All citations for Avina of Fond du Lac

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Avina of Fond du Lac

Last standard health inspection on record

July 17, 2025

Showing 1 to 25 of 65 citations

Immediate jeopardy to resident health or safety
Plan the resident's discharge to meet the resident's goals and needs.
Isolated (one or a few residents). CMS level J.
Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of October 19, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (November 3, 2023).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2025).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2025).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2025).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2024).
No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 19, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (June 22, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 19, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 12, 2024).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 2023).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 2023).
No harm, with potential for more than minimal harm
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of April 22, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 13, 2026).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 23, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 26, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2025).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 23, 2025).
No harm, with potential for more than minimal harm
Have an externally vented heating system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0522, Services Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 18, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 14, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 14, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (June 7, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.