Thedacare at Home
A hospice in Appleton, Wisconsin 54915
3000 E College Ave Suite A, Appleton, Wisconsin 54915. (920) 969-0919.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 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?
4 deficiencies cited in the last three years
The middle of the 17 hospices serving ZIP code 54915 had 5.
The last inspection on record was on Jun 26, 2026: 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
4 deficiencies in 1 month of the last 36. Last cited Jun 2026. 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.
Jun 26, 2026: reaccreditation inspection by The Joint Commission4 deficiencies
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 1 of 20 patient records reviewed, it was noted that the organization did not ensure that the plan of care goals included outcome measures for specific care activities. For example, during a review of the medical record for HosRRNHV#4, the following goal statement was noted: Patient will have shortness of breath managed through “date omitted”. The goal statement did not include a method to measure the effectiveness of problem interventions. This observation was reviewed with the Quality Outcomes Specialist.”
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Competency evaluation (42 CFR 418.76(c)(1))
“Observed in HR File Review. In 1 of 8 hospice competency file reviewed, the organization had not documented the required elements for a hospice home health aide. The hospice aide lacked a competency assessment that included the appropriate and safe techniques in personal hygiene and grooming that included: bed, sponge, tub and shower bath; sink, tub and bed shampoo. This was discussed with the registered nurse clinical educator.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 98 words
“Observed in Individual Tracer. In 1 of 12 patient records reviewed, for patient’s receiving hospice aide services, it was noted that the organization did not ensure all requirements for planning the care of patient’s were implemented. For example, a review of the medical record for HosRRHV#4, revealed that the presence of a foley catheter was documented for this patient during week 1 (one) through week 8 (eight) of hospice services. The plan of Care did not include written patient care instructions for the hospice aide to provide catheter care. This observation was reviewed with the Quality Outcomes Specialist.”
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N/a (42 CFR 418.110(d)(1)(i))
“Observed in Building Tour. In the smoke barrier above the cross corridor double doors near room 135, two conduits with low voltage wires were not sealed between the wires and the conduit. This was verified by the facilities team. 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.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 26, 2026 | Reaccreditation inspection by The Joint Commission | 4 deficiencies cited |
| Apr 10, 2024 | Follow-up inspection by The Joint Commission | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jul 2, 1985.
- 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): 16.5 nurse care minutes per routine home care day, 10.3% of skilled nursing minutes at weekends and a visit near death for 95.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 57% at home, 19% in assisted living, 16% in a nursing facility, 2% in a hospital, 1% in an inpatient hospice, 4% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 16.5 min |
| Skilled nursing minutes at weekends | 10.3% |
| Visits near death | 95.9% of patients who died |
Who owns it?
- Froedtert Thedacare Health, Inc. runs it.
- 18 owners or officers are people: Megan Rennie (managing employee (on the payroll)); Jennifer R Glasheen (managing employee (on the payroll)); Laurie A Carter (corporate director); Mary W Goggans (corporate director); Alan Loux (corporate director); Timothy J Jessick (corporate director); Timothy J Jessick (managing employee (on the payroll)); William Flett (corporate officer); William Flett (managing employee (on the payroll)); Imran A Andrabi (corporate officer); Imran A Andrabi (corporate director); Imran A Andrabi (managing employee (on the payroll)); Chuck Dallas (corporate director); David W Koeper (corporate officer); Susan M Pahl (managing employee (on the payroll)); Steven J Price (corporate director); Kathleen Pigeon (managing employee (on the payroll)); Michael Morse (corporate director).
- 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): 85% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.99% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 68.7% 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 17 hospices CMS’s data show serving patients in ZIP code 54915, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 4.
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 |
|---|---|
| Thedacare at Home This hospice | 4 |
| Moments Hospice of Appleton | 0 |
| Unity Hospice | 7 |
| Compassus Neenah | 5 |
| Calumet County Hospice Agency | 1 |
| Aurora at Home | 3 |
| Heartland Hospice Green Bay | 16 |
| Amedisys Hospice of Green Bay | 6 |
| Sharon S Richardson Community Hospice | 12 |
| St Paul Hospice Services | 2 |
| Preceptor Hospice | 5 |
| Compassus Green Bay | 5 |
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.