All citations for Avina of Pewaukee

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 Pewaukee

Last standard health inspection on record

June 9, 2025

Showing 1 to 25 of 25 citations

No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
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 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 31, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 25, 2025).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of March 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 12, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 1, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 28, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 1, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 28, 2022).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of December 1, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 28, 2022).
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 December 1, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 28, 2022).
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 June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0223, Egress Deficiencies. Inspection of June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0521, Services Deficiencies. Inspection of June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 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 March 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 26, 2024).
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 March 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 10, 2024).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0521, Services Deficiencies. Inspection of March 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 10, 2024).
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.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of December 1, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 28, 2022).
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 June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
No harm, with potential for more than minimal harm
Construct fire resistant interior walls.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0331, Smoke Deficiencies. Inspection of June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
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 March 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 26, 2024).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 26, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 1, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 28, 2022).
No harm, with potential for minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level C.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of June 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
No harm, with potential for minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level C.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 26, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.