Compassus Milwaukee Metro
A hospice in Milwaukee, Wisconsin 53214
135 S 84th St Suite 150-B, Milwaukee, Wisconsin 53214. (414) 455-9510.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- 3of 5 family caregiver rating
- 9of 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?
1 deficiency cited in the last three years
The middle of the 23 hospices serving ZIP code 53214 had 5.5.
The last inspection on record was on Apr 3, 2026: a reaccreditation inspection by the Community Health Accreditation Partner.
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
1 deficiency in 1 month of the last 36. Last cited Dec 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.
Dec 3, 2025: complaint inspection by the state1 deficiency
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Content of comprehensive assessment (42 CFR 418.54(c))
The inspectors’ words, 662 words
“Based on record review and interview, the agency failed to assess for and provide Durable Medical Equipment (DME) and supplies to meet patient needs in 1 of 10 patient records reviewed (Patient #1). Findings Include: Review of agency policy titled “Individualized Plan of Care” dated 10/17/2025 revealed “2. Content of Plan of Care: b. Interventions to manage pain and other symptoms: ii. Non-pharmacological interventions, including supply and DME needs. F. Medical supplies and appliances/DME needed to support patient care needs. i. All DME.” Review of agency policy titled “Hospice Drugs, Biologicals, Medical Supplies and DME” dated 10/17/2025 revealed “4. Orders for drugs, biologicals, medical supplies, and DME will be documented by an appropriately licensed team members. 11. Medical Equipment and Supplies c. Medical supplies required for comfort of the patient or the palliation of the terminal illness or related conditions will be provided by Compassus.” Record review of Patient #1 Discharge Summary dated 09/07/2025 revealed in part, “Patient #1 goal to be comfort… Hospice will see patient at home. They will order hospital bed. I talked to both patient and husband and all in agreement with hospice.” Record review of Patient #1’s “Hospice Certification and Plan of Care” dated 09/7/2025 to 12/05/2025 revealed “DME and Supplies: None.” Record review of Patient #1’s “Hospice Registered (RN) Start of Care” home visit dated 09/7/2025 at 1:50 PM revealed “Musculoskeletal Assessment: Decreased strength, fatigue, gait/ambulation disturbance. Mobility Assessment: Transfers bed to chair with maximum assistance. Gait/Balance: Decreased muscle coordination, complete bedbound status. Equipment/supplies in good working order: Yes. Genitourinary Assessment: Incontinence. Protective Devices used: Diapers, under pads. Supplies: Delivered none.” Record review of Patient #1’s “Subsequent RN Visit” dated 09/08/2025 at 12:26 PM revealed “Musculoskeletal Assessment: Decreased strength/weakness. Mobility Assessment: Bedbound. Requires total assistance for all Activities of Daily Living (ADLS). Equipment/supplies in good working order: Yes. Genitourinary Assessment: Incontinence. Protective Devices used: Under pads, pull ups. Supplies: Delivered none.” Neither Hospice nurse home visit on 09/07/2025 and 09/08/2025 identified what type of equipment was being utilized in Patient #1’s home nor assessed what equipment and supplies were needed to meet Patient #1’s comfort needs. It was unclear as to whether the use of a hospital bed, wheelchair or any other medical equipment devices were assessed. During an interview with Area Executive Clinical Operations (ACO) B on 12/02/2025 at 12:15 PM, when asked the agency protocol for supply and equipment needs and if any known issues for Patient #1, ACO B replied “On admission the nurse will go through what the patient wants and determines what is needed and order anything such as hospital beds or wheelchairs. There were no requests for additional supplies documented and no orders for DME or hospital bed. DME was not documented.” During an interview with Admission Nurse C on 12/03/2025 at 8:05 AM, when asked about the agency process on admission for equipment/supply needs and if any known issues for Patient #1, Admission Nurse C replied “Normally I order equipment right at the time of admission and offer right away because it would take time. Can take 4-6 hours if I order urgent. (For Patient #1) I don’t recall they wanted equipment. I didn’t have supplies with me, like briefs or anything in my car. We scheduled this admission last minute as patient had just been discharged from the hospital. Often equipment is already ordered pre-discharge but this wasn’t the case.” During an interview with Hospice Nurse D on 12/03/2025 at 8:57 AM, when asked about the agency process on admission for equipment/supply needs and if any known issues for Patient #1, Hospice Nurse D replied “I ask the patient if anything I can bring prior to the visit. Ask about all types of supplies like chux pads and gloves. I do carry a basic supply in the car and will provide at the visit if needed. Will suggest a hospital bed and oxygen at minimum.” Hospice Nurse D could not remember if there were issues with equipment needs.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 3, 2026 | Reaccreditation inspection by the Community Health Accreditation Partner | No deficiencies cited |
| Dec 3, 2025 | Complaint inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since May 28, 1997.
- Ownership: for-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.
- 1 deficiency cited in the last three years came from an inspection 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): 13 nurse care minutes per routine home care day, 6.7% of skilled nursing minutes at weekends and a visit near death for 96.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 65% at home, 18% in assisted living, 13% in a nursing facility, 1% in a skilled nursing facility, 2% in a hospital, 1% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 13.0 min |
| Skilled nursing minutes at weekends | 6.7% |
| Visits near death | 96.3% of patients who died |
Who owns it?
- Compassus AAH Holdings of Wisconsin LLC owns 100% directly since Oct 1, 2020.
- Community Hospices of America, LLC. runs it.
- 6 owners or officers are people: John Cullen (corporate officer); Shanna M Gonzales (managing employee (on the payroll)); Orell R Williams (managing employee (under contract)); Laura A Templeton (corporate officer); Jeremy R Bolling (corporate officer); Michael Asselta (corporate officer).
- 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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Compassus Parent, Inc. | Owns 5% or more through other companies | 100% | Oct 1, 2020 |
| Fc Compassus LLC | Owns 5% or more through other companies | 100% | Oct 1, 2020 |
| Compassus AAH Holdings LLC | Owns 5% or more through other companies | 100% | Oct 1, 2020 |
| Compassus Holdings LP | Owns 5% or more through other companies | 100% | Oct 1, 2020 |
| Compassus AAH Holdings of Wisconsin LLC | Owns 5% or more directly | 100% | Oct 1, 2020 |
| Community Hospices of America, LLC. | Runs it (operational or managerial control) | 100% | Apr 8, 2022 |
| Compassus Intermediate Inc. | Owns 5% or more through other companies | 100% | Oct 1, 2020 |
| Ti V Asc Compassus Investment Aggregator LP | Owns 5% or more through other companies | 97.5% | Oct 1, 2020 |
| Ascension Towerbrook Healthcare Opportunities LP | Owns 5% or more through other companies | 47.66% | Oct 1, 2020 |
| Ascension Capital LLC | Owns 5% or more through other companies | 47.63% | Oct 1, 2020 |
| Ascension Health Alliance | Owns 5% or more through other companies | 47.63% | Oct 1, 2020 |
| Towerbrook Investors V (Onshore) LP | Owns 5% or more through other companies | 29.96% | Oct 1, 2020 |
| Towerbrook Investors V 892 LP | Owns 5% or more through other companies | 14.23% | Oct 1, 2020 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 77% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.1% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 76.5% 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 | 3 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 | 9 of 10 |
How does it compare nearby?
- Of the 23 hospices CMS’s data show serving patients in ZIP code 53214, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; this one had 1.
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 |
|---|---|
| Compassus Milwaukee Metro This hospice | 1 |
| Accent Care Hospice and Palliative Care of WI | 11 |
| Horizon Homecare and Hospice | 2 |
| Vitas Healthcare Corp Midwest | 0 |
| Heartland Hospice Milwaukee | 32 |
| Thedacare at Home | 4 |
| Aurora at Home | 7 |
| Prohealth Home Hospice | 3 |
| Rainbow Hospice Care | 10 |
| Amedisys Hospice of Milwaukee | 4 |
| Compassus Milwaukee | 8 |
| Allay Hospice | 0 |
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.