Agrace Hospicecare
Madison, Wisconsin · CCN 521505
5395 E Cheryl Pkwy
27 federal deficiencies across 4 surveys, November 28, 2023 to September 11, 2024.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Standard-level27100.0%
- A requirement within a Condition of Participation. The Condition itself was not cited.
These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.
Who conducted the surveys
State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- K0311Vertical Openings - Enclosure2
- K0343Fire Alarm System - Notification2
- K0351Sprinkler System - Installation2
- K0353Sprinkler System - Maintenance and Testing2
- K0362Corridors - Construction of Walls2
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Sep 11, 2024 | Complaint | 1 | — |
| Jan 16, 2024 | Recertification | 12 | — |
| Nov 29, 2023 | Recertification | 4 | — |
| Nov 28, 2023 | Recertification | 10 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 15 findings in full →
CMS publishes written findings for 15 of the 27 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from November 28, 2023 to September 11, 2024. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction