Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 525498

Amethyst Health Of Brown Deer

66 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $282,090.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
66
Total citations
41
Last 3 years
5
Actual harm+
5
Federal penalties
$282,090
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care26 Medication & Pharmacy10 Administration8 Care Planning7 Infection Control6

Most common F-tags at this facility

F6894 F6843 F6863 F7593 F8803

Citation history

66 on record
SurveyF-TagViolationSeveritySource
Dec 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Apr 29, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Mar 17, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EComplaint
Mar 17, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FComplaint
Mar 17, 2025F946Provide training in compliance and ethics.FComplaint
Mar 17, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.FComplaint
Mar 17, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FComplaint
Mar 17, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FComplaint
Mar 17, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FComplaint
Mar 17, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint
Mar 17, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Mar 17, 2025F692Provide enough food/fluids to maintain a resident's health.JComplaint
Mar 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 17, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint
Mar 17, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 30, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Oct 30, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Oct 30, 2024F880Provide and implement an infection prevention and control program.FStandard
Oct 30, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Oct 30, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Oct 30, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Oct 30, 2024F732Post nurse staffing information every day.CStandard
Oct 30, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 30, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Oct 30, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
May 30, 2024F837Establish 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.FComplaint
Sep 13, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Sep 13, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 13, 2023F687Provide appropriate foot care.DComplaint
Sep 13, 2023F880Provide and implement an infection prevention and control program.FStandard
Sep 13, 2023F791Provide or obtain dental services for each resident.DStandard
Sep 13, 2023F761Ensure 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.DStandard
Sep 13, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Sep 13, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Sep 13, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 13, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Sep 13, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 13, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Sep 13, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jun 7, 2023F610Respond appropriately to all alleged violations.DComplaint
Jun 7, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 20, 2022F887Educate 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.DStandard
Jun 20, 2022F881Implement a program that monitors antibiotic use.FStandard
Jun 20, 2022F880Provide and implement an infection prevention and control program.EStandard
Jun 20, 2022F839Employ staff that are licensed, certified, or registered in accordance with state laws.FStandard
Jun 20, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 20, 2022F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Jun 20, 2022F761Ensure 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.EStandard
Jun 20, 2022F759Ensure medication error rates are not 5 percent or greater.DStandard
Jun 20, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jun 20, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jun 20, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jun 20, 2022F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jun 20, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 20, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jun 20, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jun 20, 2022F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.GStandard
Jun 20, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jun 20, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 20, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 20, 2022F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jun 20, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 20, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 20, 2022F641Ensure each resident receives an accurate assessment.EStandard
Jun 20, 2022F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Jun 20, 2022F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $282,090 and 2 payment-denial actions spanning 37 days.

DateTypeFinePayment denial
Mar 17, 2025Fine$173,310—
Oct 30, 2024Fine$24,715—
Oct 30, 2024Payment Denial—Dec 7, 2024 · 10 days
Sep 13, 2023Fine$84,065—
Sep 13, 2023Payment Denial—Oct 13, 2023 · 27 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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