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Deficiency Records for Avina of Milwaukee
View the most recent health deficiencies and inspection results for Avina of Milwaukee. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avina of Milwaukee. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-03-12 | 2026-05-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-04-14 | 2026-05-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-04-14 | 2026-05-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-14 | 2026-05-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-14 | 2026-05-02 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-04-14 | 2026-05-02 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-04-14 | 2026-05-02 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2026-03-12 | 2026-04-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-12 | 2026-04-08 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2026-03-12 | 2026-04-08 | N |
| 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. | Health | 2026-03-12 | 2026-04-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-03-12 | 2026-04-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-12 | 2026-04-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-12 | 2026-04-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-12 | 2026-04-08 | N |
| Provide activities to meet all resident's needs. | Health | 2026-03-12 | 2026-04-08 | N |
| 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. | Health | 2026-03-12 | 2026-04-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2026-03-12 | 2026-04-08 | 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 | 2026-03-12 | 2026-04-08 | 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 | 2026-03-12 | 2026-04-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2026-03-12 | 2026-04-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-03-12 | 2026-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-12 | 2026-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-03-12 | 2026-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-03 | 2026-03-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-03 | 2026-03-03 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-02-03 | 2026-03-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-02-03 | 2026-03-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-03 | 2026-03-03 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2026-02-03 | 2026-03-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-08 | 2026-02-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-08 | 2026-02-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-08 | 2026-02-08 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2026-01-08 | 2026-02-08 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-12-04 | 2026-01-04 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-12-04 | 2026-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-04 | 2026-01-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-04 | 2026-01-04 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-07-28 | 2025-09-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-28 | 2025-08-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-20 | 2025-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-20 | 2025-04-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-03-20 | 2025-04-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-20 | 2025-04-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-20 | 2025-04-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-07 | 2025-03-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-07 | 2024-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-07 | 2024-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-03 | 2024-12-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-07 | 2024-12-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-03 | 2024-12-20 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-07 | 2024-12-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-10-07 | 2024-12-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-10-07 | 2024-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-07 | 2024-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-07 | 2024-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-07 | 2024-11-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-07 | 2024-11-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-10-07 | 2024-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-07 | 2024-11-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-07 | 2024-11-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-07 | 2024-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-07 | 2024-11-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-07 | 2024-11-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-10-07 | 2024-11-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-07 | 2024-11-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-07 | 2024-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-07 | 2024-11-05 | N |
| Respond appropriately to all alleged violations. | Health | 2024-10-07 | 2024-11-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-01 | 2024-08-21 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-07-01 | 2024-08-06 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-07-01 | 2024-08-06 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-07-01 | 2024-08-06 | Y |
| Provide training in compliance and ethics. | Health | 2024-07-01 | 2024-08-06 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-07-01 | 2024-08-06 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-07-01 | 2024-08-06 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-07-01 | 2024-08-06 | Y |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-07-01 | 2024-08-06 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-07-01 | 2024-08-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-01 | 2024-08-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-01 | 2024-08-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-01 | 2024-08-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-01 | 2024-08-06 | Y |
| Provide appropriate foot care. | Health | 2024-07-01 | 2024-08-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-01 | 2024-08-06 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-01 | 2024-08-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-01 | 2024-08-06 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-07-01 | 2024-08-06 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-04-08 | 2024-05-07 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-09 | 2023-09-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-09 | 2023-09-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-09 | 2023-09-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-09 | 2023-09-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-09 | 2023-09-09 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-09 | 2023-09-09 | N |
| 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. | Health | 2023-08-09 | 2023-09-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-09 | 2023-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-09 | 2023-09-09 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-08-09 | 2023-09-09 | 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 | 2023-08-09 | 2023-09-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-09 | 2023-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-09 | 2023-09-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-09 | 2023-09-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-09 | 2023-09-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-08-09 | 2023-09-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-09 | 2023-09-09 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-08-09 | 2023-09-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-09 | 2023-09-09 | N |