Starfile / Wisconsin

WI VETERANS HOME-BOLAND HALL

21425 E SPRING ST, UNION GROVE, WI 53182 · CCN 525688

SFF Candidate Abuse icon

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$125,470

Number of fines

2

Number of penalties

3

Payment denials

1

Inspection citations (46)6 immediate jeopardy3 actual harm

1. DF0585Honor 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.2025-12-03 · Health · corrected 2025-12-30

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-03 · Health · corrected 2025-12-30

   Potential for more than minimal harm

3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-03 · Health · corrected 2025-12-30

   Potential for more than minimal harm

4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-03 · Health · corrected 2025-12-30

   Potential for more than minimal harm

5. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-03 · Health · corrected 2025-12-30

   Potential for more than minimal harm

6. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-10-01 · Health · corrected 2025-11-18

   Potential for more than minimal harm

7. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-10-01 · Health · corrected 2025-11-18

   Immediate jeopardy

8. EF0610Respond appropriately to all alleged violations.2025-10-01 · Health · corrected 2025-11-18

   Potential for more than minimal harm

9. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-10-01 · Health · corrected 2025-11-18

   Potential for more than minimal harm

10. KF0675Honor each resident's preferences, choices, values and beliefs.2025-10-01 · Health · corrected 2025-11-18

    Immediate jeopardy

11. DF0685Assist a resident in gaining access to vision and hearing services.2025-10-01 · Health · corrected 2025-11-18

    Potential for more than minimal harm

12. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-01 · Health · corrected 2025-11-18

    Immediate jeopardy

13. JF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-10-01 · Health · corrected 2025-11-18

    Immediate jeopardy

14. FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-10-01 · Health · corrected 2025-11-18

    Potential for more than minimal harm

15. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-10-01 · Health · corrected 2025-11-18

    Potential for more than minimal harm

16. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-12 · Health · corrected 2025-07-02

    Immediate jeopardy

17. GF0742Provide 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.2025-06-12 · Health · corrected 2025-11-18

    Actual harm

18. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-13 · Health · corrected 2025-05-21

    Potential for more than minimal harm

19. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-26 · Health · corrected 2025-04-16

    Potential for more than minimal harm

20. DF0585Honor 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.2025-03-26 · Health · corrected 2025-04-16

    Potential for more than minimal harm

21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-26 · Health · corrected 2025-04-16

    Potential for more than minimal harm

22. DF0610Respond appropriately to all alleged violations.2025-03-26 · Health · corrected 2025-04-18

    Potential for more than minimal harm

23. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-26 · Health · corrected 2025-05-21

    Immediate jeopardy

24. DF0730Observe each nurse aide's job performance and give regular training.2025-03-26 · Health · corrected 2025-04-16

    Potential for more than minimal harm

25. GF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-03-26 · Health · corrected 2025-05-15

    Actual harm

26. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-09 · Health · corrected 2025-03-05

    Potential for more than minimal harm

27. DF0610Respond appropriately to all alleged violations.2025-01-09 · Health · corrected 2025-01-15

    Potential for more than minimal harm

28. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-01-09 · Health · corrected 2025-03-03

    Potential for more than minimal harm

29. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-09 · Health · corrected 2025-02-26

    Potential for more than minimal harm

30. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-09 · Health · corrected 2025-01-10

    Potential for more than minimal harm

31. DF0692Provide enough food/fluids to maintain a resident's health.2025-01-09 · Health · corrected 2025-01-10

    Potential for more than minimal harm

32. CF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-01-09 · Health · corrected 2025-01-14

    Potential for minimal harm

33. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-08 · Health · corrected 2024-10-08

    Potential for more than minimal harm

34. EF0610Respond appropriately to all alleged violations.2024-08-08 · Health · corrected 2024-10-08

    Potential for more than minimal harm

35. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-08 · Health · corrected 2024-08-30

    Potential for more than minimal harm

36. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-16 · Health · corrected 2023-11-03

    Potential for more than minimal harm

37. DF0610Respond appropriately to all alleged violations.2023-10-16 · Health · corrected 2023-11-03

    Potential for more than minimal harm

38. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-16 · Health · corrected 2023-11-03

    Actual harm

39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-16 · Health · corrected 2023-11-03

    Potential for more than minimal harm

40. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-16 · Health · corrected 2023-11-03

    Potential for more than minimal harm

41. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-08-23 · Health · corrected 2022-09-09

    Potential for more than minimal harm

42. DF0610Respond appropriately to all alleged violations.2022-08-23 · Health · corrected 2022-09-09

    Potential for more than minimal harm

43. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-23 · Health · corrected 2022-09-16

    Potential for more than minimal harm

44. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-08-23 · Health · corrected 2022-09-16

    Potential for more than minimal harm

45. DF0758Implement 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.2022-08-23 · Health · corrected 2022-09-16

    Potential for more than minimal harm

46. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-08-23 · Health · corrected 2022-10-01

    Potential for more than minimal harm

Ownership

Other facilities in UNION GROVE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.