Hearth Record

Castle Hospice

A hospice in New Berlin, Wisconsin 53151

13040 W Cleveland Ave Suite 300h, New Berlin, Wisconsin 53151. (414) 930-4432.

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 2 deficiencies in 1 month of the last 36. Last cited Nov 2024. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean2
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?

2 deficiencies cited in the last three years

The middle of the 25 hospices serving ZIP code 53151 had 6.5.

The last inspection on record was on Nov 22, 2024: a reaccreditation inspection by the Community Health Accreditation Partner.

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

2 deficiencies in 1 month of the last 36. Last cited Nov 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

2 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.

Nov 22, 2024: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies

  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 267 words

    “It is required that each patient’s individualized written plan of care: identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review, document review and interview. In 1 of 4 (25%) clinical records reviewed in which complementary therapy services were accepted, it was revealed that the agency did not ensure the updated plan of care documented interventions for the therapy. Agency policy 829, Plan of Care - Revised, stated in part, “Revised plan of care must include information from the patient updated comprehensive assessment and must note the patient progress toward outcomes and the patient’s goals as specified in the plan of care. The plan of care includes services necessary for the palliation and management of the terminal illness and related conditions and includes the identification of problems or needs and the establishment of appropriate goals.” Clinical Record 9: The hospice election of benefit was dated 07/02/2024. The benefit periods were dated 07/02/2024 - 09/29/2024 and 09/30/2024 - 11/28/2024. All plans of care were reviewed. The complementary therapy service began on 09/19/2024 at a frequency of one time a month, providing pet therapy. As of 11/21/2024, no goals or interventions were documented for complementary therapy. A frequency of one (1) time a month was ordered but no documented interventions or goals were on any of the updated care plans. During an interview, the Executive Director and Coordinator of Complimentary Therapy who reviewed the record, confirmed the finding and stated the interventions of comfort and coping were not documented on the plan of care.”

    Rule L0545. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    The inspectors’ words, 277 words

    “It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 2 of 13 (15%) clinical records reviewed in which a hospice aide was accepted, the agency did not ensure the registered nurse (RN) prepared a hospice aide plan of care (POC) that contained clear and specific instructions for the patient’s required care. Clinical Record 2: The aide POC was updated on 10/04/2024 for a patient with a primary diagnosis of senile degeneration of the brain with the following assigned tasks: shower on Friday; and complete bed bath if the patient is exhibiting increased anxiety. As written, the assigned task allows the aide to decide which bath to provide and define the signs and symptoms of increased anxiety, which is outside of the scope of practice for an aide. The aide visits were reviewed from this time frame and the aide only completed the shower task. Clinical Record 7: The aide POC was dated 09/30/2024 with the assigned task to apply barrier cream to -_______ every visit. The aide documented that barrier cream was applied every visit but did not identify and document the location. During an interview on 11/22/2024, the aide stated the cream was applied to the coccyx area as discussed with the nurse. During an interview on 11/21/2024, the Executive Director confirmed the aide plans of care did not include specific patient care instructions.”

    Rule L0625. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Nov 22, 2024Reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jan 6, 2022.
  • Ownership: for-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): 13.7 nurse care minutes per routine home care day, 8.8% of skilled nursing minutes at weekends and a visit near death for 98% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 1% at home, 98% in assisted living, 1% in a skilled nursing facility.
Source:

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

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day13.7 min
Skilled nursing minutes at weekends8.8%
Visits near death98.0% of patients who died

Who owns it?

  • 11 owners or officers are people: Kevin Kiefer (owns 5% or more directly, 50%); Kristopher Kiefer (owns 5% or more directly, 50%); Jeanine Brimmer (managing employee (on the payroll)); Kevin Kiefer (corporate officer); Kevin Kiefer (corporate director); Kevin Kiefer (managing employee (on the payroll)); Kristopher Kiefer (corporate officer); Kristopher Kiefer (corporate director); Kristopher Kiefer (managing employee (on the payroll)); Diana Howell (managing employee (on the payroll)); Ali H Siddiqui (managing employee (under contract)).
  • 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?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 86.4% 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 5Not rated
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 25 hospices CMS’s data show serving patients in ZIP code 53151, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6.5; this one had 2.
Source:

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

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

The 25 hospices CMS lists serving ZIP code 53151
PlaceDeficiencies, 3 years
Castle Hospice This hospice2
Unity Hospice7
Agrace Hospicecare15
Aurora at Home7
Horizon Homecare and Hospice2
Prohealth Home Hospice3
Vitas Healthcare Corp Midwest0
Rainbow Hospice Care10
Amedisys Hospice of Milwaukee4
Compassus Milwaukee Metro1
Heartland Hospice Milwaukee32
Accent Care Hospice and Palliative Care of WI11

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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