Deficiency timeline
Avina of Pewaukee
Dated inspection findings, penalties, and correction notes for this nursing home in Waukesha, WI. Newest events first.
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0584: Resident Rights
Resident rights
Honor 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.
Corrected Apr 13, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Apr 13, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Apr 13, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Apr 13, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 13, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Aug 14, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0578: Resident Rights
Resident rights
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0604: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0688: Quality of Life and Care
Quality of life & care
Provide 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.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0847: Administration
Administration
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0761: Pharmacy Service
Pharmacy services
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 Jul 9, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0814: Nutrition and Dietary
Nutrition & dietary
Dispose of garbage and refuse properly.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0565: Resident Rights
Resident rights
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0584: Resident Rights
Resident rights
Honor 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.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0605: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Jul 9, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0688: Quality of Life and Care
Quality of life & care
Provide 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.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0693: Quality of Life and Care
Quality of life & care
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Sep 13, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0756: Pharmacy Service
Pharmacy services
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0585: Resident Rights
Resident rights
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 Mar 26, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0698: Quality of Life and Care
Quality of life & care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0740: Quality of Life and Care
Quality of life & care
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Mar 26, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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 Mar 26, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0800: Nutrition and Dietary
Nutrition & dietary
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected Mar 26, 2024
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Jan 15, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0584: Resident Rights
Resident rights
Honor 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.
Corrected Jan 15, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Jan 15, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jan 15, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0745: Quality of Life and Care
Quality of life & care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Jan 15, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0758: Pharmacy Service
Pharmacy services
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 Jan 15, 2024
- Fine $95,791cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0745: Quality of Life and Care
Quality of life & care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Dec 15, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 1, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Dec 28, 2022
- Class IIIPotential for more than minimal harm (E)cms
F0758: Pharmacy Service
Pharmacy services
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 Dec 28, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Dec 28, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 28, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0698: Quality of Life and Care
Quality of life & care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Dec 28, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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 Dec 28, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Dec 28, 2022
- Class IIActual harm (G)cms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Dec 28, 2022
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile