All citations for Amethyst Health of Brown Deer

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 Brown Deer

Last standard health inspection on record

February 26, 2026

Showing 1 to 25 of 58 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

  2. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of February 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

  3. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 14, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

  4. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 1, 2026).

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

  10. 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 February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

  11. 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 February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

  12. 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 February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of February 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  15. 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.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

  17. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 26, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

  19. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

  20. 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 February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2026).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of February 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of February 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

  25. 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 February 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.