With a score of 63 out of 100, Avina On Division earns a C grade — placing it near the middle of Wisconsin nursing facilities. Families should review the detailed metrics below when considering this Fond Du Lac location.
Staffing at Avina On Division is near the national average, with 3.76 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 35 deficiencies at Avina On Division. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.76 | 3.8 | Average |
| Registered Nurses (RN) | 0.42 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.15 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.19 | 2.4 | Average |
| Weekend Total Nursing | 3.19 | 3.8 | Below Average |
| Weekend RN Hours | 0.25 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 20, 2025 · Nutrition and Dietary Deficiencies
- Tag 0814 Severity FDispose of garbage and refuse properly.May 20, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.May 20, 2025 · Infection Control Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.May 20, 2025 · 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.May 20, 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 | 8.9% | 4.5% | Worse |
| Falls with major injury | 3.9% | 3.0% | Worse |
| On antipsychotic medication | 10.8% | 14.5% | Better |
| Urinary tract infections | 5.9% | 2.5% | Worse |
| ADL decline (daily activities) | 4.6% | 14.0% | Better |
| Excessive weight loss | 4.7% | 7.5% | Better |
| New/worsened incontinence | 26.4% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 63 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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