The home failed to plan the resident’s discharge to meet the resident’s goals and needs. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 660 — 42 CFR §483.21 — S/S: J
Nursing home report
Registered name: Avina of Fond du Lac
Fond du Lac, WI · Medicare-certified · 50 beds
Crossroads Care Center of Fond Du Lac has a 2-out-of-5-star overall rating, with 2-star health inspection, staffing, and quality ratings. Reported nurse staffing is 3.72 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months; recent inspection citations included RN coverage, discharge planning, and food service standards.
Health inspections
Staffing
3.7204 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7204.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to plan the resident’s discharge to meet the resident’s goals and needs. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 660 — 42 CFR §483.21 — S/S: J
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2025 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2026 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited July 2025 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 3 health deficiencies.
Health inspection found 9 health deficiencies.
On record with Medicare: 1 fine · $7,446 in total fines.
Federal fine
Oct 19, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.