facebook tracking Avina on Division, Fond du Lac WI: CMS Ratings & Inspections
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Avina on Division

All states › Wisconsin › Fond du Lac › Avina on Division

517 E Division St Fond du Lac, WI 54935 · Fond Du Lac County

(920) 921-6800

All 6 nursing homes in Fond du Lac, WI (6 take Medicaid)

Accepts Medicare Accepts Medicaid 50 certified beds For profit

CMS certification number 525522 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Avina on Division a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avina on Division as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Wisconsin average of 3.1. Inspectors issued 33 citations in the last three years. CMS imposed 2 penalties, including $58,210 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.61 hours per resident per day at Avina on Division, below the Wisconsin median of 4.04 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 3.18 hours, 12% below its all-week average. 42.9% of nursing staff left within a year (Wisconsin median 45.7%).

Nursing care per resident per day 3.61 hours
Below the Wisconsin median of 4.04 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.39 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.18 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 42.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds50
Residents per day 33 About 66% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1993
Part of a chainAvina Healthcare
Legal business nameMANOR OF FOND DU LAC LLC

Paying for care at Avina on Division: Medicare and Medicaid

Avina on Division is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Wisconsin's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 5, 2026 and found 4 deficiencies, plus 11 from complaint inspections in the same period. In total, inspectors issued 33 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 33 citations at Avina on Division across 6 inspection dates, 12 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 28, 2026 (complaint inspection). The most common areas cited were nutrition and dietary (8) and quality of life and care (7). The most serious was cited under the CMS rule to "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" (tag F0727, level L, March 28, 2026).

August 5, 2026 · 4 citations

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Aug 20, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Aug 20, 2026)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Aug 21, 2026)

DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Aug 27, 2026)

April 30, 2026 · 4 citations · includes complaint inspection

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2026)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2026)

DProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2026)

March 28, 2026 · 7 citations, includes immediate jeopardy · includes complaint inspection

LHave 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.

Immediate jeopardy · Nursing and Physician Services Deficiencies · Tag F0727 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2026)

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Apr 23, 2026)

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Apr 23, 2026)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Apr 23, 2026)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Apr 23, 2026)

FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Potential for more than minimal harm · Administration Deficiencies · Tag F0835 · Complaint inspection · Deficient, Provider has date of correction (Apr 23, 2026)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Apr 23, 2026)

May 21, 2025 · 5 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 29, 2025)

FDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Jun 12, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 13, 2025)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Jun 12, 2025)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jun 12, 2025)

November 18, 2024 · 1 citation · includes complaint inspection

CDispose of garbage and refuse properly.

Potential for minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2024)

March 27, 2024 · 12 citations

FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (Apr 19, 2024)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 17, 2024)

EPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Apr 16, 2024)

DGive the resident's representative the ability to exercise the resident's rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0551 · Deficient, Provider has date of correction (Apr 16, 2024)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Mar 27, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Mar 27, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 16, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Mar 27, 2024)

DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Apr 17, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Apr 17, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 20, 2024)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Apr 18, 2024)

Questions to ask on a tour of Avina on Division

  1. Inspectors cited the home at the immediate-jeopardy level on March 28, 2026 under the rule on nursing and physician services. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $58,210 in fines.

DateTypeAmount or length
Mar 28, 2026 Fine $58,210
Mar 28, 2026 Payment Denial 15 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 2/5 3/5
August 2026 1/5 1/5 1/5 3/5
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Location

Hospitals near Avina on Division

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.2 mi
    St Agnes Hsptl Fond du Lac
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 30m for patients treated and sent home
  • 3.1 mi
    Fond du Lac Cnty Mental Hlth Fond du Lac
    Emergency room
  • 18.9 mi
    Waupun Mem Hsptl Waupun
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 2h 19m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Harbor Haven Health & Rehabilitation Fond du Lac · 0.2 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 85 beds · Medicaid
St Francis Home Fond du Lac · 0.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 90 beds · Medicaid
Edenbrook of Fond Du Lac Fond du Lac · 0.6 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 90 beds · Medicaid
Avina of Fond du Lac Fond du Lac · 1.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 50 beds · Medicaid
Fond du Lac Lutheran Home Fond du Lac · 1.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 85 beds · Medicaid

More nursing homes near Avina on Division ›   All nursing homes in Fond du Lac ›

Compare Avina on Division with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Avina Healthcare nursing homes in Wisconsin

Affiliation comes from CMS's affiliated-entity data, October 2026. All 10 Avina Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/wisconsin/fond-du-lac/avina-on-division/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.