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WI Veterans Home-Boland Hall: Elopement Unreported - WI
The veteran, identified in inspection records only as Resident 11, eloped from the facility on that date....
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The veteran, identified in inspection records only as Resident 11, eloped from the facility on that date....
HRN-C spoke to the person in the room about keeping R1 in bed, believing that person was a licensed practical nurse....
The facility's own assessment documents that it provides care for residents with COPD, pneumonia, asthma, chronic lung disease, and respiratory failure....
Federal inspectors didn't learn about it until October 7, during a complaint inspection, when they interviewed the nurse directly....
The resident, identified in federal inspection records only as R7, died on the morning of January 2....
The inspection, completed September 30, 2025, was triggered by a complaint....
The resident, identified in inspection records as R11, had been assessed as high-risk for elopement with a score of 16....
The period of danger, according to the inspection record, began September 1 and ended September 3, when the facility put manual monitoring in place....
The worker who did it had already quit by the time inspectors arrived....
The resident, identified in inspection records only as R158, spoke with an inspector on October 1, 2025....
A tracheostomy is a surgically created opening in the throat that bypasses the upper airway....
The inspection, completed October 4, 2025, stemmed from a complaint....
The resident, identified in inspection records as R801, was transferred by ambulance to a hospital emergency department on September 28, 2025....
The theft was documented in an internal investigation completed September 18, 2025....
The resident is identified in inspection records only as R2....
One resident, identified in the inspection report as R124, said exactly that during an interview on September 30....
What happened over the following weeks became the center of a complaint inspection that concluded October 1....
That happened at Accura Healthcare of Spirit Lake on the morning of October 1, 2025....
The incident happened on the morning of October 2, 2025, at The Medical Suites at Oak Creek....
The inspection was a complaint visit, conducted on September 29, 2025, at the 66-resident facility....