Deficiency Index

Compassus Aah of Wisconsin I, LLC

Neenah, Wisconsin · CCN 521526

816 W. Winneconne Ave

12 federal deficiencies across 5 surveys, October 19, 2021 to January 9, 2025.

Deficiencies12

Excludes the inspector’s preamble, which is not a finding

Surveys5

Federal surveys with at least one deficiency

Condition-level2

Findings against a Condition of Participation — a compliance grade, not a measure of harm

What level the findings sit at

Condition-level216.7%
The agency was out of compliance with a federal Condition of Participation — a requirement it must meet to take part in Medicare at all.
Standard-level1083.3%
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

CHAP, State Agency.

Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.

Most-cited requirements

Survey record

Federal surveys of Compassus Aah of Wisconsin I, LLC
SurveyTypeDeficienciesCondition-level
Jan 9, 2025Reaccreditation3—
Aug 13, 2024Complaint21
Jun 11, 2024Complaint21
Feb 25, 2022Initial with CCN4—
Oct 19, 2021Complaint1—

In the inspector’s words

The complete written findings for this hospice, in the inspector’s own words.

Read all 10 findings in full →

CMS publishes written findings for 10 of the 12 deficiencies on this hospice’s record.

Hospice findings published by CMS on QCOR, covering surveys from October 19, 2021 to January 9, 2025. 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