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
Avina of Fond du Lac
Fond du Lac, WI · Medicare-certified · 50 beds
In good standing
For-profitChain member
2 of 5 overall
Avina of Fond du Lac has an overall 2-star rating, with 2-star health inspection and quality ratings and 3-star staffing. Reported nurse staffing is 3.70 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6984 hrs/resident/day
Quality measures
Last inspection: February 11, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6984.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.77
- Nurse aides
- 2.35
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 38%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
17.8%Steady
Residents with a fall causing major injury
4.1%Steady
Residents with pressure ulcers (bedsores)
10.4%Improving
Residents with a urinary tract infection
4.1%Improving
Residents who lost too much weight
5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.1%Worsening
Residents whose ability to walk got worse
8.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
23.5%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26.9%Improving
Residents with depressive symptoms
26.7%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
97.9%Worsening
Short-stay residents given the seasonal flu vaccine
95.6%Steady
Short-stay residents given the pneumonia vaccine
89%Worsening
What the inspectors found
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.
View the original federal record
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.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,446 in total fines.
- $7,446
Federal fine
Oct 19, 2023
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of AVINA HEALTHCARE · 9 homes · 2.1 stars avg
- Occupancy
- 43.2 residents on an average day (86% of 50 beds)
- Medicare history
- Certified for 50 years
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.