Nursing homeActiveSpecial Focus Facility candidate · what this means

Wi Veterans Home-Boland Hall

21425 E Spring St, Union Grove, WI 531822628786702158 certified beds · 61 residentsGovernment - StateMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
44
1349
Penalties · 3 yrs
$281,174
6 fines · 2 actions
Last survey
2026-04-22
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 5
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-22Standard040CMS-2567 (Care Compare)
2025-12-03Complaint050CMS-2567 (Care Compare)
2025-10-01Complaint064CMS-2567 (Care Compare)
2025-06-12Complaint002CMS-2567 (Care Compare)
2025-05-13Complaint010CMS-2567 (Care Compare)
2025-03-26Complaint052CMS-2567 (Care Compare)
2025-01-09Standard160CMS-2567 (Care Compare)
2024-08-08Complaint030CMS-2567 (Care Compare)
2023-10-16Standard041CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-22Standard survey · 4 deficienciesOfficial report
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 525688-20260422-F628
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 525688-20260422-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 525688-20260422-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-21Record 525688-20260422-F883
2025-12-03Complaint survey · 5 deficienciesOfficial report
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-30Record 525688-20251203-F585
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-30Record 525688-20251203-F609
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-30Record 525688-20251203-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-30Record 525688-20251203-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-30Record 525688-20251203-F755
2025-10-01Complaint survey · 10 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-11-18Record 525688-20251001-F600
F675Honor each resident's preferences, choices, values and beliefs.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-11-18Record 525688-20251001-F675
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-11-18Record 525688-20251001-F689
F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-11-18Record 525688-20251001-F745
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-18Record 525688-20251001-F580
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-18Record 525688-20251001-F610
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-18Record 525688-20251001-F627
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-18Record 525688-20251001-F685
F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-11-18Record 525688-20251001-F941
F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-11-18Record 525688-20251001-F944
2025-06-12Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-02Record 525688-20250612-F600
F742Provide 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.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-11-18Record 525688-20250612-F742
2025-05-13Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-21Record 525688-20250513-F689
2025-03-26Complaint survey · 7 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-21Record 525688-20250326-F689
F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-15Record 525688-20250326-F745
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 525688-20250326-F580
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 525688-20250326-F585
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 525688-20250326-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 525688-20250326-F610
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 525688-20250326-F730
2025-01-09Standard survey · 7 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-05Record 525688-20250109-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-15Record 525688-20250109-F610
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-03Record 525688-20250109-F644
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-26Record 525688-20250109-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 525688-20250109-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-10Record 525688-20250109-F692
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2025-01-14Record 525688-20250109-F868
2024-08-08Complaint survey · 3 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-08Record 525688-20240808-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-08Record 525688-20240808-F610
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-30Record 525688-20240808-F812
2023-10-16Standard survey · 5 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-03Record 525688-20231016-F686
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 525688-20231016-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 525688-20231016-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 525688-20231016-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 525688-20231016-F690

Penalties & enforcement

DateActionAmountSource
2025-06-12Civil money penalty$10,358CMS · Penalties
2025-06-12Civil money penalty$10,358CMS · Penalties
2025-06-12Civil money penalty$157,053CMS · Penalties
2025-06-12Civil money penalty$17,345CMS · Penalties
2025-06-12Denial of payment for new admissions
Payment denial for 144 days, from 2025-06-27
CMS · Penalties
2025-03-26Civil money penalty$73,190CMS · Penalties
2025-03-26Denial of payment for new admissions
Payment denial for 27 days, from 2025-04-24
CMS · Penalties
2023-10-16Civil money penalty$12,870CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.96
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day6.03
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours5.56
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover51%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover39%
Facility
Wisconsin
National
Wisconsin 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWisconsinNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.6%5.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
8.5%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
21.7%15.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
5.1%2.7%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
28.0%16.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.4%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
29.9%16.9%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
State Of Wisconsin
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Beaumont, Lauren
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Parker, James
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Servatius, Tammy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sidhu, Sarfraz
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
State Of Wisconsin
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Beaumont, Lauren
Individual
ADP OF THE SNFNOT APPLICABLE
Parker, James
Individual
ADP OF THE SNFNOT APPLICABLE
Parker, James
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Servatius, Tammy
Individual
ADP OF THE SNFNOT APPLICABLE
Servatius, Tammy
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Sidhu, Sarfraz
Individual
ADP OF THE SNFNOT APPLICABLE
State Of Wisconsin
Organization
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.

No county cost figures on file for Racine.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Oak Ridge Care Center
Union Grove
1.2 mi2025-10-28294
Burlington Health and Rehabilitation Center
Burlington
9.5 mi2026-06-181757
Complete Care at Grande Prairie
Pleasant Prairie
12.0 mi2026-05-140183
Muskego Health and Rehabilitation Center
Muskego
13.6 mi2026-01-284500
Tudor Oaks Health Center
Muskego
13.6 mi2025-12-051212
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01