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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D26 | E9 | F17 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jul 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 21, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 2, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 15, 2024 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Aug 15, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Nov 8, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 25, 2023 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Apr 25, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 8, 2023 | Civil money penalty (fine) | $19,383 | — | 525616|Fine|61038 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D26 | E9 | F17 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 17, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2026 | Complaint |
| Dec 4, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 2, 2026 | |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
10 facilities in 1 states. CMS chain ID 819.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Joseph Brandman | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | May 1, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Joseph Brandman | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | May 1, 2015 |
| Joseph Brandman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2015 |
| Aaron Topper | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 1, 2015 |
| Health Care Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2015 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avina of Kenosha 3100 Washington Rd., Kenosha, WI 53144 CCN 525179 | 153 | Aug 20, 2026 | 905 IJ3 harm4 open | $34k | |
| Avina of Fond Du Lac |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Hope Health and Rehab 438 Ashford Ave., Lomira, WI 53048 CCN 525642 | 14.5 km | 38 | Jun 18, 2026 | 341 IJ | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525616 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525616 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| K-0362 |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jan 2, 2026 |
| Dec 4, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 2, 2026 |
| Dec 4, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 2, 2026 |
| Dec 4, 2025 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 2, 2026 |
| Dec 4, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 2, 2026 |
| Dec 4, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 2, 2026 |
| Dec 4, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 2, 2026 |
| Dec 4, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 2, 2026 |
| Dec 4, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 2, 2026 |
| Dec 4, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 2, 2026 |
| Dec 4, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 2, 2026 |
| Jul 24, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 15, 2025 | Complaint |
| Feb 21, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 14, 2025 | Complaint |
| Feb 21, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 14, 2025 | Complaint |
| Feb 21, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 14, 2025 | Complaint |
| Oct 2, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 11, 2024 | Complaint |
| Oct 2, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 11, 2024 | Complaint |
| Aug 15, 2024 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 2, 2024 |
| Aug 15, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 13, 2024 |
| Aug 15, 2024 | K-0925 | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Aug 15, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Aug 15, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 13, 2024 |
| Aug 15, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Nov 8, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 6, 2023 | Complaint |
| Apr 25, 2023 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 18, 2023 |
| Apr 25, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 25, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2023 |
| Apr 25, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 25, 2023 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2023 |
| Apr 25, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 26, 2023 |
| Apr 25, 2023 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2023 |
| Apr 25, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2023 |
| Apr 25, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 25, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 25, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 25, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.08 (case-mix index 1.55).
| Mar'que Anderson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 14, 2020 |
| Joseph Brandman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2015 |
| Keshni Ramnanan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 14, 2020 |
| Aaron Topper | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2015 |
| Mar'que Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 14, 2020 |
| Joseph Brandman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2015 |
| Keshni Ramnanan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 14, 2020 |
| Aaron Topper | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2015 |
| 50 |
| Jul 6, 2026 |
651 IJ |
| $7,446 |
| Avina on 32nd 8633 32nd Ave, Kenosha, WI 53142 CCN 525282Abuse icon | 110 | Jun 30, 2026 | 731 IJ | $26k |
| Avina of Sun Prairie 41 Rickel Rd., Sun Prairie, WI 53590 CCN 525313 | 50 | Aug 5, 2026 | 35 | — |
| Avina of Weyauwega 717 E Alfred St, Weyauwega, WI 54983 CCN 525315 | 84 | Jul 1, 2026 | 793 IJ2 harm | $116k |
| Milwaukee Health and Rehab 3216 W Highland Blvd, Milwaukee, WI 53208 CCN 525417 | 95 | Dec 8, 2025 | 60 | — |
| Avina on Division 517 E Division St, Fond Du Lac, WI 54935 CCN 525522 | 50 | Aug 5, 2026 | 591 IJ2 harm | $58k |
| Avina of Milwaukee 9255 N 76th St, Milwaukee, WI 53223 CCN 525523Abuse icon | 108 | Aug 12, 2026 | 1221 IJ5 harm | $142k |