Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wi Veterans Hm Ainsworth Hall during CMS and state inspections, most recent first.
Surveyors identified improper food labeling, expired food items, and unclean kitchen equipment, including uncovered mixers and persistent food debris in a kitchenette. The Dietary Manager confirmed these issues, which had the potential to affect multiple residents.
Staff did not follow infection prevention protocols, including Enhanced Barrier Precautions for a resident with a history of MRSA and an indwelling catheter, and failed to provide proper hand hygiene to multiple residents before or after meals. Instead, staff used a non-standard method of mixing hand sanitizer with water for cleaning, contrary to facility policy. Nursing leadership confirmed these practices did not meet established infection control standards.
Multiple missing and broken floor tiles were observed in common areas, with staff and a resident confirming the issue had persisted for years and was both unsightly and a potential safety hazard. A resident with a history of falls and major injury expressed concern about the appearance and safety of the floors, while staff and leadership acknowledged the problem and lack of a related policy.
Three residents had MDS assessments that were inaccurately coded, including incorrect documentation of long-term use and receipt of anticoagulant, aspirin, hypnotic medications, and insulin, despite these not being prescribed. Antiplatelet medication was misclassified as an anticoagulant, and a completed PASRR Level II Screen for mental illness was not properly recorded. Staff interviews confirmed these discrepancies between the MDS and actual medical records.
A resident with diagnoses of anxiety disorder and PTSD was admitted from another facility without a PASRR Level II Screen, despite policy and regulatory requirements. Staff interviews confirmed that these conditions are mental illnesses and that a Level II Screen should have been completed, but staff were unaware of the requirement and no screening was performed.
A resident with a documented diagnosis of PTSD and a history of significant trauma did not have a care plan or interventions in place to address their mental health needs. Despite multiple assessments confirming the diagnosis, staff confirmed that no care plan was developed or implemented for the resident's PTSD.
Two residents with cognitive impairments who were known smokers were allowed to keep cigarettes and lighters on their person or in their rooms, despite care plans and facility policies requiring staff management of smoking materials and use of smoking aprons. Staff interviews and observations revealed inconsistent enforcement and understanding of smoking safety protocols, resulting in the environment not being as free from accident hazards as possible.
Deficient Food Storage, Labeling, and Kitchen Sanitation
Penalty
Summary
The facility failed to ensure that food was stored and prepared in a safe and sanitary manner, as evidenced by multiple observations of improper food labeling, expired food items, and unclean equipment. During a kitchen tour, surveyors found a tater tot casserole in the cooler with a prepped date but no use-by date, a gluten-free hot dog bun in the freezer with no year or use-by date, and an open box of turkey breasts with no use-by date, all of which were confirmed by the Dietary Manager to be past expiration and should have been discarded. Additionally, the coffee dispensing machine had dried coffee debris inside and had not been cleaned according to the posted weekly schedule, with the last cleaning documented over two months prior to the survey. Equipment such as stand mixers, a vertical cutter mixer, and disc blades were observed uncovered when not in use. Further inspection of the unit 2 kitchenette revealed food debris on countertops, the top of the microwave, and both the interior and exterior of a toaster. These unsanitary conditions persisted over multiple days, and the Dietary Manager acknowledged that nursing staff were responsible for maintaining cleanliness in the unit kitchenettes. The report did not mention any specific residents affected at the time of the deficiency, but noted that these practices had the potential to impact more than four residents in the facility.
Failure to Adhere to Infection Control and Hand Hygiene Protocols
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by staff not adhering to Enhanced Barrier Precautions (EBP) and proper hand hygiene protocols. During care observations, a certified nursing assistant (CNA) did not don personal protective equipment (PPE) such as gloves and gowns, nor perform hand hygiene when providing high-contact care to a resident with a history of methicillin-resistant Staphylococcus aureus (MRSA) and an indwelling urinary catheter. The resident's care plan, physician orders, and posted signage all indicated the need for EBP, but the CNA did not follow these requirements, stating a misunderstanding of when EBP was necessary. The CNA was aware of the resident's MDRO status but did not comply with the established protocols for infection control. Additionally, staff did not offer or complete hand hygiene for multiple residents before or after dining. Observations in the dining area revealed that residents were not provided with hand hygiene opportunities prior to meals, and staff were unsure of the correct process. Instead, staff used a non-standard method of pouring hand sanitizer into a basin of water and using washcloths to clean residents' hands and faces after meals. This practice was confirmed by several CNAs as their regular method, despite the facility's policy requiring hand hygiene to be offered before and after meals. Interviews with the Assistant Director of Nursing (ADON) and Director of Nursing (DON) confirmed that staff were expected to follow the facility's EBP and hand hygiene protocols, and that the observed practices were not acceptable. The failure to adhere to established infection control policies and procedures had the potential to affect multiple residents within the facility.
Damaged Floor Tiles Create Unsafe and Unclean Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and home-like environment for one resident, as evidenced by the presence of numerous missing and broken floor tiles in the third floor day room, dining room, and hallways. More than twenty tiles were observed to be damaged, with some tiles missing corners, partially missing, or completely absent in areas frequently used by residents, staff, and visitors. Staff interviews confirmed that the damaged floors had been in this condition for years, were unsightly, and posed a potential safety hazard. Multiple staff members, including CNAs and an LPN, acknowledged the poor condition of the floors and indicated that the issue had been reported previously, though no residents were known to have tripped on the damaged tiles. A resident with a history of falls and major injury, as well as diagnoses including dementia, femur fracture, anxiety, depression, and insomnia, expressed concern about the unsightly appearance of the tiles and stated that they should be fixed. The resident reported being cautious while ambulating due to a recent fall resulting in a broken bone. Facility leadership, including the ADON and DON, verified the ongoing issue with the floor tiles and recognized the need to address the problem, acknowledging that the current state of the floors was not home-like and could be a safety concern. The facility did not provide a policy related to maintaining a home-like or safe environment.
Inaccurate MDS Coding for Diagnoses and Medications
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were accurately coded for three residents. For one resident, the MDS assessment incorrectly listed diagnoses of long-term use of anticoagulant medication and aspirin, as well as receipt of hypnotic medication, despite the resident not being prescribed any of these medications. The same resident's MDS also failed to accurately reflect a completed PASRR Level II Screen indicating a serious mental illness, even though documentation and care plans confirmed the presence of such a screen and diagnosis. Another resident's MDS assessment included a diagnosis of long-term anticoagulant use and indicated receipt of both anticoagulant medication and insulin, but the resident was not prescribed either medication. The medication list for this resident only included clopidogrel bisulfate, an antiplatelet medication, which was also incorrectly coded as an anticoagulant on the MDS. Similarly, a third resident's MDS assessment indicated receipt of anticoagulant medication, but the resident was only prescribed clopidogrel bisulfate and not any anticoagulant medication. Interviews with facility staff confirmed the discrepancies between the MDS coding and the residents' actual medication lists and diagnoses. The MDS nurse acknowledged the errors in medication coding and the misclassification of antiplatelet medication as anticoagulant, as well as the incorrect inclusion of hypnotic medication and insulin. The social worker also confirmed that the PASRR Level II Screen was not properly reflected in the MDS assessment, despite documentation of a serious mental illness.
Failure to Complete Required PASRR Level II Screening for Resident with Mental Illness
Penalty
Summary
The facility failed to ensure that Preadmission Screening and Resident Review (PASRR) requirements were met for a resident with mental illness diagnoses. The resident was admitted from a sister facility and had documented diagnoses of dementia, anxiety disorder, and post-traumatic stress disorder (PTSD). Despite these diagnoses, the resident's PASRR Level I Screen indicated 'No' for current mental illness, and there was no evidence of a PASRR Level II Screen in the medical record. The care plan identified the resident as being at risk for ineffective coping related to mental illness, and the resident was noted to be cognitively intact and responsible for their own healthcare decisions. Interviews with facility staff, including two social workers and the Director of Nursing, confirmed that anxiety and PTSD are considered mental illnesses and that a Level II Screen should have been completed regardless of the presence of symptoms or medication use. Staff acknowledged that they were unaware of the requirement to complete a Level II Screen in such cases, and no PASRR screenings had been completed for the resident since admission. The facility's policy also required a new Level I Screen for residents admitted from another nursing facility, but this was not completed as required.
Failure to Develop Care Plan for Resident with PTSD
Penalty
Summary
A deficiency was identified when the facility failed to develop and implement a comprehensive care plan to address the psychosocial needs of a resident diagnosed with post-traumatic stress disorder (PTSD). The resident had a documented history of serious mental illness, including a PASRR Level I Screen and a Behavioral Consulting Services determination indicating appropriateness for nursing home placement without specialized services. Multiple assessments, including the Minimum Data Set (MDS) and a life events checklist, confirmed the diagnosis of PTSD and detailed significant traumatic experiences, such as witnessing an explosion in Vietnam. Despite these findings, the resident's medical record did not contain a care plan or interventions specifically addressing PTSD. Staff interviews confirmed the absence of a care plan for the resident's PTSD diagnosis. The social worker acknowledged that PTSD did not trigger on the trauma assessment tool used and that no actions were taken regarding the diagnosis as documented in the MDS. The facility's process for identifying mental illness in new admissions was described, including various assessments and potential referrals to psychiatric services, but it was confirmed that a care plan for the resident's PTSD was not developed or implemented.
Failure to Enforce Smoking Safety Policies for Cognitively Impaired Residents
Penalty
Summary
Staff failed to follow established smoking safety policies and care plans for two residents with cognitive impairments who were known smokers. Both residents had documented risks related to their cognitive status and history of unsafe smoking behaviors, including burn holes in clothing and furniture. Despite care plans and facility policies requiring that smoking materials be stored at the nurses' station and distributed in limited quantities, both residents were observed keeping cigarettes and lighters on their person or in their rooms, contrary to their care plans and assessments. For one resident with severe cognitive impairment and a guardian, the care plan specified that smoking materials should be managed by staff, with a limit on the number of cigarettes provided daily and the use of a smoking apron. However, the resident reported and was observed to keep cigarettes and a lighter on their person throughout the day, and staff confirmed that the resident did not return smoking materials to the nurses' station after smoking. Staff interviews revealed uncertainty about monitoring and enforcing the return of smoking materials, and the resident's smoking supplies were found in their room and on their person, rather than in the designated locked storage. The second resident, with moderate cognitive impairment and a history of unsafe smoking incidents, also had a care plan requiring that smoking materials be kept at the nurses' station and that the resident wear a smoking apron. Despite this, the resident was observed with multiple cigarettes and lighters in their room, and staff acknowledged that the resident was able to keep a lighter in their possession. Staff interviews indicated inconsistent understanding and enforcement of the policy regarding the storage and distribution of smoking materials. These failures resulted in the environment not being as free from accident hazards as possible for these residents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 19 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near King
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wi Veterans Home Moses Hall | 0 mi | ★★★★★ | 3 | 1 |
| Bethany Home | 2.1 mi | ★★★★★ | 2 | 0 |
| Avina Of Weyauwega | 10.1 mi | ★★★★★ | 6 | 0 |
| Manawa Com Nur Ctr | 12.3 mi | ★★★★★ | 0 | 0 |
| St Joseph Residence | 18.9 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Wi Veterans Hm Ainsworth Hall.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.