About Avina of Weyauwega
Avina Of Weyauwega, located in Weyauwega, WI, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Avina of Weyauwega
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.86 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the AVINA HEALTHCARE network. This chain operates 9 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Avina of Weyauwega provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 474 | Apr 17, 2025 |
| Weighted Average | 405 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 37.9% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 21.4% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 5.8% |
| Percentage of long-stay residents who lose too much weight (QM404) | 6.5% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.7% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 4.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.1% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 94.4% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 81.8% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 17.0% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 33.6% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 95.7% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 69.7% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 8.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 25.8% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 14.5% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 2 complaints
- 2024: 4 complaints
- 2025: 16 complaints
- 2026: 2 complaints
- Total: 24 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 26, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 31, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Dec 01, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Sep 22, 2025 | 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. |
| Sep 22, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Sep 22, 2025 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. |
| Jul 23, 2025 | Provide and implement an infection prevention and control program. |
| May 15, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 15, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| May 15, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Mar 14, 2025 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. |
| Mar 14, 2025 | Provide and implement an infection prevention and control program. |
| Feb 10, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Feb 10, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Feb 10, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 10, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Feb 10, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Feb 10, 2025 | 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. |
| Oct 24, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Aug 12, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 12, 2024 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. |
| Mar 13, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Nov 22, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Nov 22, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
Nearby Hospitals
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THEDACARE MEDICAL CENTER - BERLIN INC
BERLIN, WI
THEDACARE REGIONAL MED CTR - NEENAH
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AURORA MEDICAL CTR OSHKOSH
OSHKOSH, WI
THEDACARE MEDICAL CENTER - WILD ROSE
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THEDACARE MEDICAL CENTER - NEW LONDON
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CHILDRENS HOSPITAL OF WISCONSIN FOX VALLEY
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WINNEBAGO MENTAL HEALTH INSTITUTE
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Owner & Operator Information
Business Entity
CROSSROADS CARE CENTER OF WEYAUWEGA LLC
Ownership Structure
- JOSEPH BRANDMAN Direct: 50%
Management & Direction
- AA HEALTHCARE MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL
- JOSEPH BRANDMAN MANAGING CONTROL - GOVERNING BODY
- JOSEPH BRANDMAN OPERATIONAL/MANAGERIAL CONTROL
- REBECCA KERN OPERATIONAL/MANAGERIAL CONTROL
- REBECCA KERN ADP OF THE SNF
- SARFRAZ SIDHU OPERATIONAL/MANAGERIAL CONTROL
- SARFRAZ SIDHU ADP OF THE SNF
- AARON TOPPER OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Park View Health Center | N/A | 5 |
| St Joseph Residence | N/A | 5 |
| Juliette Manor | N/A | 4 |
| Evergreen Health Center | N/A | 4 |
| Bethel Home | N/A | 4 |
| Edenbrook Omro | N/A | 4 |
| Bethany Home | N/A | 5 |
| Wi Veterans Hm Ainsworth Hall | N/A | 5 |
| Peabody Manor | N/A | 4 |
| The Pines Post Acute and Memory Care | N/A | 4 |
Related Analysis
Best Nursing Homes in Weyauwega, WI
Compare Avina of Weyauwega to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Avina of Weyauwega directly at 9208673121. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.