Wi Veterans Home-Boland Hall
21425 E Spring St · Union Grove, WI · 53182 · 2628786702
158 certified beds Government - State
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (5 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $373,365 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$373,365 in federal fines in the last 24 months
5 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 6.45 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 2.08 | 0.55–0.75 |
| Weekend hours / resident-day | 5.88 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 6 · $386,235 |
Inspection citations (46 in the current record)
-
Potential for harm · D December 3, 2025 · found via complaint
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 December 30, 2025 · Resident Rights
-
Potential for harm · D December 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 30, 2025 · Quality of Life and Care
-
Potential for harm · D December 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 30, 2025 · Quality of Life and Care
-
Potential for harm · D December 3, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 30, 2025 · Pharmacy Service
-
Immediate jeopardy · J October 1, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K October 1, 2025 · found via complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected November 18, 2025 · Quality of Life and Care
-
Immediate jeopardy · K October 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 18, 2025 · Quality of Life and Care
-
Immediate jeopardy · J October 1, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected November 18, 2025 · Quality of Life and Care
-
Potential for harm · D October 1, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 18, 2025 · Resident Rights
-
Potential for harm · E October 1, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 1, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected November 18, 2025 · Resident Rights
-
Potential for harm · D October 1, 2025 · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected November 18, 2025 · Quality of Life and Care
-
Potential for harm · F October 1, 2025 · found via complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected November 18, 2025 · Administration
-
Potential for harm · F October 1, 2025 · found via complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected November 18, 2025 · Administration
-
Immediate jeopardy · J June 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G June 12, 2025 · found via complaint
Provide 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.
Corrected November 18, 2025 · Quality of Life and Care
-
Potential for harm · E May 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 21, 2025 · Quality of Life and Care
-
Immediate jeopardy · J March 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 21, 2025 · Quality of Life and Care
-
Actual harm · G March 26, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected May 15, 2025 · Quality of Life and Care
-
Potential for harm · D March 26, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 16, 2025 · Resident Rights
-
Potential for harm · D March 26, 2025 · found via complaint
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 April 16, 2025 · Resident Rights
-
Potential for harm · D March 26, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 26, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 26, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected April 16, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 12, 2025 | Fine | $15,935 |
| June 12, 2025 | Fine | $15,935 |
| June 12, 2025 | Fine | $26,685 |
| June 12, 2025 | Fine | $241,620 |
| June 12, 2025 | Payment Denial | 144 days |
| March 26, 2025 | Fine | $73,190 |
| March 26, 2025 | Payment Denial | 27 days |
| October 16, 2023 | Fine | $12,870 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525688 · certified since December 1, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.