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WI VETERANS HOME-BOLAND HALL

21425 E SPRING ST
UNION GROVE, WI 53182 · 2628786702 · Racine County
⚠ Special Focus Candidate. CMS lists this facility as a candidate for the Special Focus Facility program due to a history of serious quality problems.
⚠ Abuse citation on record. This facility has been cited for abuse or neglect in the CMS data — see the citation list below.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds158
OwnershipGovernment - State
State rank#256

By the numbers

44
Health citations (3 cycles)
6
Immediate-jeopardy (J/K/L)
3
Actual-harm (G/H/I)
$281,174
Federal fines (CMPs)
The trend: Citations are rising — 19 in the most recent cycle versus 5 two cycles ago.

Recent Health Citations

Apr 22, 2026 · Health survey · F-tag 0883
D — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Apr 22, 2026 · Health survey · F-tag 0628
E — No actual harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Apr 22, 2026 · Health survey · F-tag 0880
F — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 22, 2026 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 3, 2025 · Health survey · F-tag 0755
D — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 3, 2025 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 3, 2025 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 3, 2025 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Dec 3, 2025 · Health survey · F-tag 0585
D — No actual harm
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.
Oct 1, 2025 · Health survey · F-tag 0685
D — No actual harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Oct 1, 2025 · Health survey · F-tag 0627
D — No actual harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Oct 1, 2025 · Health survey · F-tag 0580
D — No actual harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Oct 1, 2025 · Health survey · F-tag 0610
E — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Oct 1, 2025 · Health survey · F-tag 0944
F — No actual harm
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Oct 1, 2025 · Health survey · F-tag 0941
F — No actual harm
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Oct 1, 2025 · Health survey · F-tag 0745
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Details
Correction status: Corrected Nov 18, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Oct 1, 2025 · Health survey · F-tag 0600
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Details
Correction status: Corrected Nov 18, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Oct 1, 2025 · Health survey · F-tag 0689
K — Immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Nov 18, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Oct 1, 2025 · Health survey · F-tag 0675
K — Immediate jeopardy
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Details
Correction status: Corrected Nov 18, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Jun 12, 2025 · Health survey · F-tag 0742
G — Actual harm
Quality of Life and Care Deficiencies
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.
Details
Correction status: Corrected Nov 18, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Wisconsin →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.