Nursing HomeInspections

Avina of Pewaukee

Nursing home in Waukesha, WI

Medicare & Medicaid certified2★ overall (CMS)

Call (262) 523-0933Send a messageMap ↗
Thanks, we got your message.

We send it to Avina of Pewaukee if we can reach them by email, and we have no way to update you at a phone number. To be sure, call them: (262) 523-0933.

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
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
120
Average residents per day
84
Ownership
For-profit, corporation
Legal business name
Ccc of Pewaukee LLC
Chain
Avina Healthcare (10 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 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 7, 2026. CMS lists 56 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 21, 2023 to Aug 7, 2026): 28 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 7, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 7, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 7, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 7, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 7, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 7, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 7, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 7, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental		E
Potential for more than minimal harm, pattern
Aug 7, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
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

Showing the 12 most recent of 56. 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 Oct 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 Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.36 hours
Registered nurse (RN) time per resident per day
0.53 hours
Nurse aide time per resident per day
2.06 hours
Total nurse staffing on weekends
2.90 hours
Nursing staff turnover (yearly)
45%
RN turnover (yearly)
25%
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-profit28 health citations in 3 inspection cycles · last standard inspection Feb 16, 2026 · $81,965 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
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)

All 4 in Waukesha →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error