Wi Veterans Home Moses Hall
Nursing home · 210 Cumberlidge Ave, King, WI 54946 · Waupaca County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 192
- State license
- 2484
- Medicare CCN
- 525718
- Licensed entity
- STATE OF WISCONSIN
- Ownership
- Government - State
- Phone
- (715) 258-5586
- Nurse staffing
- 5.10 hours per resident per day; 32.6% nursing staff turnover
- Medicare ratings
- Inspections 3★ · Staffing 5★ · Quality 5★
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Apr 20, 2026 — Fine ($23,520)
Inspection findings
-
Jun 17, 2026 Health · 4 findings
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 17, 2026 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2026 · CMS health inspection
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Jul 17, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jul 17, 2026 · CMS fire safety
-
Not serious
Scope/severity D
-
Apr 20, 2026 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected May 14, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Feb 5, 2026 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 14, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 19, 2025 Fire Safety · 20 findings
-
Not serious
Scope/severity F
E0013 Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0022 Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0032 Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity F
E0036 Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Apr 15, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Apr 15, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0690 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.
Corrected Apr 15, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Apr 15, 2025 · CMS health inspection
-
Serious
Scope/severity G
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Apr 15, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 18, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 15, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0311 Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Corrected Apr 3, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected May 30, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Apr 4, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected May 30, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0753 Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Apr 18, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Apr 14, 2025 · CMS fire safety
-
Not serious
Scope/severity F
-
Jan 31, 2024 Health · 13 findings
-
Not serious
Scope/severity D
F0656 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.
Corrected Feb 28, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Feb 28, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Feb 5, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Feb 1, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Feb 16, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Feb 21, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Feb 15, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Feb 6, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Apr 17, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0711 Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Corrected Mar 15, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0753 Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Corrected Feb 1, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Jan 16, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Feb 16, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 1, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Sep 1, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
Owners and managers (as published by CMS)
- BOND, JAMES — managing control - governing body, NOT APPLICABLE, since 01/09/2023
- BOND, JAMES — adp of the snf, NOT APPLICABLE, since 01/09/2023
- BOND, JAMES — operational/managerial control, NOT APPLICABLE, since 01/09/2023
- BRITZ, BETTE — adp of the snf, NOT APPLICABLE, since 05/04/2015
- BRITZ, BETTE — operational/managerial control, NOT APPLICABLE, since 05/04/2015
- BUTTERFIELD, BRAD — adp of the snf, NOT APPLICABLE, since 11/04/2024
- BUTTERFIELD, BRAD — operational/managerial control, NOT APPLICABLE, since 11/04/2024
- COONEY, COLT — adp of the snf, NOT APPLICABLE, since 12/02/2024
- COONEY, COLT — operational/managerial control, NOT APPLICABLE, since 12/02/2024
- FAY, SUSAN — operational/managerial control, NOT APPLICABLE, since 07/28/2024
- FAY, SUSAN — adp of the snf, NOT APPLICABLE, since 07/28/2024
- FERNANDEZ, GINA — operational/managerial control, NOT APPLICABLE, since 01/14/2024
- FERNANDEZ, GINA — adp of the snf, NOT APPLICABLE, since 01/14/2024
- FLACK, NICOLE — operational/managerial control, NOT APPLICABLE, since 03/15/2020
- FLACK, NICOLE — adp of the snf, NOT APPLICABLE, since 03/15/2020
- KAZA, THANMAYI — operational/managerial control, NOT APPLICABLE, since 07/31/2023
- KAZA, THANMAYI — adp of the snf, NOT APPLICABLE, since 07/31/2023
- KIMBALL, POLLY — adp of the snf, NOT APPLICABLE, since 03/11/2012
- KIMBALL, POLLY — operational/managerial control, NOT APPLICABLE, since 03/11/2012
- MORK, CAITLIN — adp of the snf, NOT APPLICABLE, since 07/04/2021
- MORK, CAITLIN — operational/managerial control, NOT APPLICABLE, since 07/04/2021
- PARKER, JAMES — adp of the snf, NOT APPLICABLE, since 04/22/2012
- PARKER, JAMES — operational/managerial control, NOT APPLICABLE, since 04/22/2012
- PARKER, JAMES — managing control - governing body, NOT APPLICABLE, since 04/22/2012
- SCHULZ, JODIE — adp of the snf, NOT APPLICABLE, since 04/23/2023
- SCHULZ, JODIE — operational/managerial control, NOT APPLICABLE, since 04/23/2023
- SERVATIUS, TAMMY — adp of the snf, NOT APPLICABLE, since 06/30/2025
- SERVATIUS, TAMMY — operational/managerial control, NOT APPLICABLE, since 06/15/2026
- SERVATIUS, TAMMY — managing control - governing body, NOT APPLICABLE, since 10/14/2025
- STEINGRABER, JONI — operational/managerial control, NOT APPLICABLE, since 06/30/2025
- STEINGRABER, JONI — adp of the snf, NOT APPLICABLE, since 06/30/2025
- THIBODEAU, BRIAN — adp of the snf, NOT APPLICABLE, since 10/23/2011
- THIBODEAU, BRIAN — operational/managerial control, NOT APPLICABLE, since 10/23/2011
- STATE OF WISCONSIN — operational/managerial control, NOT APPLICABLE, since 07/01/2014
- STATE OF WISCONSIN — 5% or greater direct ownership interest, 100%, since 07/01/2014
- STATE OF WISCONSIN — adp of the snf, NOT APPLICABLE, since 07/01/2014
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.