Hope Home Care

Penalties

• — DQA enforcement letter

Inspection findings

Nursing homes: CMS Care Compare inspections (last three cycles), penalties and ownership. Assisted living: DHS directory data and statements of deficiencies DHS has posted since October 2026; older survey documents are on the DQA Provider Search. An absence of findings here does not mean a clean record.

1. Aug 21, 2026 DQA survey · 31 findings
   • Severity not stated

     M 0216 88.04(2)(a) Responsibilities

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0230 88.04(2)(f) Condition Which Represents

     Risk or Harm

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0232 88.04(2)(g)1 Health Screening for Staff

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0235 88.04(2)(h) Comply with OSHA

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0244 88.04(5)(a) Training - 15 Hours Within 6

     Months

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0332 88.05(4)(a) Fire Safety - Fire

     Extinguishers

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0336 88.05(4)(b)2 Smoke Detectors - Testing

     and Maintenance

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0346 88.05(4)(d)2.b Fire Evacuation Annual

     Evaluation

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0384 88.06(2)(b) Service Agreement Except

     Respite

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0420 88.06(3)(d)5 Signed Statement of

     Agreement

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0424 88.06(3)(f) Review of ISP

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0448 88.07(2)(b)5 Monitoring Health

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0458 88.07(3)(a) Prescription Medications

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0462 88.07(3)(c) Medication Assistance

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0464 88.07(3)(d) Medication - Written Order

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0482 88.09(1)(a) Resident Records

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0530 88.09(2)(a)8 Training Documentation

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0580 88.10(3)(p) Prompt and Adequate

     Treatment

     Statement of deficiencies (PDF)

   • Severity not stated

     M 0582 88.10(3)(q) Medications

     On 08/21/2026, at approximately 2:20 p.m., Surveyor interviewed Licensee A. In discussing the regulatory concerns in the above areas, Licensee A reported that s/he learned a lot through the survey process. Licensee A reported that s/he realized s/he needed to have better documentation. Licensee A denied having any questions or concerns about the above areas discussed with Surveyor.

     Statement of deficiencies (PDF)

   • Severity not stated

     M 216 88.04(2)(a) RESPONSIBILITIES

     Based on record review and interview, the licensee did not ensure that the home and its operation complied with Wis. Admin. Code ch. 88. Findings include: On 08/11/2026, Surveyor reviewed Department records for the provider. The provider has been licensed since 01/03/2025 and is licensed to serve up to 3 residents in the client groups of irreversible dementia/Alzheimer's, developmentally disabled, advanced aged, emotionally disturbed/mental illness, terminally ill, physically disabled, and traumatic brain injury. On 08/11/2026, with information obtained through 08/21/2026, Surveyor conducted a complaint investigation and standard licensing survey. The complaint was substantiated and the following 19 deficiencies were identified:

     Statement of deficiencies (PDF)

   • Severity not stated

     M 230 88.04(2)(f) CONDITION WHICH REPRESENTS

     Based on record review and interview, the licensee permitted the existence and continuation of a condition in the home which placed the safety and welfare of residents at substantial risk of harm by having 3 of 3 staff reviewed, who were not trained in catheter, ostomy, and gastrostomy tube (g-tube) management, provide services in these areas for 2 residents. Findings include: On 08/11/2026, at approximately 8:30 a.m., Surveyor interviewed Caregiver B regarding the home's 2 residents. Caregiver B reported that Resident 3 utilized a catheter and ostomy bag since his/her admission, which staff were expected to empty. Caregiver B also reported that staff changed out Resident 3's ostomy bag. On 08/11/2026, Surveyor reviewed training records for Caregiver B and Executive Director C, provided by Licensee A. The record for Caregiver B, hired 08/21/2025, did not contain evidence of training in catheter management or ostomy management. The record for Executive Director C, hired approximately 08/01/2025, did not contain evidence of training in catheter management or ostomy management. In reviewing the staff training records, Surveyor observed that there were no training records for Caregiver

     Statement of deficiencies (PDF)

   • Severity not stated

     M 232 88.04(2)(g)1 HEALTH SCREENING FOR STAFF

     Based on record review and interview, the provider did not ensure that documentation was obtained from a physician, registered nurse, or physician's assistant indicating that Executive Director C was screened for illness detrimental to residents, including for tuberculosis. Findings include: On 08/11/2026, Surveyor reviewed the illness screening records for the provider's staff, provided by Licensee A. There was no evidence of an illness screen completed for Executive Director C. At approximately 3:47 p.m., Surveyor interviewed Licensee A about the missing screen for Executive Director C. Licensee A reported s/he believed it was maybe in his/her office offsite. On 08/12/2026, at approximately 8:12 a.m., Surveyor gave Licensee A a deadline of 12:00 p.m. that day to send the screen document for Executive Director C. Nothing further was received. At approximately 11:50 a.m., Licensee A e-mailed Surveyor and reported, "I've looked everywhere for [Executive Director C]'s [tuberculosis] screen papers unfortunately no luck yet."

     Statement of deficiencies (PDF)

   • Severity not stated

     M 235 88.04(2)(h) COMPLY WITH OSHA

     Based on record review and interview, the provider did not ensure that Caregiver B completed universal precautions training in accordance with the U.S. Occupational Safety and Health Administration (OSHA) standard. Caregiver B, hired 08/21/2025 and whose tasks involved potential exposure to residents' blood, did not complete training in universal precautions. Findings include: Wis. Admin Code § DHS 88.04(2)(h) directs that "all service providers comply with universal precautions in the U.S. [OSHA] Standard 29 CFR 1910.1030 for the control of blood-borne pathogens." This OSHA standard requires an employer to provide training in the prevention of blood-borne infections when a worker is assigned tasks where they might be exposed to blood. The standard specifies that this training should be given to all workers who may come in contact with blood and should be provided annually. Additionally, according to OSHA, "Universal Precautions is an approach to infection control. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other bloodborne pathogens." (Source: OSHA, Bloodborne pathogens

     Statement of deficiencies (PDF)

   • Severity not stated

     M 244 88.04(5)(a) TRAINING-15 HOURS WITHIN 6

     Based on record review and interview, the provider did not ensure that 1 of 2 service providers reviewed completed training in fire safety prior to or within 6 months after starting to provide care. Findings include: On 08/11/2026, Surveyor reviewed training records for Caregiver B and Executive Director C, provided by Licensee A. The record for Caregiver B, hired 08/21/2025, did not contain evidence of training in fire safety. On 08/11/2026, at approximately 10:16 a.m., Surveyor interviewed Licensee A regarding the above training concern. Licensee A reported understanding of Surveyor's concern and confirmed s/he had no other training records for Caregiver B.

     Statement of deficiencies (PDF)

   • Severity not stated

     M 332 88.05(4)(a) FIRE SAFETY-FIRE

     Based on observation and interview, the provider did not ensure that the adult family home was equipped with one or more fire extinguishers on each floor. Findings include: On 08/11/2026, at approximately 2:20 p.m., Surveyor toured the basement of the home with Licensee A. The basement contained a staff living area, which Licensee A reported was for Caregiver B. Surveyor did not observe a fire extinguisher in the basement. After asking Licensee A about it, Licensee A confirmed s/he could not locate a fire extinguisher in the basement. At approximately 3:47 p.m., Surveyor reviewed the fire extinguisher concern with Licensee A.

     Statement of deficiencies (PDF)

   • Severity not stated

     M 336 88.05(4)(b)2 SMOKE DETECTORS-TESTING

     Based on record review and interview, the licensee did not ensure each smoke detector within the home was checked monthly to ensure its operation. Findings include: On 08/11/2026, Surveyor reviewed smoke detector check documentation, provided by Licensee A. The records showed that the home's smoke detectors were last checked in May 2026. There was no evidence of checks having been done more recently than that. At approximately 10:10 a.m., Surveyor interviewed Licensee A about the checks. Licensee A reported that s/he knew they were supposed to be done monthly but s/he had gotten busy.

     Statement of deficiencies (PDF)

   • Severity not stated

     M 346 88.05(4)(d)2.b FIRE EVACUATION ANNUAL

     Based on record review and interview, the provider did not ensure that 1 of 1 applicable residents reviewed, Resident 3, was evaluated annually for his/her evacuation ability using the Department's form. Findings include: On 08/11/2026, Surveyor reviewed Resident 3's record. Resident 3 was admitted to the provider on 07/31/2025. The most recent evacuation evaluation within Resident 3's record was dated 08/01/2025 (greater than 1 year from the survey date). There was no evidence of a more recently completed evacuation evaluation. At approximately 1:55 p.m., Surveyor interviewed Licensee A. Licensee A reported s/he was intending to complete the form this week. Licensee A asked Surveyor to confirm if the evacuation evaluations were due annually.

     Statement of deficiencies (PDF)

   • Severity not stated

     M 384 88.06(2)(b) SERVICE AGREEMENT EXCEPT

     Based on record review and interview, the provider did not ensure that the service agreement for 1 of 3 residents reviewed, Resident 1, was dated and signed by his/her legal guardian. Findings include: On 08/11/2026, at approximately 8:30 a.m., Surveyor interviewed Caregiver B regarding Resident 1. Caregiver B reported that Resident 1 had a legal guardian. At approximately 10:40 a.m., Surveyor interviewed Licensee A. Licensee A confirmed Resident 1 had a legal guardian and reported s/he was under guardianship since his/her admission to the provider. On 08/11/2026, Surveyor reviewed Resident 1's record. Resident 1 was admitted to the provider on 04/27/2026. Resident 1's record indicated that s/he had a legal guardian upon his/her admission and documented his/her name and contact information. Resident 1's service agreement was signed on 04/27/2026 by Resident 1, but not his/her legal guardian. At approximately 3:47 p.m., Surveyor discussed the above concern with Licensee A. Licensee A reviewed Resident 1's service agreement and confirmed it was not signed by Resident 1's legal guardian. Licensee A reported s/he must have forgot to have him/her sign the agreement.

     Statement of deficiencies (PDF)

   • Severity not stated

     M 420 88.06(3)(d)5 SIGNED STATEMENT OF

     Based on record review and interview, the provider did not ensure that the individual service plan (ISP) for Resident 1 had a statement of agreement with the plan that was dated and signed by his/her legal guardian. Findings include: On 08/11/2026, at approximately 8:30 a.m., Surveyor interviewed Caregiver B regarding Resident 1. Caregiver B reported that Resident 1 had a legal guardian. At approximately 10:40 a.m., Surveyor interviewed Licensee A. Licensee A confirmed Resident 1 had a legal guardian and reported s/he was under guardianship since his/her admission to the provider. On 08/11/2026, Surveyor reviewed Resident 1's record. Resident 1 was admitted to the provider on 04/27/2026. Resident 1's record indicated that s/he had a legal guardian upon his/her admission and documented his/her name and contact information. Resident 1's ISP was dated 05/30/2026 and signed by Licensee A and Resident 1. There was no signature from Resident 1's legal guardian. At approximately 3:47 p.m., Surveyor discussed the above concern with Licensee A. Licensee A reported s/he recalled that Resident 1's legal guardian was present when Resident 1's ISP was discussed. Licensee A reported s/he just di

     Statement of deficiencies (PDF)

   • Severity not stated

     M 424 88.06(3)(f) REVIEW OF ISP

     Based on record review and interview, the provider did not ensure that the individual service plans (ISPs) for 2 of 2 residents reviewed were updated whenever their needs changed substantially, accurately reflected the services needing to be provided to meet the emerging needs, identified the level of supervision they required, and described services provided by outside agencies. Resident 1's ISP did not identify his/her supervision needs or his/her reported need of having direct 1:1 staffing for approximately 12 hours daily. During Resident 2's admission with the provider s/he experienced concerns of skin integrity and wound management in at least 6 different areas, which directed for the provider's staff to follow unique regimens to each wound, use a pressure offloading boot, follow specific bed positioning directives, and limit Resident 2's sitting time. On at least 1 occasion there was observed noncompliance with Resident 2's boot use, which was used as part of an overall regimen to treat a chronic wound on his/her foot. These needs were not documented in his/her ISP. Home health nurses provided wound care services to Resident 2 throughout nearly his/her entire admission, infor

     Statement of deficiencies (PDF)

   • Severity not stated

     M 448 88.07(2)(b)5 MONITORING HEALTH

     Based on record review and interview, the provider did not ensure that Resident 2's health was monitored with documented changes when s/he experienced a change in left thumb condition thought to have started as a small cut which progressed into thumb necrosis and osteomyelitis over the course of approximately 1 week. Resident 2 was also found to have skin breakdown in his/her thenar webspace which was not identified in any of the provider's records for him/her. As a result of the developments, Resident 2 was hospitalized for further treatment and monitoring. Resident 2 experienced septic shock, presumably due to the infection per the medical records, and while hospitalized, underwent a partial amputation of his/her left thumb in order to control the infection. Findings include: On 08/11/2026, Surveyor investigated allegations that residents' health was not being adequately monitored. At approximately 8:30 a.m., Surveyor interviewed Caregiver B who identified 2 residents of the home, Resident 1 and Resident 3. Caregiver B reported s/he had been working with the provider since around September 2025 and s/he was familiar with Resident 1 and Resident 3 being the only residents who resi

     Statement of deficiencies (PDF)