All citations for WI Veterans Hm Ainsworth Hall

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to WI Veterans Hm Ainsworth Hall

Last standard health inspection on record

March 19, 2025

Showing 1 to 25 of 26 citations

  1. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  2. No harm, with potential for more than minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  3. No harm, with potential for more than minimal harm

    Provide primary/alternate means for communication.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  4. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

  5. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

  7. No harm, with potential for more than minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  8. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  9. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  10. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

  11. No harm, with potential for more than minimal harm

    Have an enclosure around a vertical opening shaft.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 14, 2025).

  13. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2025).

  15. No harm, with potential for more than minimal harm

    Have restrictions on the use of highly flammable decorations.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

  16. No harm, with potential for more than minimal harm

    Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0908, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

  17. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

  18. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  19. No harm, with potential for more than minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  21. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  22. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  23. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  24. No harm, with potential for more than minimal harm

    Implement 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 18, 2025).

  25. No harm, with potential for more than minimal harm

    Install a two-hour-resistant firewall separation.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of March 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.