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 30 citations

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).
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).
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).
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).
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 October 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 12, 2024).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.
A waiver was granted (May 1, 2024).
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 September 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 7, 2023).
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 September 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 7, 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.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2023).
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 September 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 9, 2023).
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 September 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 7, 2023).
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 September 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 12, 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 February 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 18, 2026).
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).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.
The home has a plan to correct it (October 1, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 12, 2024).
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 February 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 18, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 18, 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 February 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 18, 2026).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0923, 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).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0161, Construction Deficiencies. Inspection of October 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 12, 2024).
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 October 30, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 12, 2024).
No harm, with potential for more than minimal harm
Have exits that are accessible at all times.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0271, Egress Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 9, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0291, Egress Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 7, 2023).
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 September 13, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 7, 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.