Midwest Orthopedic Specialty Hospital
An acute care hospital in Franklin, Wisconsin 53132
10101 South 27th St 2nd Floor, Franklin, Wisconsin 53132. (414) 817-5800.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- 5of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 16 beds
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?
The last inspection on record was on Mar 4, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Mar 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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 Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Mar 4, 2026: complaint inspection2 deficiencies
-
Discharge Planning Evaluation
The inspectors’ words, 521 words
“DISCHARGE PLANNING EVALUATION CFR(s): The discharge planning evaluation must be included in the patient’s medical record for use in establishing an appropriate discharge plan and the results of the evaluation must be discussed with the patient (or the patient’s representative). This Standard is not met as evidenced by: 52276 Based on record review and interview, the facility failed to ensure discharge criteria is met and patients are discharged in the care of a responsible adult for 1 (Pt. #1) of 10 medical records reviewed. Review of facility policy “Post Anesthesia Phase I & II- Admission, Continuing Care and Discharge Nursing Care,” #19592927 dated 1/27/2026 revealed, “...Discharge criteria from Phase II: 1. The patient is alert and oriented...2. Stable vital signs...3. Pain controlled...4. Nausea/vomiting absent...5. Able to ambulate with assistance...6. Void if ordered...7. Dressing dry or minimal drainage...8. Receives written and verbal instructions...Instructions are reviewed with the patient and authorized patient representative...9. Must be discharged in the care of a responsible person (defined as someone 16 years of age or older). If no one is available to accompany the patient, the... professional that performed the procedure is notified...10. Patients may not drive home the same day of the procedure and are instructed not to drive within 24 hours of anesthesia. Unless accompanied by a responsible person, a cab, bus, or van service is not an acceptable means of transportation...” Review of Pt. #1’s medical record revealed Pt. #1 presented to the hospital 12/10/2025 for a right total knee replacement. After receiving a nerve block at nerve block at 9:34 AM., the urine drug screen came back positive causing surgery to be canceled. Pt. #1 was discharged to home at 12:04 PM on 12/10/2025. Review of Pt. #1’s medical record revealed Pt. #1 had no assessment or vital signs charted after anesthesia assumed care at the time of sedation and nerve block. No documentation was found to support: a discharge order placed, mode of transportation out of the facility or discharge into the care to a responsible person per facility policy. Pt. #1 was discharged at 12:10 PM. Above details confirmed with Director I on 3/4/2026 at 9:00 AM. Review of the grievance submitted to the facility by Pt. #1 revealed an investigation was completed by Director I with a response letter sent to Pt. #1. In that letter it states “... I included staff and physician interviews, along with a comprehensive review of your medical record. Below are steps taken and their findings: ...You then arranged for a transport service to pick you up, and upon its arrival, you were taken down via wheelchair, assisted into the van, and discharged home.” There is no documentation of discharge route in the charting for Pt. #1. During an interview with Director I on 3/4/2026 at 9:20 AM when asked what discharge expectations are, she stated patients need a responsible party to take them home and a transport van would not be a responsible party at discharge. When asked directly about the discharge of Pt. #1 she stated “We would not put her in a van to go home, they have to be with someone.””
-
Post-Anesthesia Evaluation
The inspectors’ words, 308 words
“POST-ANESTHESIA EVALUATION CFR(s): 482.52(b)(3) [The policies must ensure that the following are provided for each patient:] A post-anesthesia evaluation completed and documented by an individual qualified to administer anesthesia, as specified in paragraph (a) of this section, no later than 48 hours after surgery or a procedure requiring anesthesia services. The post-anesthesia evaluation for anesthesia recovery must be completed in accordance with State law and with hospital policies and procedures, which have been approved by the medical staff and which reflect current standards of anesthesia care. This Standard is not met as evidenced by: 52276 Based on record review and interview, facility staff failed to ensure a post procedure anesthesia evaluation was completed in 1 (Pt. #1) of 10 surgical charts reviewed. Review of facility policy “Provisions of Anesthesia Services,” #16139776 dated 7/12/2026 revealed “...A Post-operative evaluation must be completed and documented no later than 48 hours after surgery or a procedure requiring anesthesia services...The elements of an adequate post-anesthesia evaluating should be clearly documented and confirm to current standards of anesthesia care, including: “ Respiratory function, including respiratory rate, airway patency and oxygen saturation “ Cardiovascular function, including pulse rate and blood pressure “ Mental status “ Temperature “ Pain “ Nausea and vomiting “ Post-operative hydration ...” Pt. #1’s medical record review revealed Pt #1 received a nerve block with conscious sedation at 9:34 AM on 12/10/2025. The nerve block was administered prior to surgery being canceled due to a positive toxicology urine screen result. Pt. #1 was discharged to home at 12:10 P.M. on 12/10/2025 with an immobolizer and a walker. A post procedure anesthesia evaluation was not completed for Pt. #1. During an interview on 3/4/2026 at 9:40 AM when asked who assumes responsibility for patients while in the pre-op area Anesthesiologist J stated that anesthesia is responsible for care after medications are administered.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 4, 2026 | Complaint inspection | 2 deficiencies cited |
| Dec 16, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS gives no overall 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.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- Of the measures behind its 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., CMS counts against the national value: mortality, 0 better and 0 worse of 1; safety of care, 0 better and 0 worse of 2; readmission, 0 better and 0 worse of 3.
- Patients rate it 5 of 5 in CMS’s patient survey (215 surveys completed, Oct 1, 2024 to Sep 30, 2025): 82% rated it 9 or 10 out of 10, and 81% would definitely recommend it.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): hip or knee replacement 6.8%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after outpatient surgery, no different than expected.
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 5 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Aug 19, 2009.
- Ownership: physician.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- 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 on record in the last three years.
- Physician.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 5 of 5.
- 92% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Midwest Orthopedic and Musculoskeletal Alliance, LLC owns 50% directly since Apr 30, 2024; Ascension Wisconsin, Inc. owns 50% directly since Jul 1, 2026.
- Ascension Wisconsin, Inc. and Ascension Health run it.
- 16 owners or officers are people: Susan Dwyer (corporate officer); Susan Dwyer (managing employee (on the payroll)); Susan Dwyer (runs it (operational or managerial control)); Jennifer B Baldock (corporate director); Brian Cramer (corporate director); Scott Cihak (corporate officer); Robin Barten (managing employee (on the payroll)); Stephanie Hietpas (managing employee (on the payroll)); William T Pennington (corporate director); Rexanne R Braun (managing employee (on the payroll)); Sheila Gansemer (corporate officer); Sheila Gansemer (managing employee (on the payroll)); Sheila Gansemer (runs it (operational or managerial control)); Michael Corey Ridgway (corporate director); Jonathan Matuszewski (corporate director); John A Schneider (corporate director).
- CMS’s Provider of Services file records 1 change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Ascension Wisconsin, Inc. | Runs it (operational or managerial control) | 100% | Jul 1, 2026 |
| Midwest Orthopedic and Musculoskeletal Alliance, LLC | Owns 5% or more directly | 50% | Apr 30, 2024 |
| Ascension Wisconsin, Inc. | Owns 5% or more directly | 50% | Jul 1, 2026 |
| Sp Holdco I Inc. | Owns 5% or more through other companies | 30.63% | Apr 30, 2024 |
| Surgery Partners Inc. | Owns 5% or more through other companies | 30.63% | Apr 30, 2024 |
| Surgery Center Holdings Inc. | Owns 5% or more through other companies | 30.63% | Apr 30, 2024 |
| Surgery Center Holdings LLC | Owns 5% or more through other companies | 30.63% | Apr 30, 2024 |
| Bcpe Seminole Holdings II Intermediate LP | Owns 5% or more through other companies | 7.11% | Apr 30, 2024 |
| Ascension Health | Runs it (operational or managerial control) | Mar 1, 2016 |
How does it compare nearby?
- Of the 13 hospitals CMS lists in Milwaukee County, 7 have an overall star rating from CMS: 1 rated 5 of 5, 2 rated 4 of 5, 4 rated 3 of 5.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
-
Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. 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 Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital 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 hospital”, and paying will never change a finding, a rating or the order of results.