Avina of WeyauwegaCMS ratings, inspections and fines
- Address
- 717 E Alfred St, Weyauwega, WI 54983
- CCN
- 525315
- Ownership type
- For-profit, limited liability company
- Certified beds
- 84
- Chain
- Avina Healthcare
- Residents per day
- 52
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
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 Weyauwega an overall rating of 1 of 5 stars. The last standard survey was on 17 Apr 2025. The latest survey cycle has 23 health citations. The median for nursing homes in Wisconsin is 7. CMS lists 4 fines with a total of $116,270 for this home in its penalties file. CMS also lists 1 payment denial.
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 | Waupaca County median | Wisconsin median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 8 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 Apr 2025 | 23 | 7 |
| Cycle 2 | 14 Feb 2024 | 18 | 7 |
| Cycle 3 | No date | 16 | 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 | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 23 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 28 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 | 26 May 2026 |
| 6 Mar 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 | 31 Mar 2026 |
| 7 Oct 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 1 Dec 2025 |
| 27 Aug 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 22 Sep 2025 |
| 27 Aug 2025 | 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 | 22 Sep 2025 |
| 27 Aug 2025 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Complaint investigation | 22 Sep 2025 |
| 17 Apr 2025 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 22 May 2025 |
| 17 Apr 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 May 2025 |
| 17 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 15 May 2025 |
| 17 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0758 | 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. | D | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 15 May 2025 |
| 17 Apr 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | C | Standard survey | 15 May 2025 |
Survey cycle 2: 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 Jul 2025 |
| 17 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 15 May 2025 |
| 18 Feb 2025 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 14 Mar 2025 |
| 18 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Mar 2025 |
| 14 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 10 Feb 2025 |
| 14 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Feb 2025 |
| 14 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Feb 2025 |
| 14 Jan 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 10 Feb 2025 |
| 14 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 10 Feb 2025 |
| 14 Jan 2025 | F0758 | 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. | G | Complaint investigation | 10 Feb 2025 |
| 8 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Oct 2024 |
| 14 Feb 2024 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 13 Mar 2024 |
| 14 Feb 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 13 Mar 2024 |
| 14 Feb 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 13 Mar 2024 |
| 14 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 13 Mar 2024 |
| 14 Feb 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 13 Mar 2024 |
| 14 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Mar 2024 |
| 14 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 13 Mar 2024 |
Survey cycle 3: 16 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 |
|---|---|---|---|---|---|
| 24 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 12 Aug 2024 |
| 24 Jul 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 12 Aug 2024 |
| 14 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 13 Mar 2024 |
| 1 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 22 Nov 2023 |
| 1 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 22 Nov 2023 |
| 12 Jan 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 14 Feb 2023 |
| 12 Jan 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 14 Feb 2023 |
| 12 Jan 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 14 Feb 2023 |
| 12 Jan 2023 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 14 Feb 2023 |
| 12 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Feb 2023 |
| 12 Jan 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 14 Feb 2023 |
| 12 Jan 2023 | F0728 | 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. | F | Standard survey | 14 Feb 2023 |
| 12 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Feb 2023 |
| 12 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Feb 2023 |
| 12 Jan 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 6 Feb 2023 |
| 12 Jan 2023 | F0886 | Perform COVID19 testing on residents and staff. | F | Standard survey | 6 Feb 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 |
|---|---|---|---|
| 17 Apr 2025 | Fine | $67,169 | |
| 17 Apr 2025 | Payment denial | 5 | |
| 14 Jan 2025 | Fine | $16,423 | |
| 24 Jul 2024 | Fine | $14,702 | |
| 1 Nov 2023 | Fine | $17,976 |
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 | 3.73 | 4.00 | 4.21 |
| Registered nurses (RN) | 0.47 | 0.90 | 0.99 |
| Licensed practical nurses (LPN) | 1.10 | 0.64 | |
| Nurse aides | 2.16 | 2.58 | |
| All nurse staff, weekends | 2.99 | 3.60 | 3.77 |
- Nurse staff turnover in a year
- 62.9%
- Nurse staff turnover, Wisconsin median
- 46.2%
- RN turnover in a year
- 87.5%
- Administrators who left in a year
- No data
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 | 7.4% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 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 | 7.4% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.3% | 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, limited liability company
- Legal business name
- Crossroads Care Center of Weyauwega LLC
- Chain
- Avina Healthcare (9 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Aa Healthcare Management, LLC | Operational/managerial control | 1 May 2015 |
The site shows organisations only. It does not show the names of persons.
Other homes in Waupaca County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Bethany Home | Waupaca | 5 of 5 | 5 | $0 | 21 May 2025 | |
| Manawa Com Nur Ctr | Manawa | 1 of 5 | 6 | $17,716 | 30 Apr 2025 | |
| St Joseph Residence | New London | 5 of 5 | 4 | $0 | 1 Oct 2025 | |
| WI Veterans Hm Ainsworth Hall | King | 5 of 5 | 10 | $0 | 19 Mar 2025 | |
| WI Veterans Home Moses Hall | King | 5 of 5 | 5 | $23,520 | 17 Jun 2026 | |
| Greentree Health and Rehabilitation Center | Clintonville | 3 of 5 | 14 | $0 | 23 Apr 2025 | |
| The Pines Post Acute and Memory Care | Clintonville | 4 of 5 | 6 | $11,960 | 17 Jul 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 Weyauwega (CCN 525315). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avina-of-weyauwega-weyauwega-wi-525315/
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 Weyauwega last inspected?
- The latest inspection with a citation in the CMS record was on 1 Jul 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 14 Feb 2024.
- Who operates Avina of Weyauwega?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Avina Healthcare. The CMS ownership file names Aa Healthcare Management, LLC for operational or managerial control. This site does not show the names of persons.
- Is Avina of Weyauwega 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.