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 26 to 50 of 58 citations

No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 25, 2026).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pattern (more than a few residents). CMS level E.
Health citation F-0883, Infection Control Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 25, 2026).
No harm, with potential for more than minimal harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Pattern (more than a few residents). CMS level E.
Health citation F-0887, Infection Control Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 25, 2026).
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pattern (more than a few residents). CMS level E.
Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 7, 2025).
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 January 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 7, 2025).
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).
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).
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).
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).
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).
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).
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).
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).
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).
No harm, with potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Isolated (one or a few residents). CMS level D.
Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 25, 2026).
No harm, with potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Isolated (one or a few residents). CMS level D.
Health citation F-0628, Resident Rights Deficiencies. Inspection of March 25, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 25, 2026).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Isolated (one or a few residents). CMS level D.
Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 25, 2026).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0511, Services Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 25, 2026).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 5, 2026).
No harm, with potential for more than minimal harm
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0925, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 25, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 25, 2026).
No harm, with potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Isolated (one or a few residents). CMS level D.
Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of January 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 7, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0293, Egress Deficiencies. Inspection of January 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 7, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 8, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (February 7, 2025).
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).
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).

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.