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34700 VALLEY RD OCONOMOWOC, WI 53066 | 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
May 3, 2024	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT ORGANIZATION OF NURSING SERVICES RN SUPERVISION OF NURSING CARE
Jun 3, 2022	1	0	0	1	Read full report
Deficiencies cited in this report: FORM AND RETENTION OF RECORDS
Mar 30, 2022	1	0	0	1	Read full report
Deficiencies cited in this report: INFECTION CONTROL PROGRAM
Jun 30, 2021	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES RN SUPERVISION OF NURSING CARE INFECTION CONTROL PROGRAM IC PROFESSIONAL TRAINING
Jun 3, 2019 Follow-up to inspection on 2019-01-31*	6	0	0	6	Read full report
Deficiencies cited in this report: EVALUATION INCLUDES INVENTORY OF ASSETS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS
Apr 25, 2019 Follow-up to inspection on 2019-01-31*	8	0	0	8	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE EVALUATION INCLUDES INVENTORY OF ASSETS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS
Apr 24, 2019 Follow-up to inspection on 2019-01-31*	0	2	0	2	Read full report
Deficiencies cited in this report: Fire Alarm System - Notification Smoke Detection
Jan 31, 2019	20	0	0	20	Read full report
Deficiencies cited in this report: GOVERNING BODY PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES STAFFING AND DELIVERY OF CARE NURSING CARE PLAN ADMINISTRATION OF DRUGS QUALIFIED DIETITIAN COMPETENT DIETARY STAFF PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE INFECTION CONTROL PROGRAM IMPLEMENTATION OF A DISCHARGE PLAN OPO AGREEMENT EVALUATION INCLUDES INVENTORY OF ASSETS INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS
Jan 31, 2019	0	13	0	13	Read full report
Deficiencies cited in this report: Exit Signage Vertical Openings - Enclosure Vertical Openings - Enclosure Hazardous Areas - Enclosure Fire Alarm System - Installation Fire Alarm System - Installation Fire Alarm System - Notification Smoke Detection Subdivision of Building Spaces - Smoke Barrie HVAC Electrical Systems - Other Electrical Systems - Other Electrical Equipment - Other
Dec 6, 2018	13	0	0	13	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT DATA COLLECTION & ANALYSIS NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN MEDICAL RECORD SERVICES FORM AND RETENTION OF RECORDS
Aug 10, 2017	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING CARE PLAN REASSESSMENT OF DISCHARGE PLANNING PROCESS
Mar 25, 2015	1	0	0	1	Read full report
Deficiencies cited in this report: INFECTION CONTROL PROGRAM
Jan 23, 2013 Follow-up to inspection on 2012-05-11*	1	0	0	1	Read full report
Deficiencies cited in this report: PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED
Jan 3, 2013 Follow-up to inspection on 2012-05-11*	3	0	0	3	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED
Nov 8, 2012	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Jul 26, 2012 Follow-up to inspection on 2012-05-11*	0	4	0	4	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available
Jul 25, 2012 Follow-up to inspection on 2012-05-11*	3	0	0	3	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED
May 11, 2012	19	0	0	19	Read full report
Deficiencies cited in this report: NURSING CARE PLAN PROTECTING PATIENT RECORDS MEDICAL RECORD SERVICES CONTENT OF RECORD: STANDING ORDERS COMPETENT DIETARY STAFF PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE FACILITIES INFECTION CONTROL PROGRAM REASSESSMENT OF A DISCHARGE PLAN SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS PLAN INCLUDES SUBSTANTIATED DIAGNOSIS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES RESPONSIBILITIES OF TREATMENT TEAM SPECIAL STAFF REQUIREMENTS FOR PSYCHIATRIC HOSPITALS ADEQUATE PERSONNEL TO PROVIDE ACTIVE TREATMENT MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS
May 11, 2012	0	19	0	19	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
Feb 21, 2012	13	0	0	13	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION
Jan 12, 2011	4	0	0	4	Read full report
Deficiencies cited in this report: COMPLETE NEUROLOGICAL EXAM RECORDED AT TIME OF ADMISSION EVALUATION INCLUDES INVENTORY OF ASSETS RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES

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.

HospitalInspections.org

ROGERS MEMORIAL HOSPITAL

Complete reports and deficiency counts