Avina on Division

517 E Division St, Fond du Lac, WI 54935 · CCN 525522 · 50 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2026-03-28 — ACTUAL HARM (tag F0760, severity G)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2026-03-28 — 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.

2026-03-28 — IMMEDIATE JEOPARDY (tag F0727, severity L)

Nursing and Physician Services Deficiencies · correction not recorded in CMS data

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.

Staffing, from payroll records

Nursing hours / resident / day

3.01

state median 3.58

Weekend staffing gap

−10%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.01

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

38%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $0 in fines.

Date	Type	Amount
2026-03-28	Payment Denial	payment denial

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) — CMS overall2 of 5
Avina of Fond du Lac (Fond du Lac, WI) — CMS overall2 of 5
Avina on 32nd (KENOSHA, WI) — CMS overall1 of 5
Avina of Sun Prairie (Sun Prairie, WI) — CMS overall5 of 5
Avina of Weyauwega (Weyauwega, WI) — CMS overall1 of 5
Milwaukee Health and Rehab (MILWAUKEE, WI) — CMS overall4 of 5
Avina of Mayville (Mayville, WI) — CMS overall3 of 5
Avina of Pewaukee (Waukesha, WI) — CMS overall1 of 5

Full citation history

By severity: No harm, potential for minimal harm: 2 · Actual harm: 2 · Potential for more than minimal harm: 37 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-04-30	F0584	Resident Rights Deficiencies	D	not recorded
2026-04-30	F0686	Quality of Life and Care Deficiencies	D	not recorded
2026-04-30	F0694	Quality of Life and Care Deficiencies	D	not recorded
2026-04-30	F0880	Infection Control Deficiencies	F	not recorded
2026-03-28	F0550	Resident Rights Deficiencies	D	not recorded
2026-03-28	F0684	Quality of Life and Care Deficiencies	G	not recorded
2026-03-28	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2026-03-28	F0727	Nursing and Physician Services Deficiencies	L	not recorded
2026-03-28	F0760	Pharmacy Service Deficiencies	G	not recorded
2026-03-28	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2026-03-28	F0835	Administration Deficiencies	F	not recorded
2025-05-21	F0558	Resident Rights Deficiencies	D	not recorded
2025-05-21	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-05-21	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-05-21	F0814	Nutrition and Dietary Deficiencies	F	not recorded
2025-05-21	F0880	Infection Control Deficiencies	E	not recorded
2024-11-18	F0814	Nutrition and Dietary Deficiencies	C	not recorded
2024-03-27	F0551	Resident Rights Deficiencies	D	not recorded
2024-03-27	F0580	Resident Rights Deficiencies	D	not recorded
2024-03-27	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-27	F0645	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-03-27	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-03-27	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-03-27	F0732	Nursing and Physician Services Deficiencies	C	not recorded
2024-03-27	F0801	Nutrition and Dietary Deficiencies	F	not recorded
2024-03-27	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2024-03-27	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-03-27	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-27	F0880	Infection Control Deficiencies	D	not recorded
2023-03-07	F0551	Resident Rights Deficiencies	D	not recorded
2023-03-07	F0582	Resident Rights Deficiencies	D	not recorded
2023-03-07	F0623	Resident Rights Deficiencies	E	not recorded
2023-03-07	F0625	Resident Rights Deficiencies	D	not recorded
2023-03-07	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-03-07	F0679	Quality of Life and Care Deficiencies	D	not recorded
2023-03-07	F0689	Quality of Life and Care Deficiencies	E	not recorded
2023-03-07	F0692	Quality of Life and Care Deficiencies	D	not recorded
2023-03-07	F0699	Quality of Life and Care Deficiencies	D	not recorded
2023-03-07	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2023-03-07	F0740	Quality of Life and Care Deficiencies	D	not recorded
2023-03-07	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-03-07	F0812	Nutrition and Dietary Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Avina on Division, Fond du Lac” at medicare.gov/care-compare.