Avina of Weyauwega

717 E Alfred St · Weyauwega, WI · 54983 · 9208673121

84 certified beds For profit - Limited Liability company Chain: Avina Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $97,028 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$97,028 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

66% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 9
Serious harm & abuse 20% 22
Staffing 20% 58
Federal penalties 15% 7
Trend 10% 29
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.863.48 min · 4.1 strong
RN hours / resident-day0.430.55–0.75
Weekend hours / resident-day2.95≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)4 · $115,004

Inspection citations (56 in the current record)

  • Potential for harm · D April 28, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 26, 2026 · Pharmacy Service

  • Potential for harm · D March 6, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 31, 2026 · Pharmacy Service

  • Potential for harm · D October 7, 2025 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected December 1, 2025 · Quality of Life and Care

  • Potential for harm · D August 27, 2025 · found via complaint

    Honor 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.

    Corrected September 22, 2025 · Resident Rights

  • Potential for harm · D August 27, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 27, 2025 · found via complaint

    Provide 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.

    Corrected September 22, 2025 · Quality of Life and Care

  • Potential for harm · D June 27, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 23, 2025 · Infection Control

  • Immediate jeopardy · K April 17, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 15, 2025 · Quality of Life and Care

  • Immediate jeopardy · J April 17, 2025

    Ensure that residents are free from significant medication errors.

    Corrected May 15, 2025 · Pharmacy Service

  • Potential for harm · D April 17, 2025

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected May 15, 2025 · Resident Rights

  • Potential for harm · E April 17, 2025

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected May 22, 2025 · Resident Rights

  • Potential for harm · D April 17, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 17, 2025

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected May 15, 2025 · Nursing and Physician Services

  • Potential for harm · D April 17, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 15, 2025 · Pharmacy Service

  • Potential for harm · D April 17, 2025

    Implement 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.

    Corrected May 15, 2025 · Pharmacy Service

  • Potential for harm · E April 17, 2025

    Ensure 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.

    Corrected May 15, 2025 · Pharmacy Service

  • Potential for harm · F April 17, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 15, 2025 · Nutrition and Dietary

  • Potential for harm · F April 17, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 15, 2025 · Infection Control

  • Potential for harm · D April 17, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected May 15, 2025 · Infection Control

  • Potential for harm · D April 17, 2025

    Educate 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.

    Corrected May 15, 2025 · Infection Control

  • Potential for harm · D April 17, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 15, 2025 · Quality of Life and Care

  • Potential for harm · E April 17, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected May 15, 2025 · Nursing and Physician Services

  • Potential for harm · D April 17, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 15, 2025 · Quality of Life and Care

  • No harm found · C April 17, 2025

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected May 15, 2025 · Administration

  • Potential for harm · D February 18, 2025 · found via complaint

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    Corrected March 14, 2025 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 17, 2025Fine$66,180
April 17, 2025Payment Denial5 days
January 14, 2025Fine$16,146
July 24, 2024Fine$14,702
November 1, 2023Fine$17,976

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525315 · certified since August 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.