Avina of Fond Du Lac
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 22 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (14 vs median 7)
Below average in WI · Below recommended RN staffing · Below chain average · $7,446 in fines
What this means for your family
While some families report excellent experiences with the nursing staff and rehab team, there are recurring, serious complaints regarding facility cleanliness and slow response times to call lights. We strongly advise visiting the facility in person to inspect the cleanliness of common areas and asking management specifically how they ensure timely responses to resident needs during off-hours.
Google Reviews
Google Reviews
22 reviews on Google“Avina of Fond du Lac (formerly Crossroads Care Center) receives highly polarized feedback, with some families praising the compassionate staff and effective rehab, while others report severe concerns regarding cleanliness and neglect. Multiple reviewers have cited issues with slow call light response times, poor facility hygiene, and subpar food quality. Families considering this facility should be aware of the significant inconsistency in care experiences reported by different visitors.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and friendly nursing staff
- Effective rehabilitation services
- Helpful administrative assistance with admissions
Concerns
- Unsanitary facility conditions and cleanliness issues (mentioned by 4 reviewers)
- Slow or unresponsive call light system (mentioned by 3 reviewers)
- Poor food quality and lack of menu variety (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 22 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I've heard wonderful things about the compassion of your nursing staff; how do you ensure that this level of care remains consistent across all shifts?
- 2What specific steps are being taken to ensure the facility stays clean and well-maintained for the residents?
- 3Could you tell me a bit about the daily meal schedule and how you work to provide a variety of nutritious food options?
- 4How does the team manage the call light system to ensure that residents receive a quick response when they need assistance?
- 5With the recent inspections, what specific improvements have been implemented to address the identified deficiencies?
- 6What kind of daily activities or social programs are available to keep the residents engaged and active?
Personalized based on this facility's data
Key Review Excerpts
“Call lights took over an hour to answer, where I would get calls at home stating he was in tremendous pain and Noone would answer his light,where I had to actually go in to answer his light and take care of his needs.”
“The bathroom in the 2nd floor bathroom was very gross, it had poop on the toilet seat.”
“The staff is most qualified, the building and grounds are acceptable, the food is palatable, the residents are each pleasant . Housekeeping cleans and mops my room daily.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows significant ongoing concerns across multiple areas, with families filing 13 complaints triggering inspections. The most persistent problems involve nursing staffing shortfalls (registered nurse coverage deficiencies appearing in three separate years), fire safety and building compliance issues, and medication management failures. While all deficiencies show correction dates, the recurring patterns in core care areas like staffing and safety, combined with the high number of family complaints, suggest systemic challenges that prospective families should carefully investigate before visiting.
Apr 22, 2026Complaint2
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 11, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jan 5, 2026Complaint3
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 17, 2025Routine20
Nursing and Physician Services Deficiencies
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.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have an externally vented heating system.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Mar 14, 2025Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jun 5, 2024Routine20
Nursing and Physician Services Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Egress Deficiencies
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.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous Deficiencies
Have restrictions on the use of flammable curtains.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Federal Penalties
Fine
Oct 19, 2023
$7,446
Ownership & Operations
Who Operates This Facility
Avina of Fond Du Lac
for profit
Chain Affiliation
Avina Healthcare
9 facilities nationwide
Chain avg rating: 2.8/5 · Rank 7 of 8
Ownership & Management
Owners
Rebel, Igor
Owner
Topper, Aaron
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
22 reviews from families & visitors
Official Website
Visit crossroadscarecenter.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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