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Adoray Home Health and Hospice

(715) 629-1888990 Main St, Suite 1, Baldwin, WI 54002
CMS Certification Number 527137 · Non-Profit · Medicare-certified since 12/11/1984
7deficiencies since 2018
0serious
4inspections
4CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2026-07-21

· Recertification · 2 deficiencies · CMS source report (PDF)
Minor Patient'S Or Legal Representative'S Signature

The agency failed to document written acknowledgement that patients received their rights in 13 of 13 patients (Patient #1 - #13) medical records reviewed.

Source: CMS Form 2567, inspection 2026-07-21, tag G0418 · view on CMS
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Minor Integrate All Services

The agency therapy services failed to evaluate the patient within a standardized timeframe to meet the safety and physical needs of the patient based off of initial physician orders in 8 of 13 patient (Patient #2, #3, #4, #6, #8, #9, #10, and #11) medical records reviewed.

Source: CMS Form 2567, inspection 2026-07-21, tag G0606 · view on CMS
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Inspection 2023-09-13

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The agency staff failed to adhere to standard precautions during 5 of 5 (#5,6,7,8,& 9) home visit observations.

Source: CMS Form 2567, inspection 2023-09-13, tag G0682 · view on CMS
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Minor Patient'S Or Legal Representative'S Signature

The agency failed to provide written documentation that patient's received their rights in 13 of 13 patient's (1-13) medical records reviewed.

Source: CMS Form 2567, inspection 2023-09-13, tag G0418 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency staff failed to document patient specific and measurable goals in 13 of 13 patient's (1-13) medical records reviewed.

Source: CMS Form 2567, inspection 2023-09-13, tag G0574 · view on CMS
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Inspection 2022-12-14

· Complaint · 1 deficiencies · CMS source report (PDF)
Minor Provide Services In The Plan Of Care

The agency staffed failed to provided physician ordered services in 1 of 10 (Patient #1) medical records reviewed.

Source: CMS Form 2567, inspection 2022-12-14, tag G0710 · view on CMS
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Inspection 2020-09-16

· Focused Infection Control, Other-Fed, Recertification · 1 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The agency staff failed to follow patient care standards of screening patients prior to home care visits to prevent the transmission of COVID-19 infection in 13 of 13 patient records reviewed (Patients #1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13).

Source: CMS Form 2567, inspection 2020-09-16, tag G0682 · view on CMS
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