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Complaint Investigation

Avina Of Kenosha

September 3, 2025 · Kenosha, WI · 3100 Washington Rd.
Citations 1
CMS Rating 2/5
Beds 153
Provider ID 525179
Healthcare Facility
Avina Of Kenosha
Kenosha, WI  ·  View full profile →
Inspection Summary

Avina of Kenosha in Kenosha, WI — inspection on September 3, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

dinner tray. CNA-G left the room and was passing other resident's trays when CNA-G heard R3 yelling for staff. CNA-G found R3 sitting on the floor in R3's room.

Surveyor asked if R3's wheelchair was checked at the beginning of R3's shift. CNA-G stated that it is supposed to be checked. CNA-G stated that R3 can be difficult because R3 will put things in R3's wheelchair and will mess up R3's room and R3 can get very confused.

Surveyor asked what CNA-G believed the cause of the fall was. CNA-G stated that R3's correct wheelchair cushion was on R3's wheelchair but the Dycem was not on the wheelchair.On 9/3/25 at 2:28 PM, Surveyor informed Nursing Home Administrator (NHA)-A of the concern that R3 has a history of falls, and it is at high risk for falls. R3 has an active fall intervention for Dycem to be on R3's wheelchair. On 8/30/25, R3 fell out of R3's wheelchair when Dycem was not on R3's wheelchair. NHA-A acknowledged the concern. No further information was provided.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Kenosha, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Avina of Kenosha or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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