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9200 W WISCONSIN AVE MILWAUKEE, WI 53226 | Voluntary non-profit - Private

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Apr 19, 2024	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Jan 8, 2024	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT SAFETY RN SUPERVISION OF NURSING CARE
Oct 23, 2023	2	0	0	2	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 APPROPRIATE TRANSFER
Jul 11, 2023	1	0	0	1	Read full report
Deficiencies cited in this report: RN SUPERVISION OF NURSING CARE
Feb 22, 2023	3	0	0	3	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 POSTING OF SIGNS MEDICAL SCREENING EXAM
Feb 21, 2023	2	0	0	2	Read full report
Deficiencies cited in this report: SURGICAL SERVICES OPERATING ROOM POLICIES
Sep 8, 2022	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION
Feb 17, 2022	2	0	0	2	Read full report
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE POST-ANESTHESIA EVALUATION
Feb 3, 2022	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT STAFFING AND DELIVERY OF CARE
Dec 15, 2020	2	0	0	2	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE
Oct 23, 2020	3	0	0	3	Read full report
Deficiencies cited in this report: INFECTION PREVENTION CONTROL ABX STEWARDSHIP INFECTION CONTROL PROGRAM LEADERSHIP RESPONSIBILITIES
Jan 22, 2020	2	0	0	2	Read full report
Deficiencies cited in this report: STAFFING AND DELIVERY OF CARE CONTENT OF RECORD: ORDERS,NOTES,REPORTS
Apr 6, 2017	2	0	0	2	Read full report
Deficiencies cited in this report: DISCHARGE PLANNING IMPLEMENTATION OF A DISCHARGE PLAN
Jun 14, 2016	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Oct 16, 2014	2	0	0	2	Read full report
Deficiencies cited in this report: PRE-ANESTHESIA EVALUATION INTRAOPERATIVE ANESTHESIA RECORD
Mar 10, 2014	1	0	0	1	Read full report
Deficiencies cited in this report: NURSING CARE PLAN
Aug 21, 2013	2	0	0	2	Read full report
Deficiencies cited in this report: ADMINISTRATION OF DRUGS INFECTION CONTROL PROGRAM
Apr 3, 2013 Follow-up to inspection on 2012-07-17*	0	5	0	5	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available
Dec 19, 2012 Follow-up to inspection on 2012-07-17*	0	6	0	6	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Sep 10, 2012 Follow-up to inspection on 2012-07-17*	0	6	0	6	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Sep 5, 2012 Follow-up to inspection on 2012-07-17*	2	0	0	2	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE
Sep 5, 2012	1	0	0	1	Read full report
Deficiencies cited in this report: COMPLIANCE WITH LAWS
Jul 17, 2012	17	0	0	17	Read full report
Deficiencies cited in this report: COMPLIANCE WITH LAWS COMPLIANCE WITH LAWS RN SUPERVISION OF NURSING CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS PROTECTING PATIENT RECORDS CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: STANDING ORDERS CONTENT OF RECORD: INFORMED CONSENT SECURE STORAGE COMPETENT DIETARY STAFF PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE VENTILATION, LIGHT, TEMPERATURE CONTROLS INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Jul 17, 2012	0	94	0	94	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Feb 2, 2012	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: INFORMED DECISION

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts