Amethyst Health of Brown Deer
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2026-04-14 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-02-26 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-02-17 — IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-02-17 — IMMEDIATE JEOPARDY (tag F0690, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2025-03-17 — IMMEDIATE JEOPARDY (tag F0692, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2024-10-30 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-09-13 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
4.24
state median 3.58
Weekend staffing gap
−7%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.28
registered nurses only
Contract (agency) staff
10%
share of all nursing hours
Days with zero RN hours reported
3
with residents present
Nursing staff turnover
66%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $276,756 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-17 | Fine | $176,345 |
| 2024-10-30 | Fine | $16,346 |
| 2024-10-30 | Payment Denial | payment denial |
| 2023-09-13 | Fine | $84,065 |
| 2023-09-13 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-20 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-05-20 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-05-20 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-05-20 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-04-14 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-14 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-04-14 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-14 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-26 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-26 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-26 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-26 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-26 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-26 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-26 | F0628 | Resident Rights Deficiencies | E | not recorded |
| 2026-02-26 | F0640 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-02-26 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-26 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-26 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-26 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-02-26 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-02-26 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-26 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-26 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-26 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-26 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-26 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-02-26 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-02-26 | F0814 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-02-26 | F0868 | Administration Deficiencies | F | not recorded |
| 2026-02-26 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2026-02-26 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2026-02-26 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2026-02-26 | F0919 | Environmental Deficiencies | D | not recorded |
| 2026-02-17 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-17 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-02-17 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-17 | F0686 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-02-17 | F0690 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-02-17 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-17 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2026-02-17 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2026-02-17 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2026-02-17 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2026-02-17 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-17 | F0825 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-17 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-12-05 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-29 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-17 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-17 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-17 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-17 | F0692 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-03-17 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-17 | F0940 | Administration Deficiencies | F | not recorded |
| 2025-03-17 | F0941 | Administration Deficiencies | F | not recorded |
| 2025-03-17 | F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | F | not recorded |
| 2025-03-17 | F0944 | Administration Deficiencies | F | not recorded |
| 2025-03-17 | F0945 | Infection Control Deficiencies | F | not recorded |
| 2025-03-17 | F0946 | Administration Deficiencies | F | not recorded |
| 2025-03-17 | F0947 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-03-17 | F0949 | Administration Deficiencies | E | not recorded |
| 2024-10-30 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-30 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-30 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-30 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-10-30 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-30 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-10-30 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-10-30 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-10-30 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-10-30 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-05-30 | F0837 | Administration Deficiencies | F | not recorded |
| 2023-09-13 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-13 | F0661 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-13 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-13 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-09-13 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-13 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-13 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-13 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-09-13 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-09-13 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-09-13 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-13 | F0880 | Infection Control Deficiencies | F | not recorded |