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 28 citations

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).
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).
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).
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).
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).
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).
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).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of January 31, 2024. Found during a standard inspection.
A waiver was granted (June 30, 2024).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (March 22, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 31, 2024. Found during a standard inspection and a complaint inspection.
A waiver was granted (June 30, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 31, 2024. Found during a standard inspection.
A waiver was granted (May 3, 2024).
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 December 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2023).
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).
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).
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).
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).
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).
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).
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).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of December 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2023).
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 December 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2023).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2023).
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).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0293, Egress Deficiencies. Inspection of January 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (February 26, 2024).

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.