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 16 of 16 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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 June 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2024).

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

    Have power receptacles that are properly grounded.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2024).

  10. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2024).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2024).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2024).

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

    Have restrictions on the use of flammable curtains.

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

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2024).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 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.