Hospice Alliance
A hospice in Pleasant Prairie, Wisconsin 53158
10220 Prairie Ridge Blvd, Pleasant Prairie, Wisconsin 53158. (262) 652-4400.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
7 deficiencies cited in the last three years
The middle of the 13 hospices serving ZIP code 53158 had 6.
The last inspection on record was on Sep 19, 2025: a reaccreditation inspection by The Joint Commission.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
7 deficiencies in 1 month of the last 36. Last cited Sep 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Sep 19, 2025: reaccreditation inspection by The Joint Commission7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
“Observed in Patient Home. In 1 of 3 home visits where oxygen was in use, the organization did not assess safety risks associated with oxygen cylinder storage. During home visit RRHV#3 cylinders were found in a closed closet and had been there since the patient was admitted seven months ago according to the patient’s daughter. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 1 of 18 active patient records reviewed, the organization did not conduct and document a patient-specific comprehensive assessment that identified the patient’s need for hospice care and services. In record RRNHV#3 a bereavement assessment was not documented. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 95 words
“Observed in Record Review. In 15 of 18 active patient records reviewed, medication orders in the plan of care were not specific. In record RRHV#2 there were 5 prn medications listed for treating constipation. These included Bisacodyl suppository, Docusate-Senna, Milk of Magnesia, MiraLAX, and Fleets enema. There was no clear direction for the order in which each medication should be used. Similar documentation was found in records RRHV#3, RRHV#4, RRHV#5, RRHV#6, RRNHV#1, RRNHV#2, RRNHV#3, RRNHV#4, RRNHV#5, RRNHV#6, RRNHV#7, RRNHV#8, RRNHV#9, and RRNHV#12. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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Initial certification of terminal illness (42 CFR 418.102(b)(3))
“Observed in Record Review. In 4 of 18 active patient records reviewed, certificates of terminal illness did not include subjective and objective information to support patient life expectancies of six months or less at recertification. For example, in record RRHV#2 physician statements were generic and there were no metrics in the 2nd CTI; in record RRHV#3 the 2nd and 3rd CTIs; in record RRHV#4 the 3rd, 5th, and 6th CTIs; and in record RRNHV#8 the 1st CTI. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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Content (42 CFR 418.104(a)(7))
“Observed in Patient Home. In 1 of 4 home visits conducted, where medication reconciliation was performed the list in the home was inaccurate. During the visit for RRHV#3 the daughter stated that the patient had not used Docusate-Senna, Duloxetine, Famotidine, Sertraline, and Scopolamine for 6 months or more, but they were still listed on the current treatment administration record. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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N/a (42 CFR 418.110(d)(1)(i))
The inspectors’ words, 328 words
“Observed in Document Review. There was not documented inspection and testing of fire door assemblies by a qualified person. This was verified by the executive director. Observed in Building Tour. In the fire sprinkler riser room, low voltage wires for the outside irrigation system were zip tied on to and supported by the fire sprinkler pipes. This was verified by the executive director. This finding was observed during survey activity, but corrected onsite prior to the surveyor’s departure. The corrective action taken needs to be included in the organization’s Evidence of Standards Compliance submission. Observed in Building Tour. The first floor mechanical room with natural gas fired furnace units had 10 conduit penetrations that were not fire stopped between the conduit and the drywall. This was verified by the executive director.The first floor mechanical room with the natural gas fired furnace units had a hole under the ductwork above the entry door to the room with low voltage cables passing through that was not fire stopped. This was verified by the executive director. The surveyor discussed the Life Safety deficiency with the organization, and it was determined that the following ILSMs will be implemented until the deficiency has been resolved and according to the organization’s ILSM policy: Observed in Building Tour. The fire sprinkler head in the kitchen was laden with dust and debris. This was verified by the executive director. This finding was observed during survey activity, but corrected onsite prior to the surveyor’s departure. The corrective action taken needs to be included in the organization’s Evidence of Standards Compliance submission. Observed in Building Tour. In the basement electrical room, a large bundle of low voltage wires was zip tied to the fire sprinkler system hanger. This was verified by the executive director. The surveyor discussed the Life Safety deficiency with the organization, and it was determined that the following ILSMs will be implemented until the deficiency has been resolved and according to the organization’s ILSM policy:”
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N/a (42 CFR 418.110(e))
“Observed in Document Review. The annual fire alarm system testing report did not include the NFPA standard(s) referenced for the activity. This was verified by the executive director.The annual fire extinguisher inspection report did not exist. This was verified by the executive director.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 19, 2025 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 18, 1984.
- Ownership: non-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 8.3 nurse care minutes per routine home care day, 9.9% of skilled nursing minutes at weekends and a visit near death for 99.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 31% at home, 48% in assisted living, 18% in a nursing facility, 3% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 8.3 min |
| Skilled nursing minutes at weekends | 9.9% |
| Visits near death | 99.2% of patients who died |
Who owns it?
- 5 owners or officers are people: Rita Hagen (corporate director, 0%); Rita Hagen (managing employee (on the payroll), 0%); Rita Hagen (runs it (operational or managerial control), 0%); Cristina Putra (corporate director); Cristina Putra (managing employee (on the payroll)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 88% rated it 9 or 10 out of 10, and 92% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.26% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 82.3% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 4 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 10 of 10 |
How does it compare nearby?
- Of the 13 hospices CMS’s data show serving patients in ZIP code 53158, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 7.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Hospice Alliance This hospice | 7 |
| Advocate Hospice | 1 |
| Journeycare - Deerfield | 10 |
| Star Hospice | 5 |
| Suncrest Hospice Illinois LLC | 7 |
| Aurora at Home | 7 |
| Horizon Homecare and Hospice | 2 |
| Vitas Healthcare Corp Midwest | 0 |
| Amedisys Hospice of Milwaukee | 4 |
| Compassus Milwaukee Metro | 1 |
| Heartland Hospice Milwaukee | 32 |
| St Croix Hospice Waukesha | 6 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.