Avina Of Milwaukee
Nursing home · 9255 N 76TH ST, Milwaukee, WI 53223 · Milwaukee County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 108
- State license
- 3066
- Medicare CCN
- 525523
- Licensed entity
- Legal Business Name Not Available
- Ownership
- For profit - Corporation
- Phone
- (414) 355-9300
- Nurse staffing
- 3.97 hours per resident per day; 74.0% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 2★ · Quality 3★
- CMS abuse flag
- Cited for abuse (CMS marks this facility with its abuse icon)
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Mar 12, 2026 — Payment Denial · payment denial 48 days
- Oct 7, 2024 — Fine ($74,120)
- Oct 7, 2024 — Payment Denial · payment denial 51 days
- Jul 1, 2024 — Fine ($16,801)
- Jul 1, 2024 — Payment Denial · payment denial 22 days
Inspection findings
-
Apr 14, 2026 Health · 6 findings
-
Not serious
Scope/severity D
Complaint
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 2, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0585 Resident Rights Deficiencies
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.
Corrected May 2, 2026 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 2, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 2, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected May 2, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 2, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 12, 2026 Fire Safety · 29 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
F0578 Resident Rights Deficiencies
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.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0679 Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Apr 8, 2026 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0809 Nutrition and Dietary Deficiencies
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.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0825 Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0849 Administration Deficiencies
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.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 8, 2026 · CMS health inspection
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
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.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected May 27, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0753 Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0911 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Apr 8, 2026 · CMS fire safety
-
Not serious
Scope/severity F
-
Feb 3, 2026 Health · 6 findings
-
Not serious
Scope/severity D
Complaint
F0553 Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected Mar 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Mar 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Mar 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 8, 2026 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Feb 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Feb 8, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Feb 8, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0909 Environmental Deficiencies
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.
Corrected Feb 8, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 4, 2025 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0585 Resident Rights Deficiencies
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.
Corrected Jan 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Jan 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Jan 4, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 28, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0740 Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected Sep 18, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 20, 2025 Health · 5 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Apr 20, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Apr 20, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected Apr 20, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 20, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Apr 20, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 3, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Dec 20, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 20, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 7, 2024 Fire Safety · 22 findings
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Dec 10, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0013 Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Corrected Dec 10, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0035 Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Corrected Nov 6, 2024 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Dec 20, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Nov 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Nov 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 5, 2024 · CMS health inspection
-
Serious
Scope/severity G
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Nov 5, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 20, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Nov 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Nov 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Nov 5, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Nov 5, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 5, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Dec 27, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Mar 26, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Nov 29, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Nov 29, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected Dec 10, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Nov 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Nov 29, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Jul 1, 2024 Health · 19 findings
-
Not serious
Scope/severity E
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Aug 6, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Aug 21, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0687 Quality of Life and Care Deficiencies
Provide appropriate foot care.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0730 Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0745 Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0887 Infection Control Deficiencies
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.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0940 Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0941 Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0942 Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0944 Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0945 Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0946 Administration Deficiencies
Provide training in compliance and ethics.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0947 Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0949 Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Aug 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Apr 8, 2024 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0678 Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 7, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Aug 9, 2023 Fire Safety · 19 findings
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected Sep 28, 2023 · CMS fire safety
-
Not serious
Scope/severity D
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Sep 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0623 Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected Sep 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0625 Resident Rights Deficiencies
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.
Corrected Sep 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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.
Corrected Sep 9, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected Sep 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Sep 9, 2023 · CMS health inspection
-
Not serious
Scope/severity D
K0132 Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
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.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Sep 18, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0362 Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0781 Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Sep 9, 2023 · CMS fire safety
-
Not serious
Scope/severity F
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.