F

Avina of Weyauwega

717 E ALFRED ST, WEYAUWEGA, WI 54983
Score: 10 / 100

With a score of 10/100, Avina Of Weyauwega ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Avina Of Weyauwega is near the national average, with 4.07 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 54 deficiencies at Avina Of Weyauwega, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.07 3.8 Average
Registered Nurses (RN) 0.53 0.7 Below Average
Licensed Practical Nurses (LPN) 1.12 0.7 Above Average
Certified Nursing Assistants (CNA) 2.43 2.4 Average
Weekend Total Nursing 3.04 3.8 Below Average
Weekend RN Hours 0.24 0.7 Below Average

🔍 Inspection & Deficiency History

54
Total Deficiencies
Oct 6, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 50 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0690 Severity D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Oct 6, 2025 · Quality of Life and Care Deficiencies
  • Tag 0585 Severity D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Aug 26, 2025 · Resident Rights Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Aug 26, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0742 Severity D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty,
    Aug 26, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jun 26, 2025 · Infection Control 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 9.1% 4.5% Worse
Falls with major injury 2.1% 3.0% Better
On antipsychotic medication 15.5% 14.5% Average
Urinary tract infections 0.7% 2.5% Better
ADL decline (daily activities) 5.8% 14.0% Better
Excessive weight loss 6.6% 7.5% Better
New/worsened incontinence 24.9% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $57,518

How This Grade Was Calculated

This facility's grade of F is based on a score of 10 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
84
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 16, 2025
Deficiencies (Cycle 1)
22