With a score of 26/100, Avina Of Pewaukee 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 Pewaukee is near the national average, with 3.42 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 50 deficiencies at Avina Of Pewaukee, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.42 | 3.8 | Average |
| Registered Nurses (RN) | 0.31 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.00 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.12 | 2.4 | Below Average |
| Weekend Total Nursing | 2.88 | 3.8 | Below Average |
| Weekend RN Hours | 0.17 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Jul 14, 2025 · Infection Control Deficiencies
- Tag 0814 Severity FDispose of garbage and refuse properly.Jun 8, 2025 · Nutrition and Dietary Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJun 8, 2025 · Resident Rights Deficiencies
- Tag 0605 Severity EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Jun 8, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0679 Severity EProvide activities to meet all resident's needs.Jun 8, 2025 · Quality of Life and Care 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 | 4.5% | 4.5% | Average |
| Falls with major injury | 1.4% | 3.0% | Better |
| On antipsychotic medication | 13.6% | 14.5% | Average |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 7.0% | 14.0% | Better |
| Excessive weight loss | 7.4% | 7.5% | Average |
| New/worsened incontinence | 23.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $95,791
How This Grade Was Calculated
This facility's grade of F is based on a score of 26 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: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -9 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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