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Wisconsin Department of Health Services

If You Have Complaints about Wisconsin Health Care

Information about Division of Quality Assurance (DQA)

DQA Web Pages Information

Provider Types Regulated by DQA

DQA Listservs

Consumer Information

Provider Search

DQA Facility Directories

DQA Provider Training

DQA Numbered Memos

DHS Forms

Construction/
Remodeling of Health Care Facilities

WI Nurse Aide Training and Registry Info

Caregiver Program/ Background Checks

WI Adult Programs Caregiver Misconduct Registry

Revisit/Dates of Compliance Policy Chart

Return to DSL-BQA-01-028

Substantial Compliance

Old deficien- cies corrected but continuing noncompliance at F (no SQC) or below

Old deficien- cies corrected but continuing noncompliance at F(SQC), harm or IJ

Noncompliance continues

Any noncompliance

FIRST REVISIT

Compliance is certified as of the latest correction date on the approved PoC, unless it is determined that either correction actually occurred between the latest correction date on the PoC and the date of the 1st revisit, or correction occurred sooner than the latest correction date on the PoC.

1. A 2nd revisit is discretionary if acceptable evidence is provided.

When evidence is accepted with no 2nd revisit, compliance is certified as of the date confirmed by the evidence.

2. When a 2nd revisit is conducted, acceptable evidence is required if the facility wants a date earlier than that of the 2nd revisit to be considered for the compliance date.

1. A 2nd revisit is required.

2. Acceptable evidence is required if the facility wants a date earlier than that of the 2nd revisit to be considered for the compliance date.

1. A 2nd revisit is required.

2. Acceptable evidence is required if the facility wants a date earlier than that of the 2nd revisit to be considered as the compliance date.

3. A remedy must be imposed.

 

SECOND REVISIT

Compliance is certified as of the date of the 2nd revisit or the date confirmed by the acceptable evidence, whichever is sooner.

 

 

 

1. A remedy must be imposed if not already imposed.

2. Either conduct a 3rd revisit or proceed to termination.

THIRD REVISIT - A 3rd REVISIT IS NOT ASSURED AND MUST BE APPROVED BY THE RO

Compliance is certified as of the date of the 3rd revisit.

 

 

 

Proceed to termination.

Examples of acceptable evidence may include, but are not limited to:

  • An invoice or receipt verifying purchases, repairs, etc.

  • Sign-in sheets verifying attendance of staff at in-services training.

  • Interviews with more than 1 training participant about training.

  • Contact with resident council, e.g., when dignity issues are involved.

Givens:

  • An approved PoC is required whenever there is noncompliance;

  • Remedies can be imposed any time for any level of noncompliance;

  • Revisits can be conducted any time for any level of noncompliance