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 29 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. No harm, with potential for more than minimal harm

    Provide appropriate foot care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0687, Quality of Life and Care Deficiencies. Inspection of July 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 30, 2026).

  14. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 30, 2026).

  15. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 5, 2026).

  16. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 13, 2026).

  17. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 16, 2026).

  18. No harm, with potential for more than minimal harm

    Give the resident's representative the ability to exercise the resident's rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0551, Resident Rights Deficiencies. Inspection of January 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

  19. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of January 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 6, 2026).

  20. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of January 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

  21. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

  22. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 4, 2025).

  23. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2025).

  24. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

  25. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of July 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 18, 2025).

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.