1. (1) Death reporting.

   1. (a) Client death related to physical restraint, psychotropic medication, or suicide. If a CCF has reasonable cause to believe that a client’s death was a suicide, or was caused by the use of physical restraint, seclusion, or psychotropic medication, a CCF shall report the death within 24 hours of the client’s death as required under s. 51.64, Stats.

      Note: Death reporting process and forms are available on the department’s website at: https://www.dhs.wisconsin.gov/regulations/report-death/proc-reportingdeath.htm.

   2. (b) Client death related to an accident, injury, natural causes, or other reasons. When a client dies for any reason other than the use of a physical restraint, seclusion, psychotropic medication, or suicide, a CCF shall send a report to the department within 3 business days of the client’s death.

      Note: The department’s reporting link is available on the department’s website at: https://www.dhs.wisconsin.gov/crisis/place.htm.

2. (2) Investigating and reporting abuse, neglect, theft of property, or injuries of an unknown source.

   1. (a) A CCF is an entity subject to caregiver misconduct reporting requirements under ch. DHS 13. Caregiver misconduct must be reported within 7 days of the incident or the date the entity knew or should have known of the incident.

      Note: The department’s caregiver misconduct reporting link is: https://www.dhs.wisconsin.gov/misconduct/reporting.htm.

   2. (b) Physical, sexual, or mental abuse, or neglect by non-caregivers or clients shall be reported to the department within 24 hours of the incident or the date the entity knew or should have known the incident occurred.

      Note: The department’s reporting link is: https://www.dhs.wisconsin.gov/misconduct/reporting.htm.

   3. (c) Theft of property by non-caregivers or minors shall be reported to the department within 7 days of the incident or the date the entity knew or should have known of the incident.

      Note: The department’s reporting link is: https://www.dhs.wisconsin.gov/misconduct/reporting.htm.

   4. (d) A CCF shall investigate any of the following:

      1. 1. An injury that was not observed by any person.
      2. 2. The source of an injury to a client that cannot be adequately explained by the client.
      3. 3. An injury to a client that appears suspicious because of the extent of the injury or the location of the injury on the client.
   5. (e) A CCF shall maintain documentation of each investigation of an injury referenced under par. (d). A CCF shall report the incident as required under this subchapter.

3. (3) Notifying other interested parties.

   1. (a) In this subsection, “legal representative” means any of the following:

      1. 1. A guardian of the person, as defined under s. 54.01 (12), Stats.
      2. 2. A parent of a minor, as defined in s. 48.02 (13), Stats., a guardian of a minor, as defined in s. 48.02 (8), Stats., or a legal custodian of a minor, as defined in s. 48.02 (11), Stats.
   2. (b) A CCF shall immediately notify a client ’s legal representative when there is an allegation of physical, sexual or mental abuse, or neglect of a client that occurred at a CCF or under the supervision of CCF staff.
   3. (c) A CCF shall notify the client’s legal representative within 72 hours when there is an allegation of misappropriation of property.
   4. (d) A CCF shall follow all procedures required of mandated reporters.
4. (4) Documentation of the incident. All written reports required under this section shall include, at a minimum, the time, date, and place of the incident, the individuals involved, the details of the occurrence, and the action taken by the provider to safeguard the client’s health, safety, and well-being.

5. (5) reporting requirements.

   1. (a) For each quarter subsequent to the first March of operation, a CCF that has been certified for 24 months or less, shall submit a quarterly report to the department no later than 30 days after the end of the previous quarter.
   2. (b) A CCF that has been certified for 24 months or more, shall submit an annual report to the department no later than March 30th.

   3. (c) The quarterly and annual reports shall include all of the following information:

      1. 1. The number of admissions, including both voluntary and involuntary.
      2. 2. The number of voluntary admissions converted to involuntary, and the number of involuntary admissions converted to voluntary.
      3. 3. The number of persons served, both screened and admitted and reason for those not admitted after screening.
      4. 4. Facility capacity, specifically the number of staffed beds.
      5. 5. Data regarding how clients are arriving for admission, including through transport by law enforcement, family, emergency medical responders, or county crisis personnel.
      6. 6. Average wait times, including for admission, treatment, discharge, law enforcement drop-off time, and any other significant aspect of services provided by a CCF.
      7. 7. The length of client stays, separated by voluntary and involuntary at admission.
      8. 8. The time-of-day each client was admitted.
      9. 9. The source of payments for client care, including private payment sources or payment under the medical assistance program under subch. IV of ch. 49, Stats.
      10. 10. The county of residence for each client.
      11. 11. The county of responsibility for each client admitted involuntarily.
      12. 12. The estimated number of diversions from Winnebago Mental Health Institute, hospitals, or other facilities.
      13. 13. The number of repeat clients and readmissions.
      14. 14. Any follow-up services utilized, as applicable.
      15. 15. The number of transfers to other facilities, including Winnebago Mental Health Institute, hospitals, or other facilities.
      16. 16. A description of any injuries, assaults, or other safety-related incidents.
      17. 17. The number of times law enforcement was contacted due to intervention needed at the facility, and description of the need.
      18. 18. A description of the number and type of employees providing staffing during the various times of day, including by telehealth.
      19. 19. Legal status upon discharge and number of clients who discharge against medical advice.
      20. 20. A breakdown of funding, including the amounts and sources of funding.

History

History: EmR2507: emerg. cr., eff. 6-16-25; CR 25-051: cr. Register February 2026 No. 842, eff. 3-1-26; correction in (2) (e), (4) made under s. 35.17, Stats., Register February 2026 No. 842.