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 14 of 14 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
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
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 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
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems 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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 2, 2024).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
Isolated (one or a few residents). CMS level D.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 2, 2024).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level D.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 2, 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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation 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
Respond appropriately to all alleged violations.
Isolated (one or a few residents). CMS level D.
Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation 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
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 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
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control 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
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke 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
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0521, Services Deficiencies. Inspection of May 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 16, 2023).

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.