S&C QCOR EMTALA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
EMTALA 2567sPlease see here for information and guidance related to the Emergency Medical Treatment & Labor Act (EMTALA).
Selection Criteria

Time Interval

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Provider Characteristics

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Survey Results

Use these filters if you want to limit the report to providers that were cited for specific EMTALA deficiency tag citations. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Facility Name or CCN

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

CMS Certification Number Facility Name Hospital Subtype Address City State Date of CMS Survey Survey Event ID Survey Type Deficiency Tags Deficiency Descriptions Statement of Deficiencies Report
520071 Fort Memorial Hospital Short Term 611 Sherman Ave E Fort Atkinson WI 11/10/2022 4XPO11 Complaint A2400, A2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description
A2400 Compliance With 489.24
A2406 Medical Screening Exam
520071 Fort Memorial Hospital Short Term 611 Sherman Ave E Fort Atkinson WI 04/25/2023 8U7V11 Complaint A2400, A2402, A2405, A2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam; Posting Of Signs
Deficiency Tag Deficiency Description
A2400 Compliance With 489.24
A2402 Emergency Room Log
A2405 Medical Screening Exam
A2406 Posting Of Signs
520075 St Vincent Hospital Short Term 835 S Van Buren St Green Bay WI 07/13/2021 Z13011 Complaint A2400, A2404 Compliance With 489.24; On Call Physicians
Deficiency Tag Deficiency Description
A2400 Compliance With 489.24
A2404 On Call Physicians
520078 Ascension St Francis Hospital Short Term 3237 S 16th St Milwaukee WI 09/12/2017 UFI011 Complaint A2400, A2405, A2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description
A2400 Compliance With 489.24
A2405 Emergency Room Log
A2406 Medical Screening Exam
520078 Ascension St Francis Hospital Short Term 3237 S 16th St Milwaukee WI 07/14/2020 UWBH11 Complaint, Special A2400, A2406, A2407 Compliance With 489.24; Medical Screening Exam; Stabilizing Treatment
Deficiency Tag Deficiency Description
A2400 Compliance With 489.24
A2406 Medical Screening Exam
A2407 Stabilizing Treatment
520078 Ascension St Francis Hospital Short Term 3237 S 16th St Milwaukee WI 05/09/2023 PZ7D11 Complaint A2400, A2405, A2406, A2409 Appropriate Transfer; Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description
A2400 Appropriate Transfer
A2405 Compliance With 489.24
A2406 Emergency Room Log
A2409 Medical Screening Exam
520083 Ssm Health St Mary's Hospital - Madison Short Term 700 South Park St Madison WI 06/03/2015 ICS611 Complaint A2402 Posting Of Signs
Deficiency Tag Deficiency Description
A2402 Posting Of Signs
520096 Ascension All Saints Hospital Short Term 3801 Spring St Racine WI 09/27/2016 NR8W11 Complaint A2400, A2402, A2409 Appropriate Transfer; Compliance With 489.24; Posting Of Signs
Deficiency Tag Deficiency Description
A2400 Appropriate Transfer
A2402 Compliance With 489.24
A2409 Posting Of Signs
520098 University Of Wi Hospitals & Clinics Authority Short Term 600 Highland Avenue Madison WI 11/20/2017 58MQ11 Complaint A2400, A2402, A2408 Compliance With 489.24; Delay In Examination Or Treatment; Posting Of Signs
Deficiency Tag Deficiency Description
A2400 Compliance With 489.24
A2402 Delay In Examination Or Treatment
A2408 Posting Of Signs
520098 University Of Wi Hospitals & Clinics Authority Short Term 600 Highland Avenue Madison WI 03/26/2019 EZV811 Complaint A2400, A2406, A2407, A2409 Appropriate Transfer; Compliance With 489.24; Medical Screening Exam; Stabilizing Treatment
Deficiency Tag Deficiency Description
A2400 Appropriate Transfer
A2406 Compliance With 489.24
A2407 Medical Screening Exam
A2409 Stabilizing Treatment