WI Veterans Home-Boland Hall: Hearing Aid Neglect - WI
When a state surveyor visited WI Veterans Home-Boland Hall on September 11, 2025, and asked the resident, identified in inspection records as R14, whether the TV could be turned down, R14 agreed. The volume was set to 100, the maximum the set allowed. R14 explained that the hearing aids had been left at the front desk "a long time ago." R14 said he would wear them if another pair were provided. He said he would be "very happy" to have hearing aids again and believed they would help him talk to other people and hear his television.
The trail in R14's medical record goes back to September 2022. A family member had reported the hearing aids missing. Staff located them in the medication room, where someone had placed them because they were broken. The aids were sent out for repair. A progress note from September 23, 2022 recorded their return and noted they were back in place.
Then, on February 3, 2025, a licensed practical nurse documented: "No hearing aids available." That same day, R14's physician order for hearing aids was discontinued. No explanation was recorded.
The surveyor found no hearing aids belonging to R14 anywhere in the building. A registered nurse showed the surveyor a storage area where residents' devices are kept, each in a labeled bin with the resident's name, medical record number, and room number. R14's name was not among them.
An audiologist had evaluated R14 in January 2025 and noted confusion and limited cooperation with testing, concluding that a precise degree of hearing loss could not be established but suggesting moderate loss. The audiologist recommended slow, clear speech with visual cues. No further testing was recommended. No new hearing aids were ordered. The physician order was canceled five days later.
The Director of Activities told the surveyor that she could not recall R14 ever having hearing aids. She acknowledged that R14 has difficulty hearing and that hearing aids would be helpful. An activity aide said the same, that in her entire time at the facility she had never seen R14 with any hearing device. She described R14 as quiet, someone who gravitates toward independent activities. She was uncertain whether new hearing aids would improve his quality of life but said it should be attempted.
When the surveyor raised the missing hearing aids directly with the Director of Nursing and the facility administrator on September 15, the facility had no additional information to provide.
The Director of Nursing offered one explanation for how the situation had gone unaddressed: the unit clerk responsible for scheduling audiology appointments and coordinating repairs and replacements was no longer employed at the facility. A new employee was being trained.
The next morning, the Director of Social Services told the surveyor that she had sent a message to the facility's in-house audiology group to schedule an appointment for R14 and was waiting to hear back.
That was where the record ended. No appointment had been confirmed. No hearing aids had been located or ordered. No one had explained why the physician order was canceled in February with no documentation of a clinical reason, or why the gap between the 2022 repair and the 2025 cancellation had produced no follow-up.
R14 told the surveyor he would be very happy to have hearing aids again. He said it would help him talk to others.
The facility, a home for Wisconsin veterans, sits on East Spring Street in Union Grove. R14 participates in activities two to three times a week, according to staff. He lets people know when he cannot hear them. He has been doing that, apparently, for years.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Wi Veterans Home-boland Hall from 2025-10-01 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 11, 2026 · Our methodology
WI VETERANS HOME-BOLAND HALL in UNION GROVE, WI was cited for neglect violations during a health inspection on October 1, 2025.
The volume was set to 100, the maximum the set allowed.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.