Avina of Fond du Lac
115 E ARNDT ST, FOND DU LAC, WI 54935 · CCN 525270
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 50
- Avg residents/day
- 43.7
- Phone
- 9209237040
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-17 | 14 | 9.8 | 9.5 | +4.2 worse |
| 2 | 2024-06-05 | 6 | 9.2 | 9.8 | -3.2 better |
| 3 | 2023-05-17 | 8 | 8.3 | 9.3 | -0.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 5 |
| Nursing and physician services | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.90 | 32.6% |
| RN staffing (reported) | 0.57 | 40.0% |
| Total nurse staffing (adjusted) | 4.01 | — |
Fines & penalties
- Total fines
- $7,446
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- AVINA HEALTHCARE
- Facilities in chain
- 8
- Chain avg overall
- 2.80 / 5
Inspection citations (28)1 immediate jeopardy
- DF0551Give the resident's representative the ability to exercise the resident's rights.2026-01-05 · Health · corrected 2026-01-23
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2026-01-05 · Health · corrected 2026-01-06
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-05 · Health · corrected 2026-01-23
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-07-17 · Health · corrected 2025-07-22
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-07-17 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-07-17 · Health · corrected 2025-07-22
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-17 · Health · corrected 2025-07-18
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-07-17 · Health · corrected 2025-07-18
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-17 · Health · corrected 2025-07-18
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-07-17 · Health · corrected 2025-08-06
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-07-17 · Health · corrected 2025-08-11
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-17 · Health · corrected 2025-07-18
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-14 · Health · corrected 2025-04-14
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-14 · Health · corrected 2025-04-14
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-05 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-05 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-06-05 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-05 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-01 · Health · corrected 2024-05-02
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-05-01 · Health · corrected 2024-05-02
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-02 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-19 · Health · corrected 2023-11-03
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-10-19 · Health · corrected 2023-11-03
Potential for more than minimal harm
- JF0660Plan the resident's discharge to meet the resident's goals and needs.2023-10-19 · Health · corrected 2023-11-03
Immediate jeopardy
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-17 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-17 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-21 · Health · corrected 2023-04-17
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-03-15 · Health · corrected 2023-04-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| TOPPER, AARON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | 2017-12-01 |
| REBEL, IGOR | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2017-12-01 |
| RHODE, ROSALINDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-22 |
| WEBER, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-01 |
Other facilities in FOND DU LAC
| Name | Overall | Beds |
|---|---|---|
| HARBOR HAVEN HEALTH & REHABILITATION | ★★★★★ | 85 |
| EDENBROOK OF FOND DU LAC | ★★★☆☆ | 90 |
| Avina on Division | ★★★☆☆ | 50 |
| ST FRANCIS HOME | ★★★☆☆ | 90 |
| FOND DU LAC LUTHERAN HOME | ★☆☆☆☆ | 85 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.