CMS data shows Avina Of Fond Du Lac earning a D grade with a score of 43/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Avina Of Fond Du Lac is near the national average, with 3.90 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 28 deficiencies at Avina Of Fond Du Lac, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: give the resident's representative the ability to exercise the resident's rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.90 | 3.8 | Average |
| Registered Nurses (RN) | 0.57 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.78 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.55 | 2.4 | Average |
| Weekend Total Nursing | 3.32 | 3.8 | Below Average |
| Weekend RN Hours | 0.26 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0551 Severity DGive the resident's representative the ability to exercise the resident's rights.Jan 4, 2026 · Resident Rights Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJan 4, 2026 · Resident Rights Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jan 4, 2026 · Pharmacy Service Deficiencies
- Tag 0727 Severity FHave 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.Jul 16, 2025 · Nursing and Physician Services Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jul 16, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 13.4% | 4.5% | Worse |
| Falls with major injury | 4.1% | 3.0% | Worse |
| On antipsychotic medication | 24.1% | 14.5% | Worse |
| Urinary tract infections | 5.6% | 2.5% | Worse |
| ADL decline (daily activities) | 5.9% | 14.0% | Better |
| Excessive weight loss | 3.3% | 7.5% | Better |
| New/worsened incontinence | 24.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $7,446
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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