Avina of Weyauwega

Nursing Home · Weyauwega, WI

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number525315

Contact & location

717 E Alfred St
Weyauwega, WI 54983
Waupaca County
Phone
(920) 867-3121
ZIP code
54983 – all care providers

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Facility details

Certified beds
84
Residents per day
51.9 (62% occupied)
Ownership
For profit - Limited Liability company
Legal name
Crossroads Care Center of Weyauwega LLC
Chain
Avina Healthcare (9 facilities, avg 2.2★)
Medicare certified since
August 1, 1984
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.73 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
0.47 (state 0.99 · U.S. 0.69)
Licensed practical nurses
1.10 (state 0.64 · U.S. 0.86)
Nurse aides
2.16 (state 2.58 · U.S. 2.32)
Weekend total
2.99 (state 3.77 · U.S. 3.42)
Nursing staff turnover
62.9 (state 46.9 · U.S. 45.8)%
RN turnover
87.5 (state 39.7 · U.S. 42.9)%

Inspections

Last standard inspection
April 17, 2025
Health deficiencies (last cycle)
23.0 (state 9.5 · U.S. 9.3)
From complaints
9
Citations on record (3 years)
57 health · 23 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-07-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Deficient, Provider has no plan of correction
2026-04-28 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-26
2026-03-06 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-31
2025-10-07 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-01
2025-08-27 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-22
2025-08-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-22
2025-08-27 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
F0742 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-22
2025-06-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-23
2025-04-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
K
Immediate jeopardy to resident health or safety
Corrected 2025-05-15
2025-04-17 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2025-05-15
2025-04-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-22
2025-04-17 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Give the resident's representative the ability to exercise the resident's rights.
F0551 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-17 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2025-05-15
2025-04-17 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-02-18 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F0573 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-14
2025-02-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-14
2025-01-14 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-02-10
2025-01-14 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-10
2025-01-14 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-10
2025-01-14 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-10
2025-01-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-10
2025-01-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-10
2024-10-08 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-24
2024-07-24 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-08-12
2024-07-24 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-12
2024-02-14 Give the resident's representative the ability to exercise the resident's rights.
F0551 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-13
2024-02-14 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-13
2024-02-14 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-13
2024-02-14 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-13
2024-02-14 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-13
2024-02-14 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-13
2024-02-14 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-13
2024-02-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-13
2023-11-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2023-11-22
2023-11-01 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-22
2023-01-12 Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
F0728 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-02-14
2023-01-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-02-28
2023-01-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-02-14
2023-01-12 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-02-06

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

5 penalties in the last three years, including $116,270 in fines.

DateTypeAmount
2025-04-17Payment Denial5 days payment denial
2025-04-17Fine$67,169
2025-01-14Fine$16,423
2024-07-24Fine$14,702
2023-11-01Fine$17,976

Ownership & management

NameRoleSince
Brandman, Joseph (individual)5%+ Direct Ownership Interest · 50%
Kern, Rebecca (individual)Administrator · NOT APPLICABLE
Sidhu, Sarfraz (individual)Administrator · NOT APPLICABLE
Brandman, Joseph (individual)Managing Control - Governing Body · NOT APPLICABLE
Aa Healthcare Management, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Brandman, Joseph (individual)Operational/managerial Control · NOT APPLICABLE
Kern, Rebecca (individual)Operational/managerial Control · NOT APPLICABLE
Sidhu, Sarfraz (individual)Operational/managerial Control · NOT APPLICABLE
Topper, Aaron (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avina of Weyauwega?

Avina of Weyauwega has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Avina of Weyauwega have?

It has 84 certified beds and cares for about 52 residents per day.

Has Avina of Weyauwega been fined?

Yes. CMS lists 5 penalties totaling $116,270 in the last three years.

Who owns Avina of Weyauwega?

It is part of Avina Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avina of Weyauwega?

(920) 867-3121. The facility is located at 717 E Alfred St, Weyauwega, WI 54983.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.