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
521332 Spooner Health System Critical Access Hospitals 1280 Chandler Dr Spooner WI 01/26/2017 92IO11 Complaint C2400, C2402, C2406, C2407, C2409 Appropriate Transfer; Compliance With 489.24; Medical Screening Exam; Posting Of Signs; Stabilizing Treatment
Deficiency Tag Deficiency Description
C2400 Appropriate Transfer
C2402 Compliance With 489.24
C2406 Medical Screening Exam
C2407 Posting Of Signs
C2409 Stabilizing Treatment
521332 Spooner Health System Critical Access Hospitals 1280 Chandler Dr Spooner WI 10/19/2017 64LT11 Complaint C2400, C2401 Compliance With 489.24; Receiving An Inappropriate Transfer
Deficiency Tag Deficiency Description
C2400 Compliance With 489.24
C2401 Receiving An Inappropriate Transfer
521332 Spooner Health System Critical Access Hospitals 1280 Chandler Dr Spooner WI 09/15/2022 512H11 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
521333 Black River Memorial Hospital Critical Access Hospitals 711 W Adams St Black River Falls WI 04/15/2021 WONO11 Complaint, Special C2400, C2402 Compliance With 489.24; Posting Of Signs
Deficiency Tag Deficiency Description
C2400 Compliance With 489.24
C2402 Posting Of Signs
521335 Hudson Hospital & Clinic Critical Access Hospitals 405 Stageline Road Hudson WI 09/23/2020 W37J11 Complaint, Special C2402 Posting Of Signs
Deficiency Tag Deficiency Description
C2402 Posting Of Signs
521337 St Croix Regional Medical Center Critical Access Hospitals 235 E State Street Saint Croix Falls WI 04/29/2016 8JTS11 Complaint C2400, C2402, C2403, C2407, C2409 Appropriate Transfer; Compliance With 489.24; Hospital Must Maintain Records; Posting Of Signs; Stabilizing Treatment
Deficiency Tag Deficiency Description
C2400 Appropriate Transfer
C2402 Compliance With 489.24
C2403 Hospital Must Maintain Records
C2407 Posting Of Signs
C2409 Stabilizing Treatment
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
521340 Mayo Clinic Health System-Red Cedar Critical Access Hospitals 2321 Stout Rd Menomonie WI 05/21/2025 N7OB11 Complaint C2400, C2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description
C2400 Compliance With 489.24
C2406 Medical Screening Exam
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