Avina of Pewaukee

N26 W23977 Watertown Rd. · Waukesha, WI · 53188 · 2625230933

120 certified beds For profit - Corporation Chain: Avina Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 32
Serious harm & abuse 20% 78
Staffing 20% 61
Federal penalties 15% 60
Trend 10% 75
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.503.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day3.04≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)1 · $95,791

Inspection citations (55 in the current record)

  • Potential for harm · E March 18, 2026 · found via complaint

    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 April 13, 2026 · Resident Rights

  • Potential for harm · D March 18, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 13, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 18, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 13, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 18, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 13, 2026 · Quality of Life and Care

  • Potential for harm · D March 18, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 13, 2026 · Quality of Life and Care

  • Potential for harm · D July 15, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 14, 2025 · Infection Control

  • Potential for harm · E June 9, 2025

    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 July 9, 2025 · Resident Rights

  • Potential for harm · D June 9, 2025

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected July 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 9, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected July 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 9, 2025

    Provide activities to meet all resident's needs.

    Corrected July 9, 2025 · Quality of Life and Care

  • Potential for harm · E June 9, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected July 9, 2025 · Quality of Life and Care

  • Potential for harm · E June 9, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected July 9, 2025 · Nutrition and Dietary

  • Potential for harm · F June 9, 2025

    Dispose of garbage and refuse properly.

    Corrected July 9, 2025 · Nutrition and Dietary

  • Potential for harm · E June 9, 2025 · found via complaint

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected July 9, 2025 · Resident Rights

  • Potential for harm · D June 9, 2025 · found via complaint

    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 July 9, 2025 · Resident Rights

  • Potential for harm · D June 9, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 9, 2025 · Quality of Life and Care

  • Potential for harm · D June 9, 2025 · found via complaint

    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 July 9, 2025 · Quality of Life and Care

  • Potential for harm · E June 9, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected July 9, 2025 · Nursing and Physician Services

  • Potential for harm · E June 9, 2025 · found via complaint

    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 July 9, 2025 · Pharmacy Service

  • Potential for harm · D June 9, 2025 · found via complaint

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected July 9, 2025 · Administration

  • Potential for harm · D August 20, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 13, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 20, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 13, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 20, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 13, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 20, 2024 · found via complaint

    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 September 13, 2024 · Quality of Life and Care

  • Potential for harm · D August 20, 2024 · found via complaint

    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 September 13, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 26, 2023Fine$95,791

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525646 · certified since July 28, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.