Hearth Record

Hospice Touch

A hospice in Tomah, Wisconsin 54660

601 Straw St, Tomah, Wisconsin 54660. (608) 374-0250.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 5 deficiencies in 1 month of the last 36. Last cited Jun 2025. Most serious: Standard-level. Every month

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?

5 deficiencies cited in the last three years

The middle of the 7 hospices serving ZIP code 54660 had 7.

The last inspection on record was on Jun 19, 2025: a reaccreditation inspection by The Joint Commission.

Source:

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

5 deficiencies in 1 month of the last 36. Last cited Jun 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

5 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Jun 19, 2025: reaccreditation inspection by The Joint Commission5 deficiencies
  • Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))

    The inspectors’ words, 136 words

    “Observed in Patient Home. In 1 of 4 home visits conducted, the organization failed to assess potential medication-related problems. The RN did not comply with the organization’s policy Medication Reconciliation which states that with weekly RN visits, the RN will verify the accuracy of the patient’s medication list in the home and the hospice medication profile by visually checking the medications and asking about changes. For RRHV #1 the hospice nurse conducted a medication assessment however did not visually check the medications until prompted by the surveyor at which time it the RN discovered that Prochlorperazine Maleate 10 mg tablets, Prochlorperazine 25 mg rectal suppositories and Loperamide 2 mg capsules were not in the home and that the patient had not taken them for the past 4 months. This was validated with the Hospice Clinical Coordinator.”

    Rule L0530. Standard-level.

  • Coordination of services (42 CFR 418.56(e)(2))

    “Observed in Patient Home. In 1 of 4 home visits conducted, the organization had not provided care and treatment according to the patient’s individualized plan of care. For RRHV #1 the patient was oxygen dependent and the oxygen was listed on the medication list 1-3 liters continuously however the patient was using the oxygen 3-4 liters continuously as she had been instructed by the RN. This was validated with the Hospice and Palliative Care Coordinator.”

    Rule L0555. Standard-level.

  • Training (42 CFR 418.100(g)(3))

    The inspectors’ words, 133 words

    “Observed in HR File Review. In 3 of 9 HR files reviewed, Staff competency was not assessed as part of orientation. In review of the personnel files for HR #7 the Hospice Medical Director, HR #8 and HR #9 of volunteer files there was no evidence that competence was initially assessed and documented as part of orientation. This was validated by the Hospice and Palliative Care Coordinator and the Volunteer Coordinator. Observed in HR File Review. In 3 of 9 HR files reviewed, the organization had not defined competencies. In review of the personnel file for the Hospice Medical Director HR #7 and the Volunteer files for HR # 8 and HR #9 the organization had not identified competencies. This was validated with the Hospice and Palliative Care Coordinator and the Volunteer Coordinator.”

    Rule L0663. Standard-level.

  • Content (42 CFR 418.104(a)(3))

    “Observed in Patient Home. In 1 of 4 home visits conducted, the organization failed to conduct an accurate assessment of the patient’s medications.. The patient medication list for RRHV #4 who had been admitted to the Hospice program 3 weeks ago included Tiotropium Bromide 2.5 mcg 2 puffs daily, however the patient reported he had not taken the medication for quite a while and was not taking it at the time of admission to the Hospice program. This was validated with the Hospice and Palliative Care Coordinator.”

    Rule L0674. Standard-level.

  • Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))

    The inspectors’ words, 94 words

    “Observed in Record Review. In 1 of 14 patient records reviewed, the organization had not provided education to the patient and primary caregiver based on the patient’s assessed needs. In review of the medical record for RRHV #1 who was oxygen dependent the skilled nursing visit notes documented that the patient/family had refused delivery of back up oxygen however there was no evidence in the medical record that the patient/caregiver was educated about what to do in the event that the oxygen concentrator fails. This was validated with the Hospice and Palliative Care Coordinator.”

    Rule L0702. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jun 19, 2025Reaccreditation inspection by The Joint Commission5 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jun 24, 1993.
  • Ownership: non-profit.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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): 16.8 nurse care minutes per routine home care day, 11.9% of skilled nursing minutes at weekends and a visit near death for 95.7% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 58% at home, 31% in assisted living, 11% elsewhere.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day16.8 min
Skilled nursing minutes at weekends11.9%
Visits near death95.7% of patients who died

Who owns it?

  • 13 owners or officers are people: Hillary Johnson (managing employee (on the payroll)); Robert Holness (corporate director); Elizabeth Arity (corporate director); John W Robertson (corporate director); Greg Gaarder (corporate director); Sue Playter Mubarak (corporate director); Deb Buswell (corporate director); Brian Scott Nicol (corporate director); Wesley D Revels (corporate director); Derek Daly (corporate director, 0%); Keith Laugen (corporate director); Joseph P Zeps (corporate director); Tiffany Casper (corporate director).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 94% rated it 9 or 10 out of 10, and 96% would definitely recommend it.
  • CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 99.47% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 74.8% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 55 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 threshold9 of 10

How does it compare nearby?

  • Of the 7 hospices CMS’s data show serving patients in ZIP code 54660, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 5.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

The 7 hospices CMS lists serving ZIP code 54660
PlaceDeficiencies, 3 years
Hospice Touch This hospice5
Agrace Hospicecare15
St Croix Hospice La Crosse8
Gundersen Lutheran Medical Center7
St Croix Hospice Baraboo5
St Croix Hospice Eau Claire10
Moments Hospice of Eau Claire6

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

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.

Source:

This copy of the record was made on Nov 5, 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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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