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
521338 Prairie Ridge Health Critical Access Hospitals 1515 Park Ave Columbus WI 02/05/2016 T6R911 Complaint C2400, C2407, C2409 Appropriate Transfer; Compliance With 489.24; Stabilizing Treatment
Deficiency Tag Deficiency Description
C2400 Appropriate Transfer
C2407 Compliance With 489.24
C2409 Stabilizing Treatment
521342 Indianhead Medical Center Shell Lake Critical Access Hospitals 113 4th Ave Shell Lake WI 01/07/2015 PX8R11 Complaint C2400, C2402, C2406, C2409 Appropriate Transfer; Compliance With 489.24; Medical Screening Exam; Posting Of Signs
Deficiency Tag Deficiency Description
C2400 Appropriate Transfer
C2402 Compliance With 489.24
C2406 Medical Screening Exam
C2409 Posting Of Signs
521342 Indianhead Medical Center Shell Lake Critical Access Hospitals 113 4th Ave Shell Lake WI 10/20/2017 LVG811 Complaint C2400, C2406, C2409 Appropriate Transfer; Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description
C2400 Appropriate Transfer
C2406 Compliance With 489.24
C2409 Medical Screening Exam
521342 Indianhead Medical Center Shell Lake Critical Access Hospitals 113 4th Ave Shell Lake WI 09/10/2019 1COA11 Complaint C2400, C2402, C2405, C2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam; Posting Of Signs
Deficiency Tag Deficiency Description
C2400 Compliance With 489.24
C2402 Emergency Room Log
C2405 Medical Screening Exam
C2406 Posting Of Signs
521342 Indianhead Medical Center Shell Lake Critical Access Hospitals 113 4th Ave Shell Lake WI 08/03/2021 R2GT11 Complaint, Special C2400, C2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description
C2400 Compliance With 489.24
C2406 Medical Screening Exam
521347 Western Wisconsin Health Critical Access Hospitals 1100 Bergslien St Baldwin WI 07/19/2010 E7OG11 Complaint C2400, C2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description
C2400 Compliance With 489.24
C2406 Medical Screening Exam
521347 Western Wisconsin Health Critical Access Hospitals 1100 Bergslien St Baldwin WI 05/25/2021 DJB511 Complaint, Special C2400, C2405, C2409 Appropriate Transfer; Compliance With 489.24; Emergency Room Log
Deficiency Tag Deficiency Description
C2400 Appropriate Transfer
C2405 Compliance With 489.24
C2409 Emergency Room Log
521349 River Falls Area Hospital Critical Access Hospitals 1629 E Division St River Falls WI 10/16/2018 0PZI11 Complaint C2400, C2402, C2406, C2408, C2409 Appropriate Transfer; Compliance With 489.24; Delay In Examination Or Treatment; Medical Screening Exam; Posting Of Signs
Deficiency Tag Deficiency Description
C2400 Appropriate Transfer
C2402 Compliance With 489.24
C2406 Delay In Examination Or Treatment
C2408 Medical Screening Exam
C2409 Posting Of Signs
521349 River Falls Area Hospital Critical Access Hospitals 1629 E Division St River Falls WI 12/15/2020 VWQD11 Complaint, Special C2400, C2404 Compliance With 489.24; On Call Physicians
Deficiency Tag Deficiency Description
C2400 Compliance With 489.24
C2404 On Call Physicians
521354 Southwest Health Center Critical Access Hospitals 1400 East Side Rd Platteville WI 09/24/2013 5ZNC11 Complaint C2402 Posting Of Signs
Deficiency Tag Deficiency Description
C2402 Posting Of Signs