Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WI Veterans Home Moses Hall

King, WI · 192 certified beds · Last Life Safety survey June 17, 2026

CMS Certification Number 525718 · first certified March 2015

Ownership

Independently operated (no chain recorded by CMS) · Government - State

No change of ownership on CMS record since January 1, 2016, when the records begin.

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within WI

25 citations — more than 73% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 11.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was June 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 25 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 25 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility25WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
102024-01132025-0322026-06
Citations at each Life Safety survey
Survey dateCitations
January 31, 202410
March 19, 202513
June 17, 20262

Most-cited tags

Most-cited tags at this facility
K-07123K-09182K-07532K-03631K-07111K-03451K-03111E-00221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32026-06-17
K-0918Have generator or other power source capable of supplying service within 10 seconds.22026-06-17
K-0753Have restrictions on the use of highly flammable decorations.22025-03-19
K-0363Install corridor and hallway doors that block smoke.12024-01-31
K-0711Provide a written emergency evacuation plan.12024-01-31
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-03-19
K-0311Have an enclosure around a vertical opening shaft.12025-03-19
E-0022Establish policies and procedures for sheltering.12025-03-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Miscellaneous Deficiencies 7
  • Emergency Preparedness Deficiencies 4
  • Egress Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Miscellaneous Deficiencies7
Emergency Preparedness Deficiencies4
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 17, 2026 — 2 citations

Citations issued on June 17, 2026
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 17, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 17, 2026)

March 19, 2025 — 13 citations

Citations issued on March 19, 2025
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (April 18, 2025)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (April 18, 2025)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (April 18, 2025)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (April 18, 2025)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (April 3, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 18, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 4, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 30, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 18, 2025)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (April 18, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 18, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 14, 2025)

January 31, 2024 — 10 citations

Citations issued on January 31, 2024
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (February 1, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 16, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (February 21, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 15, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Waiver has been granted (June 29, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 6, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Waiver has been granted (April 17, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (March 15, 2024)
K-0712Have simulated fire drills held at unexpected times.Waiver has been granted (June 29, 2024)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (February 1, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.