Amethyst Health Of Brown Deer
Nursing home · 7500 W DEAN RD, Milwaukee, WI 53223 · Milwaukee County
Prices
No published price is available. Ask the facility directly.
Facility
- Type
- Nursing home · TITLE 18 SNF TITLE 19 NF
- Capacity
- 87
- State license
- 2444
- Medicare CCN
- 525498
- Licensed entity
- BROWN DEER HEALTH OPCO LLC
- Ownership
- For profit - Corporation
- Phone
- (414) 371-7500
- Nurse staffing
- 4.51 hours per resident per day; 65.5% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 2★ · Quality 3★
- CMS status
- SFF Candidate
- Official record
- Wisconsin DQA Provider Search
- Official record
- Medicare Care Compare
Penalties
- Feb 17, 2026 — Fine ($138,450)
- Feb 17, 2026 — Payment Denial · payment denial 71 days
- Mar 17, 2025 — Fine ($176,345)
- Oct 30, 2024 — Payment Denial · payment denial 10 days
- Oct 30, 2024 — Fine ($16,346)
- Sep 13, 2023 — Fine ($84,065)
- Sep 13, 2023 — Payment Denial · payment denial 27 days
Inspection findings
-
May 20, 2026 Health · 4 findings
-
Not serious
Scope/severity E
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jun 12, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Jun 12, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Jun 12, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 12, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Apr 14, 2026 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected May 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 26, 2026 Fire Safety · 36 findings
-
Not serious
Scope/severity F
E0006 Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0582 Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0628 Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0640 Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · CMS health inspection
-
Serious
Scope/severity G
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 1, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected May 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0699 Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0742 Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0868 Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0882 Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0919 Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
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.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0281 Egress Deficiencies
Install proper backup exit lighting.
Corrected May 28, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Apr 3, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Mar 18, 2026 · CMS fire safety
-
Not serious
Scope/severity F
-
Feb 17, 2026 Health · 13 findings
-
Not serious
Scope/severity D
Complaint
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 1, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0693 Quality of Life and Care Deficiencies
Ensure 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.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0726 Nursing and Physician Services Deficiencies
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.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0727 Nursing and Physician Services Deficiencies
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.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity C
Complaint
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0825 Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Corrected Mar 18, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 19, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 5, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Dec 16, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 29, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 2, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 17, 2025 Health · 13 findings
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0688 Quality of Life and Care Deficiencies
Provide 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.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 26, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0693 Quality of Life and Care Deficiencies
Ensure 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.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0940 Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0941 Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0944 Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0945 Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0946 Administration Deficiencies
Provide training in compliance and ethics.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0947 Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0949 Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Mar 26, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 30, 2024 Health · 16 findings
-
Not serious
Scope/severity D
F0644 Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Dec 17, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0697 Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity C
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0756 Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
Implement 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.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
K0161 Construction Deficiencies
Use approved construction type or materials.
Corrected Nov 12, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Oct 1, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Nov 12, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Nov 12, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Nov 12, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Nov 12, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
May 30, 2024 Health · 1 finding
-
Not serious
Scope/severity F
Complaint
F0837 Administration Deficiencies
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.
Corrected Jun 30, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
-
Sep 13, 2023 Health · 27 findings
-
Not serious
Scope/severity D
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0661 Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Oct 12, 2023 · CMS health inspection
-
Serious
Scope/severity G
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0687 Quality of Life and Care Deficiencies
Provide appropriate foot care.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0791 Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Oct 12, 2023 · CMS health inspection
-
Not serious
Scope/severity D
K0271 Egress Deficiencies
Have exits that are accessible at all times.
Corrected Nov 9, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Oct 7, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Oct 7, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Oct 9, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected May 1, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Oct 7, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Oct 7, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0354 Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected Oct 9, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Oct 9, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Oct 7, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Oct 7, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Oct 12, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0919 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Corrected Oct 7, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Oct 7, 2023 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- BERNATH, HERSHEY — indirect ownership interest, NOT APPLICABLE, since 07/01/2025
- BERNATH, HERSHEY — operational/managerial control, NOT APPLICABLE, since 07/01/2025
- PATRICK, JENSEN — operational/managerial control, NOT APPLICABLE, since 07/01/2025
- PATRICK, JENSEN — adp of the snf, NOT APPLICABLE, since 07/01/2025
- SIDHU, SARFRAZ — adp of the snf, NOT APPLICABLE, since 07/01/2015
- SIDHU, SARFRAZ — operational/managerial control, NOT APPLICABLE, since 07/01/2025
- AMETHYST HEALTH OF BROWN DEER LLC — direct ownership interest, NOT APPLICABLE, since 07/01/2025
- VELORAH HEALTH MANAGEMENT LLC — adp of the snf, NOT APPLICABLE, since 07/01/2025
Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.