Nursing homeActive
WI Veterans Home Moses Hall
210 Cumberlidge Ave, King, WI 549467152585586192 certified beds · 184 residentsGovernment - StateMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
17
● 0● 13● 4
Penalties · 3 yrs
$23,520
1 fine
Last survey
2026-06-17
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 3
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-17 | Standard | 011 | CMS-2567 (Care Compare) | — |
| 2026-04-20 | Complaint | 012 | CMS-2567 (Care Compare) | — |
| 2025-03-19 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2024-01-31 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-01-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-01 | Complaint | 010 | CMS-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.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-15Record 525718-20260617-F689
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 2026-07-17Record 525718-20260617-F684
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-02-05Record 525718-20260420-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-14Record 525718-20260420-F689
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-14Record 525718-20260420-F610
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-15Record 525718-20250319-F760
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-15Record 525718-20250319-F558
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-15Record 525718-20250319-F610
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 2025-04-15Record 525718-20250319-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-15Record 525718-20250319-F695
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 2025-04-18Record 525718-20250319-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-15Record 525718-20250319-F880
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-28Record 525718-20240131-F656
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-28Record 525718-20240131-F757
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 2024-02-05Record 525718-20240131-F812
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 2024-02-16Record 525718-20240116-F684
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 2023-09-01Record 525718-20230801-F609
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-04-20 | Civil money penalty | $23,520 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.02
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day5.10
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours4.59
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover33%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover19%
Facility
Wisconsin
National
Wisconsin 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wisconsin | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.6% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.4% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.4% | 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 | 16.6% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.1% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.5% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| State Of Wisconsin Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bond, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Britz, Bette Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Butterfield, Brad Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cooney, Colt Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fay, Susan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fernandez, Gina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Flack, Nicole Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kaza, Thanmayi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kimball, Polly Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mork, Caitlin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Parker, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schulz, Jodie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Servatius, Tammy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| State Of Wisconsin Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Steingraber, Joni Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thibodeau, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bond, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bond, James Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Britz, Bette Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Butterfield, Brad Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cooney, Colt Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fay, Susan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fernandez, Gina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Flack, Nicole Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kaza, Thanmayi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kimball, Polly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mork, Caitlin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Parker, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Parker, James Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Schulz, Jodie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Servatius, Tammy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Servatius, Tammy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| State Of Wisconsin Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Steingraber, Joni Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thibodeau, Brian Individual | ADP OF THE SNF | NOT 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 Waupaca.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| WI Veterans Hm Ainsworth Hall King | 0.0 mi | 2025-03-19 | 0110 |
| Bethany Home Waupaca | 2.1 mi | 2025-10-27 | 091 |
| Avina of Weyauwega Weyauwega | 10.1 mi | 2026-07-01 | 1405 |
| Manawa Com Nur CTR Manawa | 12.3 mi | 2025-04-30 | 0222 |
| St Joseph Residence New London | 18.9 mi | 2025-10-01 | 090 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |