About Avina of Pewaukee
Avina Of Pewaukee, located in Waukesha, WI, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Avina of Pewaukee
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.50 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 Pewaukee 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 | 2 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 128 | Jun 09, 2025 |
| Weighted Average | 151 | 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) | 40.7% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 16.9% |
| 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) | 5.1% |
| Percentage of long-stay residents who lose too much weight (QM404) | 6.4% |
| 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) | 1.8% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 1.6% |
| 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) | 2.6% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.5% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 91.9% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.7% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 13.3% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 95.5% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 72.9% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 4.9% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 22.0% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 14.2% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 2 complaints
- 2024: 12 complaints
- 2025: 8 complaints
- 2026: 5 complaints
- Total: 27 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Apr 13, 2026 | 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. |
| Apr 13, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Apr 13, 2026 | Respond appropriately to all alleged violations. |
| Apr 13, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Apr 13, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Aug 14, 2025 | Provide and implement an infection prevention and control program. |
| Jul 09, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. |
| Jul 09, 2025 | 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. |
| Jul 09, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 09, 2025 | 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. |
| Jul 09, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Jul 09, 2025 | 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. |
| Jul 09, 2025 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. |
| Sep 13, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Sep 13, 2024 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. |
| Sep 13, 2024 | 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. |
| Sep 13, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Sep 13, 2024 | Respond appropriately to all alleged violations. |
| Sep 13, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Jan 15, 2024 | 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. |
| Jan 15, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jan 15, 2024 | Respond appropriately to all alleged violations. |
| Jan 15, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jan 15, 2024 | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
| Jan 15, 2024 | 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. |
| Dec 15, 2023 | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
| Dec 01, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
Nearby Hospitals
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Owner & Operator Information
Business Entity
CCC OF PEWAUKEE LLC
Ownership Structure
- AKIVA BRANDMAN Direct: 10%
- YAAKOV BRANDMAN Direct: 10%
- IGOR REBEL Direct: 20%
- CECILIA TOPPER Direct: 16%
Management & Direction
- JOSEPH BRANDMAN OPERATIONAL/MANAGERIAL CONTROL
- AARON TOPPER OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Clement Manor Health Care Center | N/A | 5 |
| Holton Manor | N/A | 5 |
| Lasata Care Center | N/A | 5 |
| Masonic Center For Health and Rehab Inc | N/A | 5 |
| Milwaukee Catholic Home | N/A | 5 |
| Milwaukee Health and Rehab | N/A | 4 |
| Complete Care at Germantown | N/A | 4 |
| Shorehaven Hlth and Rehab Ctr | N/A | 5 |
| Cedarburg Health Services | N/A | 3 |
| St Ann Health and Rehabilitation Center | N/A | 4 |
Related Analysis
Best Nursing Homes in Waukesha, WI
Compare Avina of Pewaukee 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 Pewaukee directly at 2625230933. 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.