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 provide and implement an adequate infection prevention and control program. The facility has not submitted a plan of correction for the infection control deficiency.
Infection Prevention Program Found Deficient
Inspectors cited Avina of Mayville under regulatory tag F0880, which requires skilled nursing facilities to maintain a comprehensive infection prevention and control program. The citation falls under the category of Infection Control Deficiencies and was classified at Scope/Severity Level D — indicating an isolated incident with no documented actual harm but with the potential for more than minimal harm to residents.
Federal regulations under 42 CFR §483.80 require nursing homes to establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment for residents. These programs must include a system for preventing, identifying, reporting, investigating, and controlling infections. The standard applies to residents, staff, volunteers, and visitors alike.
An effective infection control program in a long-term care setting typically includes hand hygiene protocols, personal protective equipment procedures, environmental cleaning standards, surveillance systems for tracking infections, and staff training requirements. When any component of this program breaks down, vulnerable nursing home residents face elevated risk.
Why Infection Control Matters in Nursing Homes
Nursing home residents are among the most vulnerable populations when it comes to infectious disease. Many residents have compromised immune systems, chronic medical conditions, or age-related declines in immune function that make them particularly susceptible to infections. Communal living environments, shared dining spaces, and the close physical contact required during daily care activities create conditions where pathogens can spread rapidly if proper controls are not in place.
Healthcare-associated infections remain one of the leading causes of illness and death in long-term care facilities nationwide. Urinary tract infections, respiratory infections, skin infections, and gastrointestinal illness are among the most common infections documented in nursing home settings. Proper infection prevention protocols — including consistent hand hygiene, appropriate use of personal protective equipment, and rigorous environmental sanitation — are the primary defenses against outbreaks in these facilities.
A Level D citation, while not indicating the most severe category of deficiency, signals that inspectors identified a gap in the facility's infection control practices that could lead to harm. The "isolated" scope designation means the issue was not found to be widespread across the facility at the time of inspection.
No Correction Plan on File
A notable aspect of this citation is that Avina of Mayville has not submitted a plan of correction for the infection control deficiency. When a nursing home receives a deficiency citation, federal regulations require the facility to develop and submit a plan of correction outlining specific steps it will take to address the problem, prevent recurrence, and protect residents.
The absence of a correction plan means there is no documented commitment from the facility to remedy the identified infection control gap. The Centers for Medicare & Medicaid Services (CMS) monitors compliance and can impose escalating enforcement actions — including civil monetary penalties, denial of payment for new admissions, or termination from the Medicare and Medicaid programs — against facilities that fail to correct cited deficiencies.
Seven Total Deficiencies Identified
The infection control citation was one of seven deficiencies documented during the December 2025 inspection. Multiple citations during a single survey can indicate broader operational or compliance challenges within a facility. While each deficiency is evaluated independently, a pattern of citations across different regulatory areas may prompt increased regulatory scrutiny and more frequent follow-up inspections.
Families of current and prospective residents can review the full inspection history for Avina of Mayville through the CMS Care Compare website or through the facility's detailed profile on NursingHomeNews.org, which includes all cited deficiencies, severity levels, and historical compliance data.
The full inspection report provides additional detail on all seven deficiencies identified during the December 4, 2025 survey.
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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