Inspection visit
Fire Safety inspection
Citations
16 citations recorded*CMS
This is a Fire Safety survey. CMS cites these findings under the Life Safety Code and Emergency Preparedness rules, a separate set from the health (F-tag) deficiencies. The codes and grading differ, so these do not link to the health violation pages.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0032GeneralS&S Fpotential for harm
Provide primary/alternate means for communication.
- 0013GeneralS&S Fpotential for harm
Develop Emergency Preparedness policies and procedures.
- 0036GeneralS&S Fpotential for harm
Establish emergency prep training and testing.
- 0133GeneralS&S Dpotential for harm
Install a two-hour-resistant firewall separation.
- 0222GeneralS&S Epotential for harm
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.
- 0311GeneralS&S Epotential for harm
Have an enclosure around a vertical opening shaft.
- 0321GeneralS&S Epotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0345GeneralS&S Fpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0353GeneralS&S Fpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0372GeneralS&S Epotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0521GeneralS&S Epotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0712GeneralS&S Cno actual harm
Have simulated fire drills held at unexpected times.
- 0753GeneralS&S Epotential for harm
Have restrictions on the use of highly flammable decorations.
- 0908GeneralS&S Epotential for harm
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- 0916GeneralS&S Fpotential for harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- 0022GeneralS&S Fpotential for harm
Establish policies and procedures for sheltering.
FAQ · About this visit
Common questions about this visit
What happened during the March 19, 2025 survey of WI Veterans Hm Ainsworth Hall?
This was a inspection survey of WI Veterans Hm Ainsworth Hall on March 19, 2025. The surveyor cited 16 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at WI Veterans Hm Ainsworth Hall on March 19, 2025?
Yes, 16 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide primary/alternate means for communication."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.