Avina of Fond Du LacCMS ratings, inspections and fines
- Address
- 115 E Arndt St, Fond Du Lac, WI 54935
- CCN
- 525270
- Ownership type
- For-profit, individual
- Certified beds
- 50
- Chain
- Avina Healthcare
- Residents per day
- 44
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Avina of Fond Du Lac an overall rating of 2 of 5 stars. The last standard survey was on 17 Jul 2025. The latest survey cycle has 15 health citations. The median for nursing homes in Wisconsin is 7. CMS lists 1 fine of $7,446 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Fond du Lac County median | Wisconsin median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 7 homes in the county, 323 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Wisconsin median |
|---|---|---|---|
| Cycle 1 (latest) | 17 Jul 2025 | 15 | 7 |
| Cycle 2 | 5 Jun 2024 | 6 | 7 |
| Cycle 3 | No date | 8 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Apr 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 13 May 2026 |
| 22 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 13 May 2026 |
| 11 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 16 Feb 2026 |
| 5 Jan 2026 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 23 Jan 2026 |
| 5 Jan 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 6 Jan 2026 |
| 5 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 Jan 2026 |
| 17 Jul 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 22 Jul 2025 |
| 17 Jul 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 4 Aug 2025 |
| 17 Jul 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 22 Jul 2025 |
| 17 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 6 Aug 2025 |
| 17 Jul 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 11 Aug 2025 |
| 17 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 18 Jul 2025 |
Survey cycle 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 14 Apr 2025 |
| 14 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 14 Apr 2025 |
| 5 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 5 Jul 2024 |
| 5 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Jul 2024 |
| 5 Jun 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 5 Jul 2024 |
| 5 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Jul 2024 |
Survey cycle 3: 8 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 May 2024 |
| 1 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 2 May 2024 |
| 2 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Nov 2023 |
| 19 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Nov 2023 |
| 19 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 3 Nov 2023 |
| 19 Oct 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | J | Complaint investigation | 3 Nov 2023 |
| 17 May 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 16 Jun 2023 |
| 17 May 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 19 Oct 2023 | Fine | $7,446 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Wisconsin median | Wisconsin average (CMS) |
|---|---|---|---|
| All nurse staff | 3.72 | 4.00 | 4.21 |
| Registered nurses (RN) | 0.40 | 0.90 | 0.99 |
| Licensed practical nurses (LPN) | 0.92 | 0.64 | |
| Nurse aides | 2.40 | 2.58 | |
| All nurse staff, weekends | 3.16 | 3.60 | 3.77 |
- Nurse staff turnover in a year
- 37.8%
- Nurse staff turnover, Wisconsin median
- 46.2%
- RN turnover in a year
- No data
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.8% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.1% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.1% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.1% | 14.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
- Chain
- Avina Healthcare (9 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Fond du Lac County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Fond Du Lac Lutheran Home | Fond Du Lac | 3 of 5 | 4 | $9,113 | 4 Sep 2025 | |
| St Francis Home | Fond Du Lac | 3 of 5 | 5 | $0 | 1 Apr 2026 | |
| Avina on Division | Fond Du Lac | 1 of 5 | 16 | $0 | 21 May 2025 | |
| Harbor Haven Health & Rehabilitation | Fond Du Lac | 5 of 5 | 0 | $0 | 23 Apr 2025 | |
| Edenbrook of Fond Du Lac | Fond Du Lac | 4 of 5 | 3 | $9,113 | 11 Jun 2025 | |
| Whispering Pines Nursing and Rehab, LLC | Ripon | 3 of 5 | 12 | $12,649 | 15 Jan 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Avina of Fond Du Lac (CCN 525270). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avina-of-fond-du-lac-fond-du-lac-wi-525270/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Avina of Fond Du Lac last inspected?
- The latest inspection with a citation in the CMS record was on 22 Apr 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 5 Jun 2024.
- Who operates Avina of Fond Du Lac?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in the chain Avina Healthcare. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Avina of Fond Du Lac a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Wisconsin as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.