Nursing HomeInspections

Avina of Pewaukee

Nursing home in Waukesha, WI

Medicare & Medicaid certified1★ overall (CMS)

Call (262) 523-0933Send a messageMap ↗

Public-record details

Address
N26 W23977 Watertown Rd., Waukesha, WI 53188
Phone
(262) 523-0933
Listed under
For-profit
Medicare CCN
525646
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
120
Average residents per day
89
Ownership
For-profit, corporation
Legal business name
Ccc of Pewaukee LLC
Chain
Avina Healthcare (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 28, 1998
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525646. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 9, 2025. CMS lists 55 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 1, 2022 to Mar 18, 2026): 27 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 18, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 18, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 18, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 18, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 18, 2026Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 15, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 9, 2025Honor 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…
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 9, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jun 9, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 9, 2025Provide 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.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 9, 2025Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 9, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 55. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $95,791 in the last three years.

Dec 26, 2023Fine: $95,791

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.28 hours
Registered nurse (RN) time per resident per day
0.51 hours
Nurse aide time per resident per day
1.90 hours
Total nurse staffing on weekends
2.84 hours
Nursing staff turnover (yearly)
43%
RN turnover (yearly)
38%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Waukesha

Aria of Waukesha1451 Cleveland Ave · Waukesha, WI 53186 · (262) 547-2123 · For-profit25 health citations in 3 inspection cycles · last standard inspection Feb 16, 2026 · $22,925 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)Complete Care at Kensington1810 Kensington Dr · Waukesha, WI 53188 · (262) 548-1400 · For-profit32 health citations in 3 inspection cycles · last standard inspection Apr 29, 2026 · $66,632 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)Lindengrove Waukesha425 N University Dr · Waukesha, WI 53188 · (262) 524-6400 · Nonprofit47 health citations in 3 inspection cycles · last standard inspection Sep 25, 2025 · $204,321 in CMS fines (3 yrs)Medicare-certified1★ overall (CMS)

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