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Nursing homeFAID #13208

Avina Living On Division

517 E DIVISION ST, FOND DU LAC, WI, 54935
(920) 921-6800
50 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
50
CMS facility ID
525522
Care type
Nursing home
County
Fond Du Lac
Facility name
Avina Living On Division
Legal entity
Avina On Division
Street address
517 E DIVISION ST
City / state / ZIP
Fond Du Lac, WI 54935
Phone
(920) 921-6800

About this facility — Avina Living On Division

Avina Living On Division is a Medicare/Medicaid-certified skilled nursing facility in Fond Du Lac, Wisconsin. It is licensed for 50 beds — below the median for skilled nursing facilities in Wisconsin (65 beds).

It is one of 30 senior care facilities in Fond Du Lac and 323 skilled nursing facilities across Wisconsin. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Avina Living On Division 71 times across 9 inspections in the last three years, including 8 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
Aaron Topper
Parent company
Avina Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Brandman, Joseph
Direct owner · Governing body · Officer · Operational control · Additional disclosable party — 40% stake — since 2021
Rebel, Igor
Direct owner · Governing body · Operational control · Additional disclosable party — 20% stake — since 2021
Rhode, Rosalinda
Operational control · Additional disclosable party — since 2021
Topper, Aaron
Governing body · Officer · Operational control · Additional disclosable party — since 2021
Weber, Lisa
Operational control · Additional disclosable party — since 2021

Regulatory standing

Licensed / certified since
1993-08-24
CMS overall rating
1 of 5 stars
Health deficiencies
16 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-05-21
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$303 per day (≈ $9,210/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
61% Medicaid · 6% Medicare · 33% private/other
Occupancy
68% (fiscal year 2023)
Vs. state median
26% below the WI median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
50
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-30Health inspectionComplaint-triggered4 citations
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-05-15
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-05-15
F-0694
D · No harm foundFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2026-05-15
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-05-15
2026-03-28Health inspectionComplaint-triggered7 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-04-23
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-23
F-0725
F · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-04-23
F-0727
L · Immediate jeopardyFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2026-05-15
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-04-23
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-23
F-0835
F · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2026-04-23
7 earlier / fire-safety inspections (60 citations)
2025-05-21Health inspection5 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-12
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-12
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-29
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2025-06-12
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-13
2024-11-18Health inspectionComplaint-triggered1 citation
F-0814
C · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2024-11-21
2024-03-27Health inspection12 citations
F-0551
D · No harm found
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2024-04-16
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-27
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-03-27
F-0645
E · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-04-16
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-16
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-27
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2024-04-18
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-04-19
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-04-17
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-17
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-20
2023-03-07Health inspection13 citations
F-0551
D · No harm found
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2023-04-07
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-07
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-04-07
F-0625
D · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-04-07
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-04-07
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-04-07
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-07
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-04-07
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-04-07
F-0727
F · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-04-07
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-04-07
F-0758
D · No harm found
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.
Corrected 2023-04-07
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-07
2025-05-21Fire-safety inspection7 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-06-12
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-16
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-09
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-24
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-05-23
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-07-07
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-09
2024-03-27Fire-safety inspection14 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-05-09
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-03-28
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-17
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-09-30
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-01
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-29
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-04-18
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-04-18
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-04-20
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2024-03-28
K-0911
F · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-05-06
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-06
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-28
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-03-28
2023-03-07Fire-safety inspection8 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-08
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-03-29
K-0331
E · No harm found
Construct fire resistant interior walls.
Corrected 2023-03-24
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-08
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-08
K-0361
D · No harm found
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2023-03-29
K-0362
D · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-03-29
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-10

Federal penalties

2026-03-28Medicare payment denial — 15 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 525522.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 71 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Federal NPI Registry (NPPES)
NPI 1477217669
Monthly federal file
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered