Nursing homeFAID #13293
Avina of Pewaukee
N26 W23977 Watertown Rd., WAUKESHA, WI, 53188
(262) 523-0933
120 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare
Photo via Google · Dave Shapiro
Public record summary
What we can show you for free.
Bed capacity
120
CMS facility ID
525646
Care type
Nursing home
County
Waukesha
Facility name
Avina of Pewaukee
Street address
N26 W23977 Watertown Rd.
City / state / ZIP
Waukesha, WI 53188
Phone
(262) 523-0933
About this facility — Avina of Pewaukee
Avina of Pewaukee is a Medicare/Medicaid-certified skilled nursing facility in Waukesha, Wisconsin. It is licensed for 120 beds — well above the median for skilled nursing facilities in Wisconsin (65 beds).
It is one of 26 senior care facilities in Waukesha 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 of Pewaukee 80 times across 12 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $95,791 in fines. 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
Parent company
Avina Healthcare
Ownership type
For profit - Corporation
Registered owners & officers
Rebel, Igor
Direct owner — 20% stake — since 2018
Topper, Cecilia
Direct owner — 16% stake — since 2024
Brandman, Akiva
Direct owner — 10% stake — since 2018
Brandman, Yaakov
Direct owner — 10% stake — since 2018
Brandman, Joseph
Operational control — since 2018
Topper, Aaron
Operational control — since 2018
Regulatory standing
Licensed / certified since
1998-07-28
CMS overall rating
1 of 5 stars
Health deficiencies
19 at the last standard inspection
Federal fines
$95,791 total
Last standard inspection
2025-06-09
Nurse staffing
3.3 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$354 per day (≈ $10,760/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
76% Medicaid · 6% Medicare · 18% private/other
Occupancy
78% (fiscal year 2023)
Vs. state median
13% below the WI median of $407/day — full state cost breakdown
Services & coverage
Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · 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 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-18Health inspectionComplaint-triggered5 citations
F-0584
E · 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 2026-04-13
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-04-13
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-04-13
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-04-13
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-13
2025-07-15Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-08-14
9 earlier / fire-safety inspections (74 citations)
2025-06-09Health inspectionComplaint-triggered14 citations
F-0565
E · No harm foundFrom a complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-07-09
F-0578
D · No harm foundFrom a complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-07-09
F-0584
E · No harm found
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 2025-07-09
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-07-09
F-0605
E · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-09
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-07-09
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-09
F-0688
D · No harm foundFrom a complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-07-09
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-09
F-0725
E · 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 2025-07-09
F-0761
E · No harm foundFrom a complaint
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.
Corrected 2025-07-09
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-07-09
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2025-07-09
F-0847
D · No harm foundFrom a complaint
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-07-09
2024-08-20Health inspectionComplaint-triggered6 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-13
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-09-13
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-13
F-0688
D · No harm foundFrom a complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-09-13
F-0693
D · No harm foundFrom a complaint
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.
Corrected 2024-09-13
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-13
2024-03-04Health inspection13 citations
F-0585
E · No harm found
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.
Corrected 2024-03-26
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-26
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-26
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 2024-03-26
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-03-26
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-03-26
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 2024-03-26
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-03-26
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-03-26
F-0761
D · No harm found
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.
Corrected 2024-03-26
F-0800
D · No harm foundFood safety
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2024-03-26
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 2024-03-26
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-26
2023-12-26Health inspectionComplaint-triggered6 citations
F-0584
E · 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 2024-01-15
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-01-15
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-01-15
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-15
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-01-15
F-0758
D · No harm foundFrom a complaint
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 2024-01-15
2023-11-21Health inspectionComplaint-triggered2 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-01
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-12-15
2022-12-01Health inspection8 citations
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 2022-12-28
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-12-28
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-12-28
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 2022-12-28
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-12-28
F-0758
E · 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 2022-12-28
F-0761
D · No harm found
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.
Corrected 2022-12-28
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-12-28
2025-06-09Fire-safety inspection12 citations
E-0013
F · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2025-07-02
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-02
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-07-02
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-07-02
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 2025-07-02
K-0331
D · No harm found
Construct fire resistant interior walls.
Corrected 2025-07-02
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-07-31
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-25
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-07-02
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-07-02
K-0712
C · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-07-02
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-02
2024-03-04Fire-safety inspection7 citations
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-03-12
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 2024-03-26
K-0353
C · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-26
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-26
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-10
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-10
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 2024-03-26
2022-12-01Fire-safety inspection6 citations
K-0222
E · 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 2022-12-28
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-12-28
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-28
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-12-28
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-28
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-12-28
Federal penalties
2023-12-26Fine$95,791
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 525646.
Visitor reviews
What people say on Google.
2.8★★★★★73 ratings on Google
★★★★★Kathy and Carl Husslein · 2026-01-28 · via Google“I came to visit my sister. She was already taken out of bed, cleaned, and dressed by 11:30. She was in good spirits and ready for conversation. The staff was very attentive to her needs and very pleasant.”
★Shelley Poweleit · 2026-01-19 · via Google“Please do NOT let your loved ones go here. Just got my mom out today. She fell out of bed 2 nights in a row, she is there for rehab but employees won't get you up. They let you go to the bathroom in your bed and just clean you up instead of physically taking, and dont get me started on the cosmetics of this place. This place really needs to be shut down!!”
★Ewa Doczyk · 2026-01-01 · via Google“They will lie to you about the insurance coverage and either kick you out on the streets during Christmas because insurance coverage is still paying just a little less then what they want. This place promised to get my boyfriend and I a safe place together and we ended up homeless and cold.”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 80 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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