The Monroe Clinic
Monroe, Wisconsin · CCN 521523
2005 5th St
19 federal deficiencies across 3 surveys, April 11, 2024 to August 2, 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-level19100.0%
- 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
TJC, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0549Content of Plan of Care3
- L0504Notice of Rights and Responsibilities2
- L0563Program Data2
- L0564Program Data2
- L0575Executive Responsibilities2
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Aug 2, 2024 | Initial | 7 | — |
| May 22, 2024 | Recertification | 6 | — |
| Apr 11, 2024 | Recertification | 6 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 13 findings in full →
CMS publishes written findings for 13 of the 19 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from April 11, 2024 to August 2, 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