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Deficiency Records for Avina of Fond Du Lac
View the most recent health deficiencies and inspection results for Avina of Fond Du Lac. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avina of Fond Du Lac. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a 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. | Health | 2026-04-22 | 2026-05-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-22 | 2026-05-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-02-11 | 2026-02-16 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-01-05 | 2026-01-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-05 | 2026-01-23 | Y |
| 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. | Health | 2026-01-05 | 2026-01-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-17 | 2025-08-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-07-17 | 2025-08-11 | N |
| 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. | Health | 2025-07-17 | 2025-08-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-07-17 | 2025-08-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-07-17 | 2025-08-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-07-17 | 2025-08-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-17 | 2025-07-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-07-17 | 2025-07-23 | N |
| 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. | Health | 2025-07-17 | 2025-07-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-07-17 | 2025-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-17 | 2025-07-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-17 | 2025-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-17 | 2025-07-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-17 | 2025-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-17 | 2025-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-17 | 2025-07-18 | N |
| Have an externally vented heating system. | Fire Safety | 2025-07-17 | 2025-07-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-17 | 2025-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-17 | 2025-07-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-17 | 2025-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-14 | 2025-04-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-14 | 2025-04-14 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-05 | 2024-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-05 | 2024-07-19 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-05 | 2024-07-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-05 | 2024-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-05 | 2024-07-05 | N |
| 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. | Health | 2024-06-05 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-05 | 2024-07-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-05 | 2024-07-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-05 | 2024-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-05 | 2024-07-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-05 | 2024-06-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-05 | 2024-06-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-06-05 | 2024-06-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-05 | 2024-06-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-06-05 | 2024-06-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-06-05 | 2024-06-08 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-06-05 | 2024-06-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-05 | 2024-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-05 | 2024-06-07 | N |
| 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. | Fire Safety | 2024-06-05 | 2024-06-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-01 | 2024-05-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-01 | 2024-05-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-19 | 2023-11-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-19 | 2023-11-03 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-19 | 2023-11-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-17 | 2023-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-17 | 2023-06-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-17 | 2023-06-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-17 | 2023-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-06-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-17 | 2023-06-16 | N |
| 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. | Fire Safety | 2023-05-17 | 2023-06-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-05-17 | 2023-06-16 | N |