Personally, I like my ROM SIMM to fit without having to use shims of some sort to hold it in place. Apparently the board thickness the original SIMMs used is hard to come by now.
Some IIsi models came with SIMMs, some had the ROM soldered in. So when people say the are using a IIsi ROM, they generally mean the original Apple branded SIMM that has proper fit. The IIci ROM code can be used, but only if flashed to another product. Not on an original Apple part.
As for the artifacts, they are really a non issue. They show up for 2 or 3 seconds, then disappear completely and the happy Mac logo appears and boot up continues as normal.