Compassus Milwaukee Metro
Milwaukee, Wisconsin · CCN 521561
135 S 84th St Suite 150-B
12 federal deficiencies across 4 surveys, June 8, 2023 to December 3, 2025.
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
- 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
State Agency, CHAP.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0500Patients' Rights2
- L0512Rights of the Patient2
- L0524Content of Comprehensive Assessment1
- L0545Content of Plan of Care1
- L0549Content of Plan of Care1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Dec 3, 2025 | Complaint | 1 | — |
| Oct 16, 2023 | Complaint | 2 | 1 |
| Aug 30, 2023 | Complaint | 2 | 1 |
| Jun 8, 2023 | Initial with CCN | 7 | — |
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 June 8, 2023 to December 3, 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.
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