Below average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avina Of Fond Du Lac during CMS and state inspections, most recent first.
Surveyors found that the facility failed to maintain a safe, clean, and homelike environment on the 100 wing, where multiple ceiling tiles and walls near the dining area, nurses’ station, nourishment room, and common area showed black/green and brown fuzzy growth and water damage. A leaking ice machine in the nourishment room, reportedly present for an extended period and struck by a resident’s motorized wheelchair, was described by staff as the source of mold that spread to adjacent walls, ceiling tiles, and a nearby bathroom. The MD acknowledged long-standing leaks and water damage from the ice machine, a prior pipe burst, and a leaky HVAC unit but had not arranged repairs, and the NHA and DON were unaware of the extent of the staining and damage. A resident with mild intermittent asthma, migraines, and anxiety, and intact cognition, reported visible mold on ceiling tiles and other areas and believed the mold in common areas affected the resident’s asthma.
A resident with intact cognition and diagnoses including polycystic ovarian syndrome and asymptomatic premature menopause had an order for an Estradiol transdermal patch to be applied twice weekly. On one scheduled administration date, the Estradiol patch was not given because an LPN could not find it on the medication cart and did not seek assistance from other staff or contact the pharmacy. The MAR reflected a code indicating "other/see progress note," but no progress note documented administration, omission, or provider notification. The resident reported not receiving the patch because staff could not locate it and stated having pain when the patch was not on, while the DON later confirmed staff are expected to locate missing medications, contact the pharmacy, document omissions, and notify the provider.
A resident with dementia, severe cognitive impairment, and an activated POA experienced a physical and verbal altercation with another resident and later displayed repeated physical aggression toward staff, including inappropriate grabbing. Despite these documented behaviors and a facility policy requiring care plan review and revision upon status change, the resident’s care plan initially lacked any mention of aggression or sexually inappropriate behavior. When surveyors reviewed the record, the electronic care plan history showed that aggression-related problems and interventions were only added later, while paper copies inaccurately reflected earlier creation dates, demonstrating that the care plan was not updated in a timely or accurate manner after the incidents.
A resident with severe cognitive impairment and multiple serious diagnoses had a POAHC document on file, but the POAHC was never activated and the resident remained their own decision maker. Despite this, the designated POAHC agent signed vaccination consent and declination forms, DNR paperwork, admission documents, and a hospice agreement on the resident’s behalf. Facility staff confirmed there was no documentation that the resident authorized this individual to sign for them, resulting in healthcare decisions being made without documented consent from the resident or an activated POAHC.
A resident with schizophrenia and intact cognition reported for over a month that the bathroom faucet in the resident’s room did not work properly, yet it was not repaired in a timely manner. The facility’s policy required immediate reporting and documentation of maintenance issues, but the MD stated there were no work orders for the room and that work orders are discarded after completion. A housekeeper reported having written up the faucet concern about six weeks earlier and turning it in, assuming repairs were done. The NHA confirmed multiple accepted methods for notifying the MD of needed repairs and acknowledged the faucet should have been fixed promptly.
Two residents received each other’s medications when a medication technician failed to follow the six rights of medication administration and relied on inaccurate room identification. Both residents, who had multiple serious diagnoses and cognitive impairment, lacked photos in the electronic record, and the name plaques outside their rooms were incorrect following a room change that was not properly updated. Medication occurrence reports documented that each resident was given the other’s prescribed morning medications, and neither resident’s medical record contained a progress note about the medication error.
The facility failed to maintain sanitary conditions in dishwashing and food preparation, affecting all residents. Staff did not test the sanitizing solution correctly, and the cook did not follow proper hand hygiene while preparing food. The Dietary Manager confirmed the need for accurate testing of sanitizer concentration and proper handwashing practices.
The facility restricted two residents from using electric wheelchairs or scooters indoors following a policy change, impacting their quality of life and independence. Both residents, with intact cognition and various medical conditions, expressed distress over the inability to use their mobility aids, which affected their participation in activities and daily routines. The policy was changed to prevent potential hazards, but it was not communicated effectively to the residents, leading to feelings of anger and depression.
The facility did not ensure an RN was on duty for 8 consecutive hours daily, 7 days a week, affecting all 46 residents. Staffing schedules showed RN absence on 24 of 26 reviewed days, with reliance on LPNs and on-call DON/ADON. Staff interviews confirmed inconsistent RN presence, with recent hiring of an RN for alternate weekends and on-call arrangements for others.
The facility failed to store and prepare food in a sanitary manner, affecting all residents. During an inspection, it was found that time/temperature control foods were not labeled with open or use-by dates, violating the Wisconsin Food Code. Various food items in dry storage, the walk-in cooler, and the freezer were unlabeled, undated, or expired. The Dietary Manager acknowledged the issue and the lack of a reference sheet for safely storing food items.
A resident was transferred to the hospital twice without receiving the required written transfer notices, which should have included the date, reason, location, and appeal rights. Despite having intact cognition, the resident did not recall receiving these notices. The facility's policy requires such notices, but the Director of Nursing and Nursing Home Administrator confirmed that the correct forms were not provided.
The facility failed to complete neurological checks as per policy for two residents who experienced falls. One resident, with a history of restlessness and a femur fracture, had multiple unwitnessed falls with missing or incomplete neurochecks. Another resident, with a history of stroke and hemiplegia, also had missing neurochecks after a fall. Staff interviews confirmed the lapses in completing required assessments.
The facility failed to report allegations of sexual abuse and neglect involving two residents to the State Agency, local law enforcement, and the residents' legal representatives. The administration did not follow the facility's abuse prevention policy, resulting in unreported incidents and inadequate investigation.
The facility failed to thoroughly investigate allegations of abuse and neglect for three residents. One resident with dementia inappropriately touched another resident twice, but only one incident was reported to the State Agency, and no new interventions were implemented. Another resident with a history of trauma was not assessed for consent, and the facility did not consider their history in their response. Additionally, an allegation of neglect for a resident receiving hospice care was not investigated.
Failure to Maintain Clean, Mold-Free Environment on 100 Wing
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to maintain a safe, clean, comfortable, and homelike environment on the 100 wing, where multiple areas showed visible mold-like, black/green, and brown fuzzy growth on walls and ceiling tiles. During an environmental tour, a ceiling tile outside the main dining area on the 100 wing was observed with two black fuzzy spots surrounded by a dark gray stain. Ceiling tiles behind the 100 wing nurses’ station contained multiple black fuzzy stains spanning the corners of four tiles, connecting in the middle and spreading across the tiles. A ceiling tile with a sprinkler head at the entrance to the 100 wing common area/living room was observed to be warped, not fitting correctly in the ceiling grid, and covered with a brown fuzzy stain. Surveyors also observed structural damage and suspected mold growth on and behind walls near the nourishment room and nurses’ station. Underneath the nurses’ station, on a wall that shared a boundary with the nourishment room, there was a black/green fuzzy stain approximately 6 inches by 4 inches, with the wall appearing bubbled. The baseboard connecting the wall and the nurses’ station was falling off, exposing drywall with black fuzzy stains. A Medication Technician reported that there had been mold in the nourishment room due to a leaking ice machine, and that the mold had spread over the walls of the room, to ceiling tiles above and behind the nurses’ station, and to a bathroom behind the nurses’ station. The Medication Technician stated these concerns had been present since the technician started at the facility approximately two years earlier and that the ice maker had been taken out of use because the ice appeared to have mold. The Maintenance Director acknowledged that the ice machine in the nourishment room had leaked for some time before discovery, damaging walls in the nourishment room and spreading to bathroom walls behind the nourishment room and nurses’ station, and also stated that a resident had run into the ice machine with a motorized wheelchair approximately six months earlier. The Maintenance Director attributed some ceiling tile staining to a pipe burst about two years earlier and to a leaky HVAC system on the roof but had not contacted anyone for roof or HVAC repairs and stated not paying attention to ceiling tiles. The Nursing Home Administrator and DON were not aware of the black/green fuzzy stains on ceiling tiles, the leaky HVAC system, or the incident in which a resident ran into the ice maker. A resident with diagnoses including mild intermittent asthma, migraine with aura, and anxiety disorder, and an intact BIMS score, reported that there was mold on ceiling tiles and in other areas such as bathrooms and walls, and felt that mold in common areas affected the resident’s asthma.
Failure to Administer Ordered Estradiol Patch and Document Omission
Penalty
Summary
The deficiency involves the facility’s failure to provide pharmaceutical services to ensure accurate administration of drugs and biologicals for one resident. The facility’s Medication Administration policy, revised January 2026, requires staff to keep the medication cart clean, organized, and adequately stocked, to administer medications according to physician orders, and to correct discrepancies and report them to the nurse manager. The resident was admitted with diagnoses including conversion disorder with motor symptom deficit, polycystic ovarian syndrome, asymptomatic premature menopause, and dysmenorrhea, and had a BIMS score of 14/15 indicating intact cognition. The resident had a physician’s order for an Estradiol transdermal patch 0.025 mg/24 hr to be applied twice weekly on Mondays and Fridays for hormone therapy. On the date in question, the Medication Administration Record showed a code of “10” (Other/See progress note) for the Estradiol dose, but there was no corresponding progress note documenting administration, omission, or provider notification. The resident reported not receiving the Estradiol patch a few weeks prior because staff could not find it and stated experiencing pain when the patch was not on. The LPN responsible for medication administration on that date confirmed not administering the Estradiol patch because it could not be located and acknowledged not entering a progress note or notifying the provider. The LPN also stated that staff are expected to call the pharmacy or ask another staff member if a medication is missing, and the DON confirmed that staff are expected to locate the medication or call the pharmacy and document in the record if an ordered medication is not given and to update the provider.
Failure to Timely Update Care Plan After Aggressive and Inappropriate Behaviors
Penalty
Summary
The deficiency involves the facility’s failure to update a resident’s care plan in a timely manner following significant behavioral incidents, including a resident-to-resident altercation and subsequent physical aggression toward staff. The facility’s policy required the comprehensive care plan to be reviewed and revised as necessary when a resident experienced a status change. The resident, who had dementia, a UTI, altered mental status, a BIMS score of 3/15 indicating severe cognitive impairment, and an activated POA for healthcare, was involved in a physical and verbal altercation with another resident. Following this incident, the resident was placed on 15‑minute checks and moved to a different unit, but the care plan in the electronic medical record did not reflect a history of physical and verbal aggression toward residents and staff. Progress notes documented that the resident was physically aggressive with staff, including an incident where the resident punched, grabbed, and twisted a staff member’s breast, laughed, and refused to let go, as well as multiple other notes of physical aggression toward staff. When the surveyor reviewed the care plan in the electronic record, it lacked any mention of the resident’s aggression or inappropriate grabbing of staff. Paper copies later provided by the NHA showed care plans and interventions all dated as created on the date of the initial incident, including new entries describing confusion, episodes of physical aggression, and interventions such as redirection, 1:1 activities, and contacting the spouse during high agitation. However, the electronic record’s history showed that these aggression-related care plan elements and interventions were actually created and updated on a later survey date, revealing a discrepancy between the electronic care plan history and the dates printed on the paper copies.
Failure to Uphold Resident’s Healthcare Decision-Making Rights
Penalty
Summary
The facility failed to ensure a resident’s right to make healthcare decisions was upheld when the resident’s Power of Attorney for Healthcare (POAHC) had not been activated, yet the designated POAHC agent signed multiple medical and admission documents. The resident was admitted with diagnoses including encounter for palliative care, severe protein calorie malnutrition, malignant neoplasm of the bladder, and type 2 diabetes, and had a BIMS score of 6/15 indicating severely impaired cognition. The medical record contained a POAHC document listing the POAHC-F as the number 2 agent, but the resident had not been deemed incapacitated upon admission and remained their own decision maker throughout the stay. Despite this, the record showed that POAHC-F signed an influenza vaccination consent, a COVID-19 vaccination declination, Do Not Resuscitate (DNR) paperwork, and admission paperwork. During interviews, the Social Worker confirmed that the POAHC was never activated during the resident’s stay and acknowledged that there was only discussion of activating it prior to the resident’s death. The Social Worker stated that the resident had difficulty signing documents, so POAHC-F signed on the resident’s behalf. The Nursing Home Administrator also confirmed that the POAHC was not activated while the resident was in the facility and that POAHC-F signed a hospice agreement for the resident. Both staff members confirmed that the facility lacked documentation showing that the resident had agreed to allow POAHC-F to sign documents on their behalf, resulting in the resident’s healthcare decisions being executed without documented consent or an activated POAHC.
Failure to Timely Repair Malfunctioning Bathroom Faucet
Penalty
Summary
The facility failed to ensure a clean, comfortable, and homelike environment by not timely repairing a malfunctioning bathroom faucet for one resident. The resident, who had schizophrenia but intact cognition with a BIMS score of 15/15, reported that the faucet in the resident’s bathroom did not work well and stated having informed multiple staff members over the course of a month or longer. When the surveyor tested the faucet, only a light trickle of water was observed. The facility’s policy on Reporting Maintenance Issues required that all maintenance issues impacting resident safety, clinical care, infection prevention, dignity, or facility operations be reported immediately using the approved process and that all issues be documented with specific details and retained per policy. Despite this policy, the Maintenance Director reported there were no work orders for the resident’s room and stated that staff typically call, text, or speak in person to request repairs, and that work orders are thrown away after completion. The Maintenance Director was not aware of the faucet problem until accompanying the surveyor to the room and observing the issue. A housekeeper reported being aware that the faucet did not work well and stated having written down the concern and turned it in approximately a month and a half earlier, believing that repairs were completed timely. The Nursing Home Administrator confirmed that staff could notify the Maintenance Director of needed repairs by calling, texting, discussing in morning meetings, or filling out a work order, and verified that the resident’s faucet should have been repaired in a timely manner.
Medication Errors Due to Failure to Verify Resident Identity and Inaccurate Room Identification
Penalty
Summary
The deficiency involves the facility’s failure to provide pharmaceutical services that ensured accurate administration of medications for two residents when a medication technician administered each resident the other’s medications. On the morning of 9/11/25, MT-G gave one resident a set of medications that included furosemide 40 mg, potassium ER 10 mEq, donepezil 25 mg, metoprolol ER 50 mg, sertraline 50 mg, memantine 5 mg, and ursodiol 300 mg instead of the resident’s prescribed allopurinol 100 mg, amlodipine 2.5 mg, multivitamin, cyanocobalamin 1000 mcg, and isosorbide mononitrate ER 30 mg. This resident had been admitted earlier that month with diagnoses including malignant neoplasm of the bladder, infection and inflammatory reaction due to an indwelling urethral catheter, and was receiving palliative care, with a BIMS score of 6 indicating severely impaired cognition. The resident’s medication occurrence report documented that the wrong medications were administered and that the resident did not have a picture in the facility’s medical record system, and the medical record lacked a progress note regarding the medication error. The second resident, admitted with diagnoses including acute osteomyelitis of the left ankle and foot, aneurysm of the ascending aorta, cerebral infarction, and transient ischemic attack, with a BIMS score of 11 indicating moderately impaired cognition, was administered the first resident’s medications on the same morning. The medication occurrence report for this resident also documented that the wrong medications were given and that the resident did not have a picture in the medical record system, and the medical record similarly lacked a progress note regarding the medication error. The Nursing Home Administrator confirmed that the two residents received each other’s morning medications, that MT-G did not complete the six rights of medication administration, and that the name plaques outside both residents’ doors were incorrect due to a room change and failure to update the plaques. The Administrator also confirmed there was no education provided regarding the accuracy of residents’ name plaques or the importance of entering residents’ pictures into the medical record system upon admission.
Sanitation and Food Preparation Deficiencies
Penalty
Summary
The facility failed to ensure that dishes were washed and food was prepared in a safe and sanitary manner, potentially affecting all 46 residents. The deficiency was identified through observations, staff interviews, and record reviews. The facility's policy required dishes and cookware to be cleaned and sanitized after each meal, with the sanitizing solution tested using a test strip to ensure appropriate levels. However, the cook (CK-C) did not test the water temperature before testing the sanitizing solution, which is necessary to obtain an accurate result. Additionally, the Dietary Aide (DA-D and DA-E) did not know how to test the concentration of the sanitizer, despite it being part of their job duties. Further observations revealed that CK-C did not follow proper hand hygiene practices while preparing pureed fish. CK-C touched the lid of a garbage bin and did not wash hands before continuing food preparation. CK-C also handled food with bare hands and did not wash hands between handling dirty dishes and preparing lunch. The Dietary Manager (DM-G) confirmed that cooks are responsible for checking the sanitizer concentration and that the dishwater should be between 65 and 75 degrees Fahrenheit when tested. The failure to adhere to these procedures compromised the sanitary conditions of food preparation and dishwashing in the facility.
Facility Policy Change Restricts Residents' Use of Mobility Aids
Penalty
Summary
The facility failed to honor the rights of two residents, R10 and R11, by not allowing them to continue using their electric wheelchairs or motorized scooters inside the facility. This decision was made following a change in the facility's policy, which prohibited the use of motorized mobility aids indoors, citing potential hazards to other residents. The Nursing Home Administrator (NHA-A) confirmed that the policy change was communicated to the residents and their legal representatives, but the residents were not provided with a copy of the new policy. Both residents had intact cognition and made their own medical decisions, as indicated by their Minimum Data Set (MDS) assessments. R10, who had multiple diagnoses including dementia and difficulty in walking, expressed feelings of mild anger and depression due to the policy change, as it made it difficult for R10 to self-propel a manual wheelchair. R11, who also had several medical conditions, was devastated by the inability to use a scooter, which affected R11's independence and participation in activities. R11 reported that without the scooter, R11 could not attend activities or eat in the dining room comfortably, as the CNAs were too busy to assist. The NHA-A stated that the policy was implemented to prevent potential hazards, but this decision negatively impacted the residents' quality of life and their ability to exercise self-determination and communication rights.
Failure to Maintain RN Coverage 8 Hours Daily
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for at least 8 consecutive hours per day, 7 days a week, as required. This deficiency was identified during a review of nurse staffing schedules and Payroll Based Journal (PBJ) records, which revealed that the facility did not have an RN on duty for 8 consecutive hours on 24 out of 26 days reviewed. The absence of RN coverage was particularly noted on weekends and holidays, with the facility relying on Licensed Practical Nurses (LPNs) and having the Director of Nursing (DON) or Assistant Director of Nursing (ADON) on-call instead of physically present. Interviews with staff, including LPNs and the DON, confirmed that the facility had recently hired an RN to work every other weekend, while the DON or ADON were on-call on the opposite weekends. However, the DON acknowledged that on some days, the DON was in the building but primarily engaged in office work rather than providing direct care. The DON also mentioned a belief that the facility had a waiver for RN staffing, which was not confirmed by the Nursing Home Administrator. The lack of consistent RN presence had the potential to affect all 46 residents in the facility.
Food Storage and Labeling Deficiency
Penalty
Summary
The facility failed to ensure that food was stored and prepared in a sanitary manner, which had the potential to affect all 46 residents residing in the facility. During an inspection, it was observed that the facility did not label time/temperature control foods with open or use-by dates, as required by the Wisconsin Food Code 2020. The Dietary Manager (DM) confirmed that the facility follows this code as their standard of practice. During a tour of the kitchen, several items in dry storage, the walk-in cooler, and the freezer were found to be unlabeled, undated, or expired. These included loaves of bread, hamburger buns, marshmallows, chocolate chips, mashed potatoes, pudding, breadcrumbs, hashbrowns, sugar, flour, cereals, shredded cheese, mayonnaise, chicken noodle, hard-boiled eggs, sliced cheese, mozzarella cheese, pinto beans, meatballs, chicken fried steak, meat sauce, pulled pork, spice cake, and diced pork. Additionally, various sandwiches and snacks for residents in the first and second-floor unit refrigerators/freezers were also without use-by dates. The DM acknowledged that the facility uses a first in/first out (FIFO) food storage process and that staff should date items with the date they were opened or made and a use-by date. However, the DM admitted to not having a reference sheet for safely storing food items and was informed by the facility's contracted kitchen company that the current dating system was insufficient. Despite being aware of the issue, the DM had not yet found a food storage guideline to share with the kitchen staff.
Failure to Provide Required Transfer Notices
Penalty
Summary
The facility failed to provide a resident, identified as R8, with the required written transfer notices during two hospitalizations. R8 was transferred to the hospital on two occasions due to chest pain and shortness of breath, but did not receive written notices that included the date of transfer, reason for transfer, location of transfer, and appeal rights. The facility's policy mandates that such notices be provided prior to any transfer or discharge, but this was not adhered to in R8's case. R8, who had intact cognition as indicated by a perfect score on the Brief Interview for Mental Status, did not recall receiving any written transfer notices. The Director of Nursing confirmed that the medical record contained eInteract transfer forms, which are not the correct forms for notifying residents of transfers. The Nursing Home Administrator also acknowledged that the proper transfer notices were not provided to R8, confirming the deficiency in following the facility's policy.
Failure to Complete Neurological Checks After Falls
Penalty
Summary
The facility failed to ensure that neurological checks were completed according to policy for two residents who experienced falls. Resident 35, who had diagnoses including restlessness, agitation, a fracture of the left femur, and diabetes, experienced multiple unwitnessed falls on four separate occasions. Despite having intact cognition, as indicated by a BIMS score of 14 out of 15, the resident's neurochecks were incomplete or missing on each occasion. Specifically, there were four missing neurochecks on one date, two incomplete checks on another, one missing check on a third date, and six missing checks on the last recorded fall. Similarly, Resident 38, who had a history of stroke and flaccid hemiplegia affecting the left side, experienced an unwitnessed fall. This resident, with moderately impaired cognition as indicated by a BIMS score of 12 out of 15, also had five missing neurochecks following the fall. The facility's policy required neurochecks to be completed at specific intervals following a fall, but these were not adhered to. Interviews with staff, including an LPN and the DON, confirmed the missing neurochecks and the expectation that all checks should be completed as per policy.
Failure to Report Allegations of Abuse and Neglect
Penalty
Summary
The facility failed to develop and implement policies and procedures for reporting a reasonable suspicion of a crime in accordance with section 1150B of the Act for two residents. Specifically, the facility did not report an allegation of sexual abuse involving two residents to the State Agency, local law enforcement, or the residents' legal representatives. The incident involved one resident inappropriately touching another resident on two separate occasions. Despite the facility's policy requiring immediate reporting of such incidents, the administration did not report the second incident, believing it was not necessary because the affected resident did not want to get the perpetrator in trouble. Additionally, the facility did not report an allegation of neglect involving another resident to the State Agency. The resident, who had multiple diagnoses including cancer and dementia, was receiving hospice services and passed away shortly after the incident. The resident's Power of Attorney accused the facility of neglect, stating that the resident was not receiving adequate care and was left to die without proper assistance. The Director of Nursing confirmed that the allegation was not reported to the State Agency. These failures indicate a significant lapse in the facility's adherence to its own abuse prevention policy and regulatory requirements. The incidents were not reported as required, and the administration did not take appropriate action to ensure that all allegations of abuse and neglect were properly investigated and reported to the necessary authorities.
Failure to Investigate Allegations of Abuse and Neglect
Penalty
Summary
The facility failed to ensure allegations of abuse and neglect were thoroughly investigated for three residents. Resident 3, who had dementia and moderately impaired cognition, was involved in two incidents of inappropriate sexual contact with Resident 2. Despite the incidents being reported to administration, only one was reported to the State Agency, and no thorough investigation or new interventions were implemented to ensure resident safety. The facility's Director of Nursing and Nursing Home Administrator confirmed that the allegation of abuse was not thoroughly investigated, and staff training on 1:1 duties was not reinforced after the incidents. Resident 2, who had a history of traumatic brain injury and previous trauma, was inappropriately touched by Resident 3 on two occasions. The facility did not assess Resident 2's ability to consent to sexual touch, nor did they consider Resident 2's history of abuse and trauma in their response. The facility's response was limited to staff education on 1:1 job duties, which did not prevent the abuse from occurring again. Resident 1, who had colon and liver cancer and moderately impaired cognition, was receiving hospice services and passed away. The resident's Power of Attorney alleged neglect, stating that the resident was not receiving adequate care. The Director of Nursing confirmed that the facility did not investigate the allegation of neglect made by Resident 1's Power of Attorney.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 159 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Fond Du Lac
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fond Du Lac Lutheran Home | 0.3 mi | ★★★★★ | 24 | 0 |
| St Francis Home | 0.7 mi | ★★★★★ | 12 | 0 |
| Avina On Division | 1 mi | ★★★★★ | 11 | 1 |
| Harbor Haven Health & Rehabilitation | 1 mi | ★★★★★ | 0 | 0 |
| Edenbrook Of Fond Du Lac | 1.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.