Memory careAssisted living

Avina of Pewaukee

0.00 reviews · 0 verifiedWaukesha, WILic. 525646

Signals

JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations

FINECMS fine: $95,791Source: CMS Penalties

VBP-SLow SNF VBP readmission measure score (1.2)Source: CMS SNF VBP (PDC)

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Provided by facility

About

Avina of Pewaukee offers a welcoming environment focused on independence, social connections, and safety. The facility provides personalized care with a multidisciplinary team, including 24/7 nursing care, on-site physicians, and tailored care plans. Services include short-term rehabilitation, chronic condition management, and specialized care programs such as memory care and respite care. Residents can expect compassionate support in a comfortable setting, along with access to various therapies and wellness checks.

Amenities

DiningRestaurant-Style Dining

Housekeeping & MaintenanceHousekeeping ServicesLaundry Services

Transportation & ShoppingGeneral Transportation Services

TherapiesOn-Site Rehabilitation Services

Fitness & Wellness ProgramsSalon Services

Inside AmenitiesLibrarySwimming Pool

Safety & SecuritySecured Memory Care Unit

CMS Care CompareView on Medicare.gov →

Medicare overall

1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.

Staffing (PBJ)

3.00 total HPRDRN 0.39 · weekend 89%Oct 2025 – Dec 2025

Survey history

11 inspections80 deficiencies on record

Federal IDs

CCN 525646

Overall: 1/5 · Health: 1/5 · Staffing: 2/5 · QM: 2/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections

Health surveyMar 2026 · CMS5 deficiencies

F-584SS E — 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.
F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-610SS D — Respond appropriately to all alleged violations.
F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Health surveyJul 2025 · CMS1 deficiencies

F-880SS D — Provide and implement an infection prevention and control program.

Health surveyJun 2025 · CMS14 deficiencies

F-565SS E — Honor the resident's right to organize and participate in resident/family groups in the facility.
F-578SS D — 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.
F-584SS E — 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.
F-604SS D — Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F-605SS E — Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F-679SS E — Provide activities to meet all resident's needs.
F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-688SS D — 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.
F-692SS E — Provide enough food/fluids to maintain a resident's health.
F-725SS E — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F-761SS E — 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.
F-804SS E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F-814SS F — Dispose of garbage and refuse properly.
F-847SS D — Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Fire safetyJun 2025 · STATE FIRE MARSHAL12 deficiencies

E-13SS F — Develop Emergency Preparedness policies and procedures.
K-211SS E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-223SS E — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
K-293SS F — Have properly located and lighted "Exit" signs.
K-321SS D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K-331SS D — Construct fire resistant interior walls.
K-351SS F — Install an approved automatic sprinkler system.
K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
K-355SS D — Properly select, install, inspect, or maintain portable fire extinguishes.
K-521SS E — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-712SS C — Have simulated fire drills held at unexpected times.
K-920SS E — Ensure proper usage of power strips and extension cords.

Health surveyAug 2024 · CMS6 deficiencies

F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-610SS D — Respond appropriately to all alleged violations.
F-657SS D — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-688SS D — 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.
F-693SS D — 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.
F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Health surveyMar 2024 · CMS13 deficiencies

F-585SS E — 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.
F-684SS E — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-689SS E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-698SS D — Provide safe, appropriate dialysis care/services for a resident who requires such services.
F-740SS D — Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-756SS D — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F-757SS D — Ensure each resident’s drug regimen must be free from unnecessary drugs.
F-761SS D — 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.
F-800SS D — Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-880SS F — Provide and implement an infection prevention and control program.

Fire safetyMar 2024 · STATE FIRE MARSHAL7 deficiencies

E-6SS F — Conduct risk assessment and an All-Hazards approach.
K-222SS D — 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.
K-353SS C — Inspect, test, and maintain automatic sprinkler systems.
K-372SS E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K-374SS E — Install smoke barrier doors that can resist smoke for at least 20 minutes.
K-521SS E — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-741SS D — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Health surveyDec 2023 · CMS6 deficiencies

F-584SS E — 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.
F-600SS J — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-610SS D — Respond appropriately to all alleged violations.
F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-745SS D — Provide medically-related social services to help each resident achieve the highest possible quality of life.
F-758SS D — 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.

Health surveyNov 2023 · CMS2 deficiencies

F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-745SS D — Provide medically-related social services to help each resident achieve the highest possible quality of life.

Health surveyDec 2022 · CMS8 deficiencies

F-623SS E — Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-686SS G — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-698SS D — Provide safe, appropriate dialysis care/services for a resident who requires such services.
F-758SS E — 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.
F-761SS D — 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.
F-880SS D — Provide and implement an infection prevention and control program.

Fire safetyDec 2022 · STATE FIRE MARSHAL6 deficiencies

K-222SS E — 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.
K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
K-354SS F — Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K-918SS F — Have generator or other power source capable of supplying service within 10 seconds.
K-920SS D — Ensure proper usage of power strips and extension cords.

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Ownership

Operated by AVINA HEALTHCARE (privately held) since 1998.

Jul 2024
operator transition — TOPPER, CECILIA
5% OR GREATER DIRECT OWNERSHIP INTEREST (16%) — TOPPER, CECILIA
Nov 2018
operator transition — BRANDMAN, YAAKOV
5% OR GREATER DIRECT OWNERSHIP INTEREST (10%) — BRANDMAN, YAAKOV
Nov 2018
operator transition — BRANDMAN, AKIVA
5% OR GREATER DIRECT OWNERSHIP INTEREST (10%) — BRANDMAN, AKIVA
Nov 2018
operator transition — REBEL, IGOR
5% OR GREATER DIRECT OWNERSHIP INTEREST (20%) — REBEL, IGOR

Contact

N26 W23977 Watertown Rd.
Waukesha, WI 53188

Get directions →

2625230933 avinahc.com/location/avina-of-pewaukee-7medm

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