MAYVILLE, WI - Federal health inspectors identified seven deficiencies at Avina of Mayville during a standard health inspection conducted on December 4, 2025, including a citation for failing to maintain an environment free from accident hazards and provide adequate supervision to prevent accidents.
The facility has not submitted a plan of correction for the deficiency, raising questions about its commitment to addressing the identified safety gaps.
Accident Hazard Deficiency at Avina of Mayville
Inspectors cited Avina of Mayville under federal regulatory tag F0689, which requires nursing homes to ensure their environments are free from accident hazards and that adequate supervision is provided to prevent accidents. The citation falls under the broader category of Quality of Life and Care Deficiencies.
The deficiency received a Scope/Severity Level D rating, indicating an isolated incident where no actual harm occurred but where there was potential for more than minimal harm to residents. While Level D represents the lower end of the federal severity scale, it signals conditions that could escalate if left unaddressed.
Federal nursing home regulations under 42 CFR §483.25(d) establish clear expectations for accident prevention. Facilities are required to conduct thorough environmental assessments, identify potential hazards, and implement safeguards. This includes maintaining clear walkways, securing equipment, ensuring proper lighting, and providing individualized supervision based on each resident's assessed needs and risk factors.
Why Accident Prevention Standards Exist
Falls and accident-related injuries remain among the most common adverse events in long-term care settings. According to data from the Centers for Disease Control and Prevention, falls affect approximately 50% of nursing home residents each year. For elderly individuals, even seemingly minor accidents can result in fractures, head injuries, extended hospitalizations, and a cascade of complications including reduced mobility and increased dependence.
An accident hazard citation means inspectors observed conditions — whether physical environmental risks, insufficient staffing coverage, or gaps in monitoring protocols — that created foreseeable danger. The regulatory standard exists precisely because nursing home residents often have impaired mobility, cognitive decline, or medication side effects that make them more vulnerable to environmental hazards than the general population.
Proper accident prevention requires a multi-layered approach: regular environmental rounds to identify and correct hazards, individualized care plans that account for each resident's fall risk and mobility limitations, adequate staffing to provide supervision, and prompt response to changing resident conditions.
No Correction Plan on File
Perhaps the most notable aspect of this citation is that Avina of Mayville has not submitted a plan of correction. When a nursing home receives a deficiency citation, federal regulations require the facility to develop and submit a corrective action plan detailing the specific steps it will take to address the violation, prevent recurrence, and protect residents.
The absence of a correction plan means there is no documented commitment from the facility to remedy the identified hazard. The Centers for Medicare & Medicaid Services (CMS) monitors correction plan compliance as part of its enforcement process, and facilities that fail to submit acceptable plans may face escalating penalties.
Seven Total Deficiencies Identified
The accident hazard citation was one of seven deficiencies identified during the December 2025 inspection. Multiple deficiency citations during a single survey can indicate broader systemic issues with facility operations, staffing, or management oversight.
The full scope of all seven deficiencies provides a more comprehensive picture of conditions at Avina of Mayville. Facilities with multiple citations across different regulatory categories often benefit from conducting internal audits and engaging in quality improvement initiatives to address root causes rather than treating each deficiency in isolation.
What Residents and Families Should Know
Nursing home inspection results are public records available through the CMS Care Compare database. Families of current and prospective residents can review a facility's complete inspection history, including deficiency details, severity ratings, and correction status.
Residents and family members who observe potential safety hazards — such as wet floors without signage, cluttered hallways, broken equipment, or insufficient staff presence — should report concerns to facility administration and, if necessary, to the Wisconsin Department of Health Services or the long-term care ombudsman program.
The full inspection report for Avina of Mayville contains additional details about all seven cited deficiencies and provides a more complete assessment of conditions at the facility.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avina of Mayville from 2025-12-04 including all violations, facility responses, and corrective action plans.
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