Avina of Weyauwega
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-04-17 — IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2025-04-17 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-01-14 — ACTUAL HARM (tag F0758, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
2024-07-24 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-11-01 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
3.47
state median 3.58
Weekend staffing gap
−19%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.36
registered nurses only
Contract (agency) staff
13%
share of all nursing hours
Nursing staff turnover
63%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $115,004 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-17 | Fine | $66,180 |
| 2025-04-17 | Payment Denial | payment denial |
| 2025-01-14 | Fine | $16,146 |
| 2024-07-24 | Fine | $14,702 |
| 2023-11-01 | Fine | $17,976 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the AVINA HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Avina of Kenosha (Kenosha, WI) —
- Avina of Fond du Lac (Fond du Lac, WI) —
- Avina on 32nd (KENOSHA, WI) —
- Avina of Sun Prairie (Sun Prairie, WI) —
- Milwaukee Health and Rehab (MILWAUKEE, WI) —
- Avina on Division (Fond du Lac, WI) —
- Avina of Mayville (Mayville, WI) —
- Avina of Pewaukee (Waukesha, WI) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-28 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-03-06 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-10-07 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-27 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-27 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-27 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-27 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-04-17 | F0551 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-17 | F0623 | Resident Rights Deficiencies | E | not recorded |
| 2025-04-17 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-17 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-17 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-17 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-04-17 | F0712 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-04-17 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-04-17 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-17 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-04-17 | F0760 | Pharmacy Service Deficiencies | J | not recorded |
| 2025-04-17 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-04-17 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-04-17 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-04-17 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2025-04-17 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2025-04-17 | F0944 | Administration Deficiencies | C | not recorded |
| 2025-02-18 | F0573 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-18 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-01-14 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-14 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-14 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-14 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-01-14 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-14 | F0758 | Pharmacy Service Deficiencies | G | not recorded |
| 2024-10-08 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-24 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-07-24 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-02-14 | F0551 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-14 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-14 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-14 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-14 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-14 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-14 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-14 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2023-11-01 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-11-01 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-12 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-01-12 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2023-01-12 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-01-12 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-01-12 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-12 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-12 | F0728 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-01-12 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-01-12 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2023-01-12 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2023-01-12 | F0886 | Infection Control Deficiencies | F | not recorded |