GoodStanding

Nursing home report

Avina on Division

Fond du Lac, WI · Medicare-certified · 50 beds

Needs attention
For-profitChain member
1 of 5 overall

Avina on Division has a 1-star overall rating, with 1-star health inspection and staffing scores, even though quality measures are 4 stars. It has the lowest overall rating flag, reported nurse staffing is below the federal benchmark (3.40 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.3961 hrs/resident/day

Quality measures

Last inspection: March 28, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3961.

Staffing detail

Registered nurses
0.36
Licensed practical nurses
1.02
Nurse aides
2.02
Weekend nursing
2.96

Hours per resident per day.

Total staff turnover: 35%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

11.9%Steady

Residents with a fall causing major injury

4.7%Steady

Residents with pressure ulcers (bedsores)

9.9%Worsening

Residents with a urinary tract infection

5.8%Steady

Residents who lost too much weight

3.4%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

3.3%Steady

Residents whose ability to walk got worse

4.9%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

30%Improving

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

23%Improving

Residents with depressive symptoms

2%Worsening

Long-stay residents given the seasonal flu vaccine

96.3%Steady

Long-stay residents given the pneumonia vaccine

98.1%Improving

Short-stay residents given the seasonal flu vaccine

70.6%Steady

Short-stay residents given the pneumonia vaccine

86.7%Improving

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 March 2026 — widespread issue, immediate jeopardy to residents.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: L

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The nursing home failed to ensure residents were free from significant medication errors. Cited March 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited March 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 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 March 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of AVINA HEALTHCARE · 9 homes · 2.1 stars avg
Occupancy
34.7 residents on an average day (69% of 50 beds)
Medicare history
Certified for 32 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.