Skilled nursing facility · CMS certification number 525688
WI VETERANS HOME-BOLAND HALL
UNION GROVE, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 158
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 8 · Fines: 6 · Fines, total amount: $281,174.00 · Payment denials: 2. The most recent penalty on file: June 12, 2025, Fine, $17,345. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2026.
None of these figures is carried on this report.
CMS report record 1447254, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 5, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,549,573 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $13,549,573 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,193,594 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,644,021 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,399 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,614,622 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,614,622 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,690 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 243.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 298.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1400201, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,887,913 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,887,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,659,372 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,771,459 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $118,735 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,652,724 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,652,724 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,894 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 279.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 253.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371334, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,223,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $18,223,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,970,026 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,746,574 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,122 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,724,452 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,724,452 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,707 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 184 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 258 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 210.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341129, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,545,957 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $22,545,957 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,183,185 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,362,772 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,310,040 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,672,812 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,672,812 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,581 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 245 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 202.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1308869, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,778,269 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $22,778,269 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,958,239 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,820,030 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $582,841 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,402,871 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,402,871 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,942 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 320 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 283.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279218, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,045,849 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $22,045,849 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,155,492 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $890,357 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,729 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $897,086 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $897,086 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,987 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 359.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 217.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249388, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,513,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $20,513,473 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,000,079 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$486,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$372 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$486,978 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$486,978 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,075 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,180.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 864.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218077, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,037,793 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $24,037,793 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,262,298 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,775,495 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,653 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,785,148 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,785,148 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,453 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,349.3 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 588.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182786, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 25, 2017.
None of these figures is carried on this report.
CMS report record 1151844, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2016.
None of these figures is carried on this report.
CMS report record 1116891, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2015.
None of these figures is carried on this report.
CMS report record 1084710, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,854,183 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $45,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,808,787 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,904,608 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,095,821 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $668 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,095,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,095,153 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,016 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 111.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,471.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 896.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1088658, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,305,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $382,178 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,922,866 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,948,155 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $974,711 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,523 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $984,234 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $984,234 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,921 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 280.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,122.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,046.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024049, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,666,641 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,489,882 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,823,241 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$1,823,241 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,926 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 155.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,345.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 876.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423463, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 19, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $15,132,432 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,367,100 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $765,332 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $765,332 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,473 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 131.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 861.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 615.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392831, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 10, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,844,618 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,135,328 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,290,710 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$1,290,710 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,834 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 56 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 337.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,587.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 747.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363702, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 26, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,028,725 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,431,698 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,402,973 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$2,402,973 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,574 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 101.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 711.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 439.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 340192, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for December 1, 2006 to June 30, 2007 — a reporting period of 211 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 15, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,882,931 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,846,788 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,963,857 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$3,963,857 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,985 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 499.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326361, read from the public cost report file SNFFY2007.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| STATE OF WISCONSIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/27/2006 |
| BEAUMONT, LAUREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/22/2025 |
| PARKER, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/22/2012 |
| SERVATIUS, TAMMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/14/2025 |
| SIDHU, SARFRAZ | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/21/2022 |
| STATE OF WISCONSIN | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/27/2006 |
| PARKER, JAMES | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/22/2012 |
| SERVATIUS, TAMMY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/14/2025 |
| BEAUMONT, LAUREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/22/2025 |
| PARKER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/22/2012 |
| SERVATIUS, TAMMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/14/2025 |
| SIDHU, SARFRAZ | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/21/2022 |
| STATE OF WISCONSIN | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/27/2006 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of STATE OF WISCONSIN (enrollment ID O20060327000286).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| STATE OF WISCONSIN | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 3/27/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES PARKER | Individual | ADP OF THE SNF | Not stated in the filing | 4/22/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAUREN BEAUMONT | Individual | ADP OF THE SNF | Not stated in the filing | 9/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARFRAZ SIDHU | Individual | ADP OF THE SNF | Not stated in the filing | 5/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STATE OF WISCONSIN | Organization | ADP OF THE SNF | Not stated in the filing | 3/27/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| TAMMY L SERVATIUS | Individual | ADP OF THE SNF | Not stated in the filing | 10/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 11/19/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 11/4/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 8/16/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/9/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/14/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 6/8/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 2/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES PARKER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 4/22/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TAMMY L SERVATIUS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES PARKER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/22/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAUREN BEAUMONT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/22/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARFRAZ SIDHU | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STATE OF WISCONSIN | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/27/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| TAMMY L SERVATIUS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2026: DEANNA FOGT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DIANE LYNCH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TAMMY L SERVATIUS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TAMMY L SERVATIUS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TAMMY L SERVATIUS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES PARKER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 22, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES PARKER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 22, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SARFRAZ SIDHU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SARFRAZ SIDHU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LAUREN BEAUMONT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LAUREN BEAUMONT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: STATE OF WISCONSIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 27, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: STATE OF WISCONSIN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 27, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Recent changes on this record
- February 2, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- January 1, 2026: DEANNA FOGT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DIANE LYNCH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TAMMY L SERVATIUS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TAMMY L SERVATIUS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TAMMY L SERVATIUS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES PARKER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 22, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES PARKER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 22, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SARFRAZ SIDHU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SARFRAZ SIDHU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LAUREN BEAUMONT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LAUREN BEAUMONT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: STATE OF WISCONSIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 27, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: STATE OF WISCONSIN (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 27, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- December 5, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- December 28, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- January 26, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- January 13, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- January 28, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- January 16, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- January 26, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 25, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- January 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- April 16, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 20, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- January 19, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- February 10, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- May 26, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- October 15, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 22, 2026 | April 22, 2026 | 19 | 3 |
| 2 | January 9, 2025 | January 9, 2025 | 17 | 14 |
| 3 | October 16, 2023 | October 16, 2023 | 8 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
44 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 22, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | No | Deficient, Provider has date of correction | May 21, 2026 |
| April 22, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | May 21, 2026 |
| April 22, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | May 21, 2026 |
| April 22, 2026 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | May 21, 2026 |
| December 3, 2025 | Health | F 0585 | 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. | D | Yes | Deficient, Provider has date of correction | December 30, 2025 |
| December 3, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | December 30, 2025 |
| December 3, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 30, 2025 |
| December 3, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | December 30, 2025 |
| December 3, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | December 30, 2025 |
| October 1, 2025 | Health | F 0580 | 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. | D | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 1, 2025 | Health | F 0600 | 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. | J | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 1, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 1, 2025 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 1, 2025 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | K | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 1, 2025 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 1, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 1, 2025 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | J | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 1, 2025 | Health | F 0941 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| October 1, 2025 | Health | F 0944 | Administration Deficiencies | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| June 12, 2025 | Health | F 0600 | 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. | J | Yes | Deficient, Provider has date of correction | July 2, 2025 |
| June 12, 2025 | Health | F 0742 | 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. | G | Yes | Deficient, Provider has date of correction | November 18, 2025 |
| May 13, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | May 21, 2025 |
| March 26, 2025 | Health | F 0580 | 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. | D | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| March 26, 2025 | Health | F 0585 | 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. | D | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| March 26, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| March 26, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | April 18, 2025 |
| March 26, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Deficient, Provider has date of correction | May 21, 2025 |
| March 26, 2025 | Health | F 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | D | Yes | Deficient, Provider has date of correction | April 16, 2025 |
| March 26, 2025 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | Yes | Deficient, Provider has date of correction | May 15, 2025 |
| January 9, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | March 5, 2025 |
| January 9, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | January 15, 2025 |
| January 9, 2025 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | March 3, 2025 |
| January 9, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | February 26, 2025 |
| January 9, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | January 10, 2025 |
| January 9, 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | January 10, 2025 |
| January 9, 2025 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | No | Deficient, Provider has date of correction | January 14, 2025 |
| August 8, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Yes | Deficient, Provider has date of correction | October 8, 2024 |
| August 8, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | E | Yes | Deficient, Provider has date of correction | October 8, 2024 |
| August 8, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | August 30, 2024 |
| October 16, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | November 3, 2023 |
| October 16, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 3, 2023 |
| October 16, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 16, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 16, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | November 3, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 12, 2025 | Fine | $17,345 | 138839 | ||
| June 12, 2025 | Fine | $10,358 | 138840 | ||
| June 12, 2025 | Fine | $10,358 | 138841 | ||
| June 12, 2025 | Fine | $157,053 | 138842 | ||
| June 12, 2025 | Payment Denial | June 27, 2025 | 144 | ||
| March 26, 2025 | Fine | $73,190 | 136216 | ||
| March 26, 2025 | Payment Denial | April 24, 2025 | 27 | ||
| October 16, 2023 | Fine | $12,870 | 61023 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - State |
| Legal Business Name | STATE OF WISCONSIN |
| Date First Approved to Provide Medicare and Medicaid Services | 2006-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Racine |
| Telephone Number | 2628786702 |
| Special Focus Status | SFF Candidate |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 158 |
| Average Number of Residents per Day | 61.4 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on WI VETERANS HOME-BOLAND HALL: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On February 2, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for WI VETERANS HOME-BOLAND HALL
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Wisconsin at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 525688.