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 86 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. Immediate jeopardy to resident health or safety

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  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 April 14, 2026. Found during a complaint inspection.

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

  5. 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).

  6. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 30, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  7. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

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

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0940, Administration Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Widespread (many residents). CMS level F.

    Health citation F-0941, Administration Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Widespread (many residents). CMS level F.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Widespread (many residents). CMS level F.

    Health citation F-0945, Infection Control Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Provide training in compliance and ethics.

    Widespread (many residents). CMS level F.

    Health citation F-0946, Administration Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  20. 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 October 30, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  21. 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 May 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

  22. 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 September 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  23. 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).

  24. 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).

  25. 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).

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.