NURSING HOME PUBLIC RECORD
CMS lists this provider in King, WI, with 192 certified beds, an overall rating of 5/5, and 42 citation rows in the current August 2026 release.
210 Cumberlidge Ave · King, WI 54946 · Waupaca County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Wi Veterans Home Moses Hall in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-17 | 5 | 2026-06-17 | 2 |
| Cycle 2 | 2025-03-19 | 7 | 2025-03-19 | 13 |
| Cycle 3 | 2024-01-31 | 5 | 2024-01-31 | 10 |
CMS reports 42 citation rows, including 4 with G–L codes and 1 with J–L codes.
4 rows carry G–L scope/severity codes; 1 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-07-17Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2026-05-15 · complaintHave simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-07-17Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-07-17Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-05-14 · complaintProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Past Non-Compliance · 2026-02-05 · complaintEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-05-14 · complaintDevelop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-04-18Establish policies and procedures for sheltering.
Correction field: Deficient, Provider has date of correction · 2025-04-18Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2025-04-18Establish emergency prep training and testing.
Correction field: Deficient, Provider has date of correction · 2025-04-18Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-04-15Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-04-15 · complaintProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-04-15Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-04-15Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-04-15Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-04-18Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-04-15Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-04-03Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-05-30Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-04-18Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-04-04Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-05-30Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-04-18The August 2026 file contains 1 penalty row and $23,520 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-04-20 | Fine | $23,520 | 0 |
CMS matched 36 ownership disclosure rows to Wi Veterans Home Moses Hall; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 5.10 total nurse hours and 1.02 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 1 other published facility record near King, WI, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
