Avina of Pewaukee

CCN 525646 · CCC OF PEWAUKEE LLC · For profit - Corporation · AVINA HEALTHCARE chain · 120 certified beds · Waukesha · WI


Avina of Pewaukee is a 120-bed nursing home in Waukesha, Wisconsin. CMS has certified it for Medicare and Medicaid since 1998-07-28. It averages 88.7 residents a day.

What harm was found in the violations cited at Avina of Pewaukee?

CMS lists 55 health-inspection deficiencies for Avina of Pewaukee since 2022-12-01, 47 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-18.

Survey dateTagDeficiencySeverity
2026-03-18F0584Honor 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.E
2026-03-18F0609, F0610, F0686, F0689Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-07-15F0880Provide and implement an infection prevention and control program.D
2025-06-09F0814Dispose of garbage and refuse properly.F
2025-06-09F0565, F0584, F0605, F0679, F0692, F0725, F0761, F0804Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide activities to meet all resident's needs. / Provide enough food/fluids to maintain a resident's health. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-06-09F0578, F0604, F0684, F0688, F0847Honor 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D
2024-08-20F0609, F0610, F0657, F0688, F0693, F0842Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-03-04F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2024-03-04F0585, F0684, F0689Honor 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-03-04F0686, F0698, F0740, F0755, F0756, F0757, F0761, F0800Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D
2023-12-26F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2023-12-26F0584Honor 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.E
2023-12-26F0610, F0684, F0745, F0758Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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.D
2023-11-21F0689, F0745Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide medically-related social services to help each resident achieve the highest possible quality of life.D
2022-12-01F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2022-12-01F0623, F0758Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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.E
2022-12-01F0684, F0689, F0698, F0761, F0880Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Provide and implement an infection prevention and control program.D

Why was Avina of Pewaukee fined?

DateTypeAmount
2023-12-26Fine$95,791

How is Avina of Pewaukee staffed relative to the WI average?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day3.277484.21234
Total nursing staff turnover (%)43.346.9
Average number of residents per day88.754.8

Who owns Avina of Pewaukee, and what chain is it in?

Avina of Pewaukee is registered with CMS as For profit - Corporation, operates under the legal business name CCC OF PEWAUKEE LLC and belongs to the AVINA HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTBRANDMAN, AKIVA, BRANDMAN, YAAKOV, REBEL, IGOR, TOPPER, CECILIAsince 07/09/2024
OPERATIONAL/MANAGERIAL CONTROLBRANDMAN, JOSEPH, TOPPER, AARONsince 11/01/2018

Were you or a family member harmed at Avina of Pewaukee?