens, an outdoor area, gaming room, beauty salon, and a wellness center for fitness. People can join daily activities like arts and crafts, cards, bingo, movie days, morning stretches, or meditation, plus group therapy, manicures, church services, and pet therapy. There are outings, live entertainment, parties, family gatherings, dress-up days, scenic rides, monthly resident council meetings, and community-sponsored or resident-run activities so people can keep up social ties and interests. Transportation is arranged for appointments or activities.
The facility helps keep residents' information private, supports their rights, and includes them in care decisions, using assessments and service referrals to plan the best care and involve specialized providers as needed for mental health, trauma-informed care, or behavioral support. The environment aims for warmth, dignity, and respect, trying to make people feel welcome and heard. There are infection control policies, regular flu shots, and pharmacy services to help residents stay healthier, with policies and activities to promote wellness, safety, and independence. The front door is open to new admissions day or night, and the staff run a calendar full of activities and therapies meant to help people heal, manage health needs, and enjoy life while doing so.