Fond du Lac County

Avina on Division

Medicare rating
1 out of 5
1
finding of immediate jeopardy, the most serious kind
31%
less nursing care than its residents are expected to need, against a research benchmark

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Wisconsin homes, so a star here does not mean what it means in another state.

517 E Division St, Fond du Lac, WI 54935 · (920) 921-6800
50 beds · about 34 residents on a typical day · for-profit limited liability company

Staffing

All nursing staff, per resident, per day
3 hours 36 minutes

Residents here are expected to need about 5 hours 13 minutes, given how sick they are. This home reports 31% less. The average Wisconsin home reports 4 hours 13 minutes.

Registered nurses only
17 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 19 minutes of their time. This home reports 78% less.

Nursing staff who left in the past year
38%

38% of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average Wisconsin home reports 47%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

Medicare attached a note to this home’s staffing figure, numbered 24. Medicare does not publish what its staffing note numbers mean, so we cannot tell you why it is there, only that it is. Treat the hours above, and the gap we work out from them, with that in mind.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 42 findings on record going back to 2023, 12 of them after someone filed a complaint. Of the 42, 29 are from the last three years.

The 3 serious findings here

Actual harm March 28, 2026 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on April 23, 2026.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy March 28, 2026 From a complaint

Registered nurse coverage requirement not met

The home did not have a registered nurse on duty for 8 consecutive hours a day, 7 days a week, or did not have a full-time director of nursing.

The home fixed this on May 15, 2026.

Medicare’s wording

Federal tag F727Have 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.

Actual harm March 28, 2026 From a complaint

Medication errors

The home did not keep a resident free of a significant medication error.

The home fixed this on April 23, 2026.

Medicare’s wording

Federal tag F760Ensure that residents are free from significant medication errors.

Everything on record

Immediate jeopardy 1 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 2 A resident was hurt
Potential for harm 37 Could have caused harm. No one was hurt. The most common kind.
No harm2Rule was broken but no resident was put at risk. Usually paperwork or procedure.

239 of the 323 nursing homes in Wisconsin have fewer findings of harm or immediate jeopardy on record than this one.

Medicare also blocked payment for new admissions at this home for 15 days, starting April 30, 2026.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 525522.

What these numbers do not say

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.