Avina on 32nd
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 45 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 (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (12 vs median 7)
- High staff turnover (57%)
- High RN turnover (73%)
Bottom 25% in WI · Critically understaffed (RN) · Significantly below average staffing · Worst in AVINA HEALTHCARE chain · $40,495 in fines
What this means for your family
While some residents report successful rehab outcomes, the facility has a recurring pattern of severe understaffing and slow response times. If you choose this facility, we strongly recommend visiting daily to ensure your loved one's basic needs are met and to maintain direct communication with the nursing staff.
Google Reviews
Google Reviews
45 reviews on Google“Avina on 32nd (formerly Crossroads Care Center) receives highly polarized feedback, with many families reporting severe neglect, chronic understaffing, and poor facility hygiene. While some residents and families praise specific staff members for their kindness and successful rehab outcomes, the recurring reports of unanswered call lights, poor food quality, and communication failures suggest significant operational instability.”
Quality Themes
Tap a score for detailsStrengths
- Helpful and compassionate individual staff members
- Effective physical and occupational therapy outcomes
- Supportive administrative liaisons for admissions
- Personalized care for end-of-life transitions
Concerns
- Chronic understaffing leading to long response times for call lights (mentioned by 11 reviewers)
- Poor facility cleanliness and unpleasant odors (mentioned by 6 reviewers)
- Inedible or cold food quality (mentioned by 6 reviewers)
- Unresponsive communication and difficulty reaching staff by phone (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 48 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the current staffing levels, what is your facility's protocol for ensuring timely responses to call lights, especially during evening and weekend shifts?
- 2I noticed some concerns regarding facility maintenance and odors; could you walk me through your daily housekeeping schedule and how you maintain cleanliness in resident areas?
- 3What steps are being taken to improve the quality and temperature of meals served to residents, and how do you incorporate resident feedback into your menu planning?
- 4With the current communication challenges noted by some families, what is the best way for us to reach the nursing team directly to get updates on our loved one’s care?
- 5How does your team handle medication management and oversight to ensure that residents receive the correct dosages on time, every time?
- 6I see you have a strong physical and occupational therapy program; how do you integrate these therapy goals into the daily life and activities of residents who aren't in active sessions?
Personalized based on this facility's data
Key Review Excerpts
“35 minutes to answer a call light. Let their patients sit in their bodily fluids for hours!! Highly disappointed in care and cleanliness”
“The staff was exceptional in providing him comfort and care. They went above and beyond to keep our family in the loop on progress.”
“My dad went in this dump for rehab. Went in walking with a walker, came out wheelchair bound. Caught covid, then pneumonia. Had to wait for help in bathroom 45 minutes or more”
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
9
measures
5
measures
3
measures
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
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
Families have repeatedly filed complaints triggering 27 deficiencies, raising serious concerns about Avina on 32nd. Recurring problems include safety hazards, food service issues, and infection control failures, with the same violations appearing across multiple surveys from 2022-2024. While all deficiencies show correction dates, the pattern of ongoing complaints and repeat violations in critical care areas suggests persistent operational challenges that warrant careful consideration.
Dec 3, 2025Complaint3
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 29, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Nov 20, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 20, 2024Routine18
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
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.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Sep 17, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 9, 2024Complaint7
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.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Federal Penalties
Fine
Nov 20, 2024
$26,322
Ownership & Operations
Who Operates This Facility
Avina on 32nd
for profit
Chain Affiliation
Avina Healthcare
9 facilities nationwide
Chain avg rating: 2.8/5 · Rank 8 of 8 (Worst)
Ownership & Management
Owners
Brandman, Gittel
Owner
Rebel, Igor
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
45 reviews from families & visitors
Official Website
Visit crossroadscarecenter.com
Medicare data downloads
Original nursing home datasets
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