Starfile / Wisconsin

Avina of Milwaukee

9255 N 76TH ST, MILWAUKEE, WI 53223 · CCN 525523

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$90,921

Number of fines

2

Number of penalties

4

Payment denials

2

Chain

Chain

ASCENSION LIVING

Facilities in chain

19

Chain avg overall

2.60 / 5

Inspection citations (58)1 immediate jeopardy3 actual harm

1. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2026-01-08 · Health · corrected 2026-02-08

   Potential for more than minimal harm

2. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-08 · Health · corrected 2026-02-08

   Potential for more than minimal harm

3. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-08 · Health · corrected 2026-02-08

   Potential for more than minimal harm

4. FF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2026-01-08 · Health · corrected 2026-02-08

   Potential for more than minimal harm

5. DF0585Honor 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.2025-12-04 · Health · corrected 2026-01-04

   Potential for more than minimal harm

6. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-12-04 · Health · corrected 2026-01-04

   Potential for more than minimal harm

7. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-04 · Health · corrected 2026-01-04

   Potential for more than minimal harm

8. DF0692Provide enough food/fluids to maintain a resident's health.2025-12-04 · Health · corrected 2026-01-04

   Potential for more than minimal harm

9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-28 · Health · corrected 2025-08-28

   Potential for more than minimal harm

10. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-07-28 · Health · corrected 2025-09-18

    Potential for more than minimal harm

11. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-20 · Health · corrected 2025-04-20

    Potential for more than minimal harm

12. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-20 · Health · corrected 2025-04-20

    Potential for more than minimal harm

13. EF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-03-20 · Health · corrected 2025-04-20

    Potential for more than minimal harm

14. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-20 · Health · corrected 2025-04-20

    Potential for more than minimal harm

15. DF0610Respond appropriately to all alleged violations.2025-03-20 · Health · corrected 2025-04-20

    Potential for more than minimal harm

16. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-03 · Health · corrected 2024-12-20

    Potential for more than minimal harm

17. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-03 · Health · corrected 2024-12-20

    Potential for more than minimal harm

18. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-07 · Health · corrected 2024-12-20

    Potential for more than minimal harm

19. DF0610Respond appropriately to all alleged violations.2024-10-07 · Health · corrected 2024-11-05

    Potential for more than minimal harm

20. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-10-07 · Health · corrected 2024-11-05

    Potential for more than minimal harm

21. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-07 · Health · corrected 2024-11-05

    Potential for more than minimal harm

22. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-07 · Health · corrected 2024-11-05

    Potential for more than minimal harm

23. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-07 · Health · corrected 2024-11-05

    Actual harm

24. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-07 · Health · corrected 2024-12-20

    Actual harm

25. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-07 · Health · corrected 2024-11-05

    Potential for more than minimal harm

26. DF0692Provide enough food/fluids to maintain a resident's health.2024-10-07 · Health · corrected 2024-11-05

    Potential for more than minimal harm

27. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-07 · Health · corrected 2024-11-05

    Potential for more than minimal harm

28. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-07 · Health · corrected 2024-11-05

    Potential for more than minimal harm

29. EF0880Provide and implement an infection prevention and control program.2024-10-07 · Health · corrected 2024-11-05

    Potential for more than minimal harm

30. EF0583Keep residents' personal and medical records private and confidential.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

31. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

32. DF0610Respond appropriately to all alleged violations.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

33. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-01 · Health · corrected 2024-08-21

    Immediate jeopardy

34. DF0687Provide appropriate foot care.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

35. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

36. FF0730Observe each nurse aide's job performance and give regular training.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

37. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

38. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

39. DF0887Educate 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.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

40. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

41. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

42. FF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

43. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

44. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

45. FF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

46. FF0946Provide training in compliance and ethics.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

47. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

48. FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-07-01 · Health · corrected 2024-08-06

    Potential for more than minimal harm

49. EF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-04-08 · Health · corrected 2024-05-07

    Potential for more than minimal harm

50. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-09 · Health · corrected 2023-09-09

    Potential for more than minimal harm

51. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-08-09 · Health · corrected 2023-09-09

    Potential for more than minimal harm

52. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-08-09 · Health · corrected 2023-09-09

    Potential for more than minimal harm

53. DF0758Implement 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.2023-08-09 · Health · corrected 2023-09-09

    Potential for more than minimal harm

54. EF0761Ensure 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.2023-08-09 · Health · corrected 2023-09-09

    Potential for more than minimal harm

55. DF0880Provide and implement an infection prevention and control program.2023-08-09 · Health · corrected 2023-09-09

    Potential for more than minimal harm

56. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-08 · Health · corrected 2023-03-31

    Actual harm

57. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-04-13 · Health · corrected 2022-05-13

    Potential for more than minimal harm

58. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-04-13 · Health · corrected 2022-05-13

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in MILWAUKEE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.