Department of Health Services Logo

 

Wisconsin Department of Health Services

Division of Quality Assurance (608) 261-8319

DQA Web Pages Information

Caregiver Home

Caregiver Contacts

Caregiver Forms

Caregiver Regulations

Caregiver Program Manual

Adult Programs Complaints

Caregiver Misconduct Registry

Adult Programs Publications

Nurse Aide Training & Registry

Feeding Assistants

Nurse Aide Program Contacts

Nurse Aide Regulations

Competency Testing

Nurse Aide FAQs

Nurse Aide Publications

Adult Programs
Misconduct Complaints

All entities regulated by the Division of Quality Assurance (DQA) must:

  • Immediately protect clients from subsequent incidents of misconduct (abuse, neglect, misappropriation and injury of unknown source).

  • Investigate all allegations of misconduct

  • Document the results of their investigation

  • Report allegations/incidents to DQA as appropriate

For allegations involving all staff (noncredentialed and credentialed) or other perpetrators (family member, friend, visitor, resident, etc.) submit the Incident Report to DQA at:

Department of Health Services
Division of Quality Assurance
Office of Caregiver Quality
PO Box 2969
Madison, WI 53701-2969
Fax: 608-264-6340
Email: DHSCaregiverIntake@wi.gov

All incident reports, regardless of perpetrator, must be submitted to the DQA Office of Caregiver Quality.  OCQ will review reports involving noncredentialed staff (nurse aides, caregivers, housekeepers, etc.) for possible investigation and refer reports involving credentialed staff (doctors, RNs, LPNs, social workers, etc.) to the Department of Safety & Professional Services (DSPS) for review.  OCQ will also refer reports to other agencies including the Department of Justice, county departments, adult-at-risk agencies, local law enforcement agencies, and others, as appropriate.  One or more of these agencies may also respond to an allegation investigated by DQA.

All Entities except nursing homes:

DQA Memo 04-028, Revised Caregiver Misconduct Reporting Requirements for DQA Entities

Nursing Homes Only:

DQA memo 11-032, Guidance for Investigating & Reporting Alleged Violations in Nursing Homes

DQA memo 10-008, Update: Nursing Home Reporting Requirements for Alleged Incidents of Abuse, Neglect and Misappropriation

  • Effective immediately, all nursing homes must immediately report all alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source, and misappropriation of resident property to the Division of Quality Assurance (DQA) via the online reporting system at http://4.selectsurvey.net/DHS/TakeSurvey.aspx?SurveyID=96MI3ml4. Refer to the misconduct definitions to determine if an alleged incident constitutes a violation. CMS defines "immediately" to be as soon as possible but not to exceed 24 hours after discovery of the incident. To print a copy of the report, click on the browser's print button before clicking the “Done” button.

  • Use the F-62447 Incident Report form to report misconduct allegations investigations.

Nursing Homes, Hospices and FDDs

DQA Memo 11-021 CMS S&C Memo 11-30 Reporting Reasonable Suspicion of a Crime

All Entities: 

OQA Memo 06--028 Adult at Risk, including Elder Adult at Risk Reporting Requirements for entities regulated by DQA

PDF: The free Acrobat Reader® software is needed to view and print portable document format (PDF) files. Learn more.

Last Revised: April 17, 2014