Avina of Fond Du Lac

Name: Avina of Fond Du Lac
Address: 115 E Arndt St, Fond Du Lac, WI, 54935, US
Telephone: 9209237040

115 E Arndt St, Fond Du Lac, WI 54935 · Fond Du Lac County · 50 certified beds · avg 44 residents/day · certified since May 1, 1976

Part of chain: AVINA HEALTHCARE (9 facilities, chain avg rating 2.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

$7,446

Fines, last 3 years

3.63

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Oct 19, 2023 · F-0660 · triggered by a complaint

The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving.

Why it matters: Poor discharge planning can send a resident home or elsewhere without the support, equipment, or follow-up care they need.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Nov 3, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 22, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Apr 22, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 11, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Jan 5, 2026	D · Potential for harm, one-off	The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · from a complaint
Jan 5, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 5, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jul 17, 2025	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jul 17, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 17, 2025	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jul 17, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jul 17, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jul 17, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 17, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 17, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 17, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 14, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Mar 14, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Jun 5, 2024	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jun 5, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 5, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jun 5, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 1, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
May 1, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Nov 2, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Oct 19, 2023	▲ J · Immediate jeopardy, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint
Oct 19, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Oct 19, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 17, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 17, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	6	1	J ▲
2024	6	0	F
2025	11	0	F
2026	6	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $7,446.

Date	Type	Amount / length
Oct 19, 2023	Fine	$7,446

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Wisconsin avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.63	4.29	3.95	bottom 31% in Wisconsin; bottom 43% in the U.S.
Registered Nurse hours	0.39	1.01	0.69	bottom 1% in Wisconsin; bottom 21% in the U.S.
Weekend total nurse staffing	3.08	3.84	3.50	bottom 23% in Wisconsin; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.68	0.48	bottom 2% in Wisconsin; bottom 17% in the U.S.
Total nursing staff turnover (%)	37.8	46.9	45.8	top 26% in Wisconsin; top 31% in the U.S.
RN turnover (%)	0.0	39.7	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.72, RN 0.40, weekend 3.16. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Rebel, Igor	Individual	5% or Greater Direct Ownership Interest	20%	12/01/2017
Topper, Aaron	Individual	Direct Ownership Interest	NOT APPLICABLE	12/01/2017
Rebel, Igor	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2017
Rhode, Rosalinda	Individual	Operational/Managerial Control	NOT APPLICABLE	10/22/2021
Rhode, Rosalinda	Individual	ADP of the SNF	NOT APPLICABLE	12/29/2025
Topper, Aaron	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2017
Topper, Aaron	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2017
Weber, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2021
Weber, Lisa	Individual	ADP of the SNF	NOT APPLICABLE	12/30/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Fond Du Lac Lutheran Home	0.3 mi	Fond Du Lac, WI	★★★☆☆	3/5
St Francis Home	0.7 mi	Fond Du Lac, WI	★★★☆☆	3/5
Avina on Division	1.0 mi	Fond Du Lac, WI	★☆☆☆☆	1/5
Harbor Haven Health & Rehabilitation	1.0 mi	Fond Du Lac, WI	★★★★★	5/5
Edenbrook of Fond Du Lac	1.5 mi	Fond Du Lac, WI	★★★★☆	4/5
Hope Health and Rehab	13.7 mi	Lomira, WI	★★★★★	4/5
Bethel Home	17.4 mi	Oshkosh, WI	★★★★★	4/5
Edenbrook of Oshkosh	18.1 mi	Oshkosh, WI	★★★☆☆	3/5
Evergreen Health Center	18.1 mi	Oshkosh, WI	★★★★☆	4/5
Eden Rehab Suites and Green House Homes	18.6 mi	Oshkosh, WI	★★☆☆☆	2/5
Complete Care at Christian Home LLC	19.1 mi	Waupun, WI	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Fond Du Lac →

Facility data as of CMS processing date 2026-08-01. CCN 525270.

The Care File

Visit checklist — Avina of Fond Du Lac

115 E Arndt St, Fond Du Lac, WI 54935 · 9209237040

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $7,446

Most serious findings on record:

▲ Oct 19, 2023 (F-0660, Immediate jeopardy, one-off): The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving.

Questions for the administrator:

☐ "How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525270 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)