All citations for Amethyst Health of Algoma

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Amethyst Health of Algoma

Last standard health inspection on record

March 25, 2026

Showing 1 to 25 of 30 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (April 27, 2024).

  2. No harm, with potential for more than minimal harm

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2024).

  3. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  4. No harm, with potential for more than minimal harm

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  5. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    A waiver was granted (January 12, 2024).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  7. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    A waiver was granted (September 3, 2024).

  8. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  9. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    A waiver was granted.

  10. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of October 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  11. No harm, with potential for more than minimal harm

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0500, Services Deficiencies. Inspection of October 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  12. No harm, with potential for more than minimal harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  13. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  14. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  15. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  16. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  17. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    A waiver was granted (August 26, 2024).

  18. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    A waiver was granted (August 29, 2024).

  19. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  20. No harm, with potential for more than minimal harm

    Have restrictions on the use of portable space heaters.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of October 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  21. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 8, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  22. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 8, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  23. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  24. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  25. No harm, with potential for more than minimal harm

    Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0255, Egress Deficiencies. Inspection of November 8, 2023. Found during a standard inspection.

    A waiver was granted (August 23, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.