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Facility profile · CCN 525315

Avina Of Weyauwega

54 federal citations on record , including 3 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $57,518.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
54
Total citations
43
Last 3 years
5
Actual harm+
4
Federal penalties
$57,518
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

54 on record
SurveyF-TagViolationSeveritySource
Oct 7, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Aug 27, 2025F742Provide 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.DComplaint
Aug 27, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 27, 2025F585Honor 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.DComplaint
Jun 27, 2025F880Provide and implement an infection prevention and control program.DComplaint
Apr 17, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 17, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.CStandard
Apr 17, 2025F887Educate 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.DStandard
Apr 17, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 17, 2025F880Provide and implement an infection prevention and control program.FStandard
Apr 17, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 17, 2025F761Ensure 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.EStandard
Apr 17, 2025F760Ensure that residents are free from significant medication errors.JStandard
Apr 17, 2025F758Implement 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.DStandard
Apr 17, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 17, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard
Apr 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard
Apr 17, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 17, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Apr 17, 2025F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Apr 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Feb 18, 2025F880Provide and implement an infection prevention and control program.DComplaint
Feb 18, 2025F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Jan 14, 2025F758Implement 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.GComplaint
Jan 14, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jan 14, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jan 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 14, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 8, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 24, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Jul 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Feb 14, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 14, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Feb 14, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 14, 2024F693Ensure 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.DStandard
Feb 14, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 14, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Feb 14, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Feb 14, 2024F551Give the resident's representative the ability to exercise the resident's rights.DStandard
Nov 1, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Nov 1, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jan 12, 2023F886Perform COVID19 testing on residents and staff.FStandard
Jan 12, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Jan 12, 2023F880Provide and implement an infection prevention and control program.FStandard
Jan 12, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 12, 2023F728Ensure 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.FStandard
Jan 12, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 12, 2023F610Respond appropriately to all alleged violations.EStandard
Jan 12, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard
Jan 12, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jan 12, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $57,518 and 1 payment-denial actions spanning 5 days.

DateTypeFinePayment denial
Apr 17, 2025Payment DenialMay 17, 2025 · 5 days
Jan 14, 2025Fine$24,840
Jul 24, 2024Fine$14,702
Nov 1, 2023Fine$17,976
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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