Avina of Pewaukee

N26 W23977 Watertown Rd., Waukesha, WI 53188 · CCN 525646 · 120 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality2 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.

55 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

2023-12-26 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2022-12-01 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.72

state median 3.58

Weekend staffing gap

−8%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.36

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

43%

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 $95,791 in fines.

Date	Type	Amount
2023-12-26	Fine	$95,791

Ownership

Ownership type: For profit - Corporation. 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 on Division (Fond du Lac, WI) — CMS overall1 of 5
Avina of Mayville (Mayville, WI) — CMS overall3 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 53 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-03-18	F0584	Resident Rights Deficiencies	E	not recorded
2026-03-18	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-18	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-18	F0686	Quality of Life and Care Deficiencies	D	not recorded
2026-03-18	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-07-15	F0880	Infection Control Deficiencies	D	not recorded
2025-06-09	F0565	Resident Rights Deficiencies	E	not recorded
2025-06-09	F0578	Resident Rights Deficiencies	D	not recorded
2025-06-09	F0584	Resident Rights Deficiencies	E	not recorded
2025-06-09	F0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-06-09	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-06-09	F0679	Quality of Life and Care Deficiencies	E	not recorded
2025-06-09	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-06-09	F0688	Quality of Life and Care Deficiencies	D	not recorded
2025-06-09	F0692	Quality of Life and Care Deficiencies	E	not recorded
2025-06-09	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2025-06-09	F0761	Pharmacy Service Deficiencies	E	not recorded
2025-06-09	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-06-09	F0814	Nutrition and Dietary Deficiencies	F	not recorded
2025-06-09	F0847	Administration Deficiencies	D	not recorded
2024-08-20	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-08-20	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-08-20	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-08-20	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-08-20	F0693	Quality of Life and Care Deficiencies	D	not recorded
2024-08-20	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-04	F0585	Resident Rights Deficiencies	E	not recorded
2024-03-04	F0684	Quality of Life and Care Deficiencies	E	not recorded
2024-03-04	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-03-04	F0689	Quality of Life and Care Deficiencies	E	not recorded
2024-03-04	F0698	Quality of Life and Care Deficiencies	D	not recorded
2024-03-04	F0740	Quality of Life and Care Deficiencies	D	not recorded
2024-03-04	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-03-04	F0756	Pharmacy Service Deficiencies	D	not recorded
2024-03-04	F0757	Pharmacy Service Deficiencies	D	not recorded
2024-03-04	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-03-04	F0800	Nutrition and Dietary Deficiencies	D	not recorded
2024-03-04	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-03-04	F0880	Infection Control Deficiencies	F	not recorded
2023-12-26	F0584	Resident Rights Deficiencies	E	not recorded
2023-12-26	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2023-12-26	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-26	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-12-26	F0745	Quality of Life and Care Deficiencies	D	not recorded
2023-12-26	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-11-21	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-11-21	F0745	Quality of Life and Care Deficiencies	D	not recorded
2022-12-01	F0623	Resident Rights Deficiencies	E	not recorded
2022-12-01	F0684	Quality of Life and Care Deficiencies	D	not recorded
2022-12-01	F0686	Quality of Life and Care Deficiencies	G	not recorded
2022-12-01	F0689	Quality of Life and Care Deficiencies	D	not recorded
2022-12-01	F0698	Quality of Life and Care Deficiencies	D	not recorded
2022-12-01	F0758	Pharmacy Service Deficiencies	E	not recorded
2022-12-01	F0761	Pharmacy Service Deficiencies	D	not recorded
2022-12-01	F0880	Infection Control Deficiencies	D	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 of Pewaukee, Waukesha” at medicare.gov/care-compare.