Wi Veterans Home-boland Hall
Wi Veterans Home-boland Hall Information
| Facility Name | Wi Veterans Home-boland Hall |
| Location | 21425 E Spring St, Union Grove, WI 53182 |
| County (SSA Code) | Racine (500) |
| Phone Number | 262-878-6702 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 158 |
| Average Number of Residents | 151.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | STATE OF WISCONSIN |
| Ownership Type | Government - State |
| Date First Approved | 2006-12-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.47996 |
| Reported LPN Staffing Hours per Resident per Day | 0.50743 |
| Reported RN Staffing - Hours per Resident per Day | 1.24577 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.7532 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.23316 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01959 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.98736 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.68043 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.29011 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.95791 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.56272 |
| Total Weighted Health Survey Score for three cycles | 138.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-02-21 |
| Rating cycle 1 - Health Deficiency Score | 20 |
| Rating cycle 1 - Total Health Inspection Score | 187 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-12-19 |
| Rating cycle 2 - Health Deficiency Score | 187 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-09-14 |
| Rating cycle 3 - Health Deficiency Score | 72 |
| Rating cycle 3 - Total Health Inspection Score | 72 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 5 |
| Number of Substantiated Complaints | 5 |
| Number of Fines | 3 |
| Total Amount of Fines (in Dollars) | 67246 |
| Total Number of Penalties | 3 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |