All citations for Avina of Weyauwega

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 Weyauwega

Last standard health inspection on record

April 17, 2025

Showing 1 to 25 of 89 citations

  1. Immediate jeopardy to resident health or safety

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

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

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

    The home gave a date the problem would be corrected (May 15, 2025).

  2. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  3. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

  4. Harm to a resident

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of January 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 10, 2025).

  5. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 1, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 22, 2023).

  6. 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 April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  8. 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 April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Provide primary/alternate means for communication.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  12. 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 April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  13. 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 April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  14. 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 April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  15. 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 April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  17. 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 April 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2025).

  18. 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 February 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2024).

  19. 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 February 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2024).

  20. 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 February 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2024).

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

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Widespread (many residents). CMS level F.

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of January 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2023).

  22. 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 January 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2023).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2023).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of January 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2023).

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

    Perform COVID19 testing on residents and staff.

    Widespread (many residents). CMS level F.

    Health citation F-0886, Infection Control Deficiencies. Inspection of January 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 6, 2023).

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.