Skilled nursing facility · CMS certification number 525718
WI Veterans Home Moses Hall
King, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 192
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.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $23,520.00 · Payment denials: 0. The most recent penalty on file: April 20, 2026, Fine, $23,520. 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 January 7, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $38,198,864 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $38,198,864 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $43,962,918 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,764,054 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $197,465 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,566,589 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,566,589 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 70,080 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 441 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 34,430 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 28,504 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 63,375 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 42 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 58 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 819.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 523.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446126, 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 10, 2024.
None of these figures is carried on this report.
CMS report record 1400672, 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 January 16, 2024.
None of these figures is carried on this report.
CMS report record 1371831, 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 December 27, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,967,562 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $20,967,562 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,242,521 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,274,959 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $335,284 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,939,675 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,939,675 (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 | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,500 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 111 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 537.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 418.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339068, 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 February 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,955,367 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $24,955,367 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,893,928 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,938,561 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,018,369 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,079,808 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,079,808 (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 | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,463 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 634.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 475.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310477, 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 26, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,002,353 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $23,002,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,144,015 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,141,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $843,762 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$297,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$297,900 (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 | 200 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 61,430 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 856.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 608.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279052, 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.
None of these figures is carried on this report.
CMS report record 1249389, 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.
None of these figures is carried on this report.
CMS report record 1218078, 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 18, 2018.
None of these figures is carried on this report.
CMS report record 1181919, 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 17, 2017.
None of these figures is carried on this report.
CMS report record 1150654, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for March 1, 2015 to June 30, 2015 — a reporting period of 121 days, not a full year, 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 1116893, read from the public cost report file SNF10FY2015.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 in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| STATE OF WISCONSIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/01/2014 |
| BOND, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/09/2023 |
| BRITZ, BETTE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/04/2015 |
| BUTTERFIELD, BRAD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/04/2024 |
| COONEY, COLT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/02/2024 |
| FAY, SUSAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/28/2024 |
| FERNANDEZ, GINA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/14/2024 |
| FLACK, NICOLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/15/2020 |
| KAZA, THANMAYI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/31/2023 |
| KIMBALL, POLLY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/11/2012 |
| MORK, CAITLIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/04/2021 |
| PARKER, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/22/2012 |
| PETRY, SARAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/04/2026 |
| SCHULZ, JODIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2023 |
| SERVATIUS, TAMMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/30/2025 |
| STATE OF WISCONSIN | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2014 |
| STEINGRABER, JONI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/30/2025 |
| THIBODEAU, BRIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/23/2011 |
| BOND, JAMES | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/09/2023 |
| 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 |
| BOND, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/09/2023 |
| BRITZ, BETTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/04/2015 |
| BUTTERFIELD, BRAD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/04/2024 |
| COONEY, COLT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/02/2024 |
| FAY, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/28/2024 |
| FERNANDEZ, GINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/14/2024 |
| FLACK, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/15/2020 |
| KAZA, THANMAYI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/31/2023 |
| KIMBALL, POLLY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/11/2012 |
| MORK, CAITLIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/04/2021 |
| PARKER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/22/2012 |
| PETRY, SARAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/04/2026 |
| SCHULZ, JODIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/23/2023 |
| SERVATIUS, TAMMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/14/2025 |
| STATE OF WISCONSIN | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2014 |
| STEINGRABER, JONI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/30/2025 |
| THIBODEAU, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/23/2011 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of STATE OF WISCONSIN (enrollment ID O20150629001572).
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 | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| BETTE BRITZ | Individual | ADP OF THE SNF | Not stated in the filing | 5/4/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRAD BUTTERFIELD | Individual | ADP OF THE SNF | Not stated in the filing | 11/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN THIBODEAU | Individual | ADP OF THE SNF | Not stated in the filing | 10/23/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAITLIN MORK | Individual | ADP OF THE SNF | Not stated in the filing | 7/4/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLT COONEY | Individual | ADP OF THE SNF | Not stated in the filing | 12/2/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GINA FERNANDEZ | 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 |
| JAMES BOND | 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 |
| 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 |
| JODIE SCHULZ | Individual | ADP OF THE SNF | Not stated in the filing | 4/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONI STEINGRABER | Individual | ADP OF THE SNF | Not stated in the filing | 6/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICOLE FLACK | Individual | ADP OF THE SNF | Not stated in the filing | 3/15/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| POLLY KIMBALL | Individual | ADP OF THE SNF | Not stated in the filing | 3/11/2012 | 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 | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUSAN FAY | Individual | ADP OF THE SNF | Not stated in the filing | 7/28/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 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 |
| THANMAYI KAZA | Individual | ADP OF THE SNF | Not stated in the filing | 7/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 5/29/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES BOND | Individual | MANAGING CONTROL - GOVERNING BODY | 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 |
| 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 |
| BETTE BRITZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/4/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRAD BUTTERFIELD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/4/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIAN THIBODEAU | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/23/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAITLIN MORK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/4/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COLT COONEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/2/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GINA FERNANDEZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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 |
| JAMES BOND | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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 |
| 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 |
| JODIE SCHULZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/23/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONI STEINGRABER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICOLE FLACK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/15/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| POLLY KIMBALL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/11/2012 | 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 | 7/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUSAN FAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/28/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 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 |
| THANMAYI KAZA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/31/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: PETRY, SARAH appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: PETRY, SARAH appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- January 1, 2026: TAMMY L SERVATIUS 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: RHONDA KOZIK 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: JAMES PARKER 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: COLT COONEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: COLT COONEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 2, 2024. 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: GINA FERNANDEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: GINA FERNANDEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIAN THIBODEAU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 23, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIAN THIBODEAU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 23, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SUSAN FAY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SUSAN FAY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JODIE SCHULZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JODIE SCHULZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAITLIN MORK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAITLIN MORK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 4, 2021. 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: JAMES PARKER (OPERATIONAL/MANAGERIAL CONTROL) 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: BRAD BUTTERFIELD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRAD BUTTERFIELD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BETTE BRITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 4, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BETTE BRITZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 4, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: POLLY KIMBALL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 11, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: POLLY KIMBALL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 11, 2012. 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 July 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: STATE OF WISCONSIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 1, 2014. 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 May 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JONI STEINGRABER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JONI STEINGRABER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THANMAYI KAZA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THANMAYI KAZA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES BOND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES BOND (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES BOND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NICOLE FLACK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: NICOLE FLACK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 15, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- March 15, 2023: GREGORY S REICHENBACH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: RHONDA KOZIK (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since November 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- September 1, 2026: PETRY, SARAH appears as ADP OF THE SNF in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: PETRY, SARAH appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- January 7, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- January 1, 2026: TAMMY L SERVATIUS 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: RHONDA KOZIK 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: JAMES PARKER 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: COLT COONEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: COLT COONEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 2, 2024. 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: GINA FERNANDEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: GINA FERNANDEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIAN THIBODEAU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 23, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRIAN THIBODEAU (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 23, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SUSAN FAY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SUSAN FAY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 28, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JODIE SCHULZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JODIE SCHULZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAITLIN MORK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 4, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CAITLIN MORK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 4, 2021. 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: JAMES PARKER (OPERATIONAL/MANAGERIAL CONTROL) 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: BRAD BUTTERFIELD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BRAD BUTTERFIELD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 4, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BETTE BRITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 4, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BETTE BRITZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 4, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: POLLY KIMBALL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 11, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: POLLY KIMBALL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 11, 2012. 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 July 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: STATE OF WISCONSIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 1, 2014. 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 May 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JONI STEINGRABER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JONI STEINGRABER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THANMAYI KAZA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: THANMAYI KAZA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES BOND (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES BOND (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 9, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 17, 2026 | June 17, 2026 | 5 | 2 |
| 2 | March 19, 2025 | March 19, 2025 | 7 | 13 |
| 3 | January 31, 2024 | January 31, 2024 | 4 | 10 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
17 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 17, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | July 17, 2026 |
| June 17, 2026 | 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. | G | Yes | Past Non-Compliance | May 15, 2026 |
| April 20, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | May 14, 2026 |
| April 20, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Yes | Past Non-Compliance | February 5, 2026 |
| April 20, 2026 | 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. | G | Yes | Deficient, Provider has date of correction | May 14, 2026 |
| March 19, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | April 15, 2025 |
| March 19, 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 15, 2025 |
| March 19, 2025 | 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 | No | Deficient, Provider has date of correction | April 15, 2025 |
| March 19, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | April 15, 2025 |
| March 19, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | No | Deficient, Provider has date of correction | April 15, 2025 |
| March 19, 2025 | 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 | No | Deficient, Provider has date of correction | April 18, 2025 |
| March 19, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 15, 2025 |
| January 31, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | February 28, 2024 |
| January 31, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | February 28, 2024 |
| January 31, 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. | F | No | Deficient, Provider has date of correction | February 5, 2024 |
| January 16, 2024 | 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 | February 16, 2024 |
| August 1, 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 | September 1, 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 |
|---|---|---|---|---|---|
| April 20, 2026 | Fine | $23,520 | 139413 |
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 | 2015-03-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Waupaca |
| Telephone Number | 7152585586 |
| 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 | 192 |
| Average Number of Residents per Day | 184.1 |
| Overall Rating | 5 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| 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 Moses 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 January 7, 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 Moses 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 525718.