Avina on Division
Ratings & Quality
Staffing Details
| RN Hours per Resident per Day | 0.42 |
|---|---|
| Total Nurse Hours per Resident per Day | 3.76 |
| Number of Certified Beds | 50 |
| Number of Residents | 32 |
Inspection Deficiencies (35)
Reasonably accommodate the needs and preferences of each resident.
Correction date: 2025-06-12
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction date: 2025-06-12
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2025-05-29
Dispose of garbage and refuse properly.
Correction date: 2025-06-12
Provide and implement an infection prevention and control program.
Correction date: 2025-06-13
Dispose of garbage and refuse properly.
Correction date: 2024-11-21
Give the resident's representative the ability to exercise the resident's rights.
Correction date: 2024-04-16
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction date: 2024-03-27
Ensure each resident receives an accurate assessment.
Correction date: 2024-03-27
PASARR screening for Mental disorders or Intellectual Disabilities
Correction date: 2024-04-16
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction date: 2024-04-16
Provide safe and appropriate respiratory care for a resident when needed.
Correction date: 2024-03-27
Post nurse staffing information every day.
Correction date: 2024-04-18
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Correction date: 2024-04-19
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction date: 2024-04-17
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2024-04-17
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction date: 2024-04-17
Provide and implement an infection prevention and control program.
Correction date: 2024-04-20
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction date: 2023-04-07
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Correction date: 2023-04-07
Prepare residents for a safe transfer or discharge from the nursing home.
Correction date: 2023-04-07
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Correction date: 2023-04-07
Give the resident's representative the ability to exercise the resident's rights.
Correction date: 2023-04-07
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction date: 2023-04-07
PASARR screening for Mental disorders or Intellectual Disabilities
Correction date: 2023-04-07
Provide activities to meet all resident's needs.
Correction date: 2023-04-07
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction date: 2023-04-07
Provide care or services that was trauma informed and/or culturally competent.
Correction date: 2023-04-07
Have 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.
Correction date: 2023-04-07
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction date: 2023-04-07
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.
Correction date: 2023-04-07
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2023-04-07
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction date: 2023-04-07
Notify 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.
Correction date: 2023-04-07
Provide enough food/fluids to maintain a resident's health.
Correction date: 2023-04-07
Facility Information
- Address 517 E DIVISION ST, Fond Du Lac, WI 54935
- Phone 9209216800
- Type Medicare and Medicaid
- Ownership For profit - Limited Liability company
About Avina on Division
Avina on Division is a medicare and medicaid certified nursing home in Fond Du Lac, Wisconsin. The facility has 50 certified beds and currently houses 32 residents. It has received an overall quality rating of 3 out of 5 stars from CMS. The facility has 35 inspection deficiencies on record. Registered nurse hours are 0.42 per resident per day.