Avina of Weyauwega: THC Complaint Mishandled - WI
The resident, identified in inspection records only as R7, had a documented history of Wernicke's encephalopathy, a serious neurological condition caused by thiamine deficiency that can produce confusion, vision problems, and loss of muscle coordination. R7's guardian, identified as GD-F, had specifically warned the facility that R7 could not be exposed to alcohol, CBD, THC, or any illegal drugs because of that history.
The warning did not produce a system to monitor whether R7 was actually receiving those substances. According to GD-F, the facility did not put any monitoring in place.
On July 5, 2025, during an emergency room visit, R7's urine drug screen came back presumptive positive for cannabinoids. GD-F had already found the gummy wrapper in R7's pants when taking them home to wash. A vape had also been found in R7's room. Staff gave the vape to the facility's former nursing home administrator, identified as FNHA-E. FNHA-E later gave it back to R7. GD-F did not know whether the vape contained THC or tobacco.
GD-F reported all of this to FNHA-E. What happened next is largely a blank.
FNHA-E did not file a grievance. On July 7, two days after the positive drug screen, FNHA-E wrote a note indicating there had been a discussion with GD-F. A follow-up appointment with R7's medical provider took place on July 9, but the positive drug test was not mentioned. There is no record of what nursing staff did after learning the results.
When the Social Services Director, identified as SSD-G, learned that GD-F had raised concerns about R7's exposure to drugs and alcohol, FNHA-E's response was that FNHA-E would handle it. SSD-G did not follow up further.
The Regional Director of Operations, identified as RDO-C, was interviewed by the surveyor on August 27 alongside the Assistant Director of Nursing and the current nursing home administrator. None of them knew about GD-F's concerns. None of them knew about the positive drug screen. They had not been at the facility when the concerns were reported, and no one had briefed them.
RDO-C could not say whether the positive result might have been caused by R7's medications rather than external THC exposure. RDO-C also confirmed that FNHA-E should have filed a formal grievance in response to GD-F's concerns. No grievance had been filed.
No evidence of illegal drugs was found in R7's room at the time of the inspection.
The deficiency was cited at a level of minimal harm or potential for actual harm, a designation that reflects what inspectors could document, not necessarily what the resident experienced in the weeks between the positive test and the August inspection. For a resident whose neurological condition makes THC exposure a specific documented risk, the gap between the July 5 drug screen and any formal institutional response stretched across the rest of the summer without a grievance filed, without a provider informed, and without anyone in current leadership who knew it had happened at all.
GD-F never learned what steps, if any, the facility took.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avina of Weyauwega from 2025-08-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 2, 2026 · Our methodology
Avina of Weyauwega in Weyauwega, WI was cited for violations during a health inspection on August 27, 2025.
The warning did not produce a system to monitor whether R7 was actually receiving those substances.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.