MAYVILLE, WI - Federal health inspectors identified seven deficiencies at Avina of Mayville during a standard health inspection completed on December 4, 2025, including a citation for inadequate bowel and bladder care, improper catheter management, and insufficient measures to prevent urinary tract infections. The facility has not submitted a plan of correction for any of the cited deficiencies.
Continence and Catheter Care Failures
The inspection cited Avina of Mayville under federal regulatory tag F0690, which requires nursing facilities to provide appropriate care for residents who are continent or incontinent of bowel and bladder function. The regulation also mandates proper catheter care and adequate preventive measures against urinary tract infections.
Inspectors classified the deficiency at Scope/Severity Level D, meaning the issue was isolated to a limited number of residents and did not result in documented actual harm. However, the finding indicated potential for more than minimal harm, a designation that signals real risk to resident health and well-being if the deficiency persists uncorrected.
The distinction between "no actual harm" and "potential for more than minimal harm" is significant. It means inspectors observed conditions or practices that, while not yet resulting in a documented adverse outcome, created circumstances where residents could experience meaningful negative health consequences.
Why Bladder and Catheter Care Standards Exist
Urinary catheter management is one of the most closely monitored areas in nursing home care for good reason. Catheter-associated urinary tract infections (CAUTIs) are among the most common healthcare-associated infections in long-term care facilities. According to data from the Centers for Disease Control and Prevention, urinary tract infections account for a significant portion of all infections reported in nursing homes each year.
For elderly residents, a urinary tract infection is not a minor inconvenience. In older adults, UTIs can trigger confusion, delirium, falls, sepsis, and hospitalization. Residents with indwelling catheters face elevated infection risk with each day the device remains in place. Proper catheter care protocols — including regular assessment of whether a catheter is still medically necessary, sterile insertion techniques, adequate hygiene, and timely removal — are essential safeguards.
Continence care for residents without catheters is equally important. Appropriate toileting schedules, prompt response to incontinence episodes, and proper skin care help prevent skin breakdown, pressure injuries, and infections that can develop when residents are left in soiled garments or bedding.
Standard Protocols for Proper Care
Under federal regulations, nursing facilities are expected to maintain individualized care plans for each resident addressing their specific continence needs. Staff should conduct regular assessments, implement toileting programs when appropriate, and document changes in urinary function. For catheterized residents, facilities must follow evidence-based protocols that include daily catheter care, monitoring for signs of infection, and periodic review of the continued medical necessity of the catheter.
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 for the deficiency. When a nursing facility receives a citation from federal inspectors, it is typically required to submit a detailed plan outlining what steps it will take to address the problem, prevent recurrence, and protect residents from harm.
The absence of a correction plan raises questions about the facility's responsiveness to regulatory findings. The bladder care deficiency was one of seven total deficiencies identified during the December 2025 inspection, all falling under the category of quality of life and care deficiencies.
What Families Should Know
Residents and their families have the right to review inspection results and ask facility administrators about steps being taken to address cited deficiencies. The federal government maintains public inspection records through the Centers for Medicare and Medicaid Services (CMS) Nursing Home Compare database, where anyone can look up a facility's inspection history, staffing levels, and quality measures.
The full inspection report for Avina of Mayville contains additional details about all seven deficiencies identified during the December 2025 survey. Families of current and prospective residents are encouraged to review the complete findings and discuss any concerns directly with facility leadership.
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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