Amethyst Health of Brown Deer
Milwaukee, Wisconsin · CCN 525498
51 surveys since 2011, 44 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 394
- Surveys
- 51
- Harm or worse
- 44
- Immediate jeopardy
- 23
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 87
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- Milwaukee
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 51 for-profit facilities of 66–99 beds in Wisconsin.
Last survey on record
May 20, 2026
173 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.51 | 3.71 |
| Registered-nurse hours per resident day | 0.56 | — |
| Annual nurse turnover | 65.5% | 44.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $331,141 across 3 penalties
- Payment denials
- 2
- Special focus
- SFF Candidate
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J33.5% | K— | L— |
| Actual harm | G44.7% | H— | I— |
| No harm, potential for more than minimal | D5159.3% | E1112.8% | F1517.4% |
| No harm, potential for minimal | A— | B— | C22.3% |
Most frequently cited here
In CMS’s current monthly file.
- F6845×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6865×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F8805×
Provide and implement an infection prevention and control program.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6923×
Provide enough food/fluids to maintain a resident's health.
In the surveyor’s words
From the most serious findings on record at Amethyst Health of Brown Deer, in the surveyor’s own words.
- Immediate jeopardy, widespreadF600Apr 14, 2022
Based on observations, interviews and record review, the facility failed to ensure that 70 out of 70 residents were free from neglect. The facility was aware of the needs of each of the 70 residents living in the facility. The facility did not provide sufficient staffing to provide cares to all residents. Due to inadequate staffing levels, residents did not receive personal cares such as showers/ baths, adequate supervision to prevent falls, and care and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . One resident admitted herself into a hospital as was in an extreme amount of pain and was not getting assistance. Dietitian and Physician recommendations for residents' weight loss were not followed through on. […]
- Immediate jeopardy, widespreadF675Apr 14, 2022
Based on observations, interviews and record reviews, the facility did not provide necessary cares and services to promote quality of life and assist 70 out of 70 residents maintain their highest practicable level of physical, mental, and psychosocial well-being. Residents stated that they felt scared and felt neglected and felt as if no one would help them because there was no staff. The governing body did not ensure and the facility did not provide an adequate level of staff to provide cares and services to residents of the facility for an extended period of time. […]
- Immediate jeopardy, widespreadF725Apr 14, 2022
Based on observation, interview and record review, the facility did not provide sufficient staffing to meet the needs of 70 out of 70 residents living in the facility. The survey team entered the building on 3/28/22 at 8:00 a.m. Staff interview was conducted, and it was confirmed that there was only 1 Registered Nurse and 5 Certified Nursing Assistants to care for 70 residents. Facility staff stated that the morning medication pass would not be completed and the only Registered Nurse had to stay on the Vent unit, leaving the other 4 units without a licensed nurse. […]
- Immediate jeopardy, widespreadF837Apr 14, 2022
Based on record review, observations and staff interviews, the governing body did not implement policies regarding the management and operation of the facility to ensure residents received care that attained or maintained their highest practicable level of physical, mental, and psychosocial well-being. This resulted in 7 Immediate Jeopardy citations being issued at Resident Neglect (F600), Resident Quality of Life (F675), The prevention and treatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . The governing body was made aware that the facility was experiencing significant staffing shortages, yet the administrator indicated she was directed to continue taking new admissions. Forty-seven (47) residents were admitted in February and March 2022. […]
- Immediate jeopardy, patternF695Jan 25, 2022
Based on observation, interview and record review the Facility did not ensure Residents who require respiratory care are provided with ventilator (Vent) and [CONDITION(S)] ([CONDITION(S)]) care consistent with professional standards of practice, the comprehensive person centered care plan and Resident's goals for the 14 Residents residing on the ventilator unit. Out of the 31 staffing days reviewed for December 2021, the facility was short staffed 1 respiratory therapist on 20 out of 31 days reviewed. On four of these days (12/12, 12/16, 12/23, 12/25) the facility had no respiratory therapist working for at least 24 hours. […]
Read 62 findings in full →The most serious and the most recent: 62 of 394 on record.
Every survey on record
FindingsAt actual harm or above
- May 20, 2026Complaint4 findings
- Apr 14, 2026Complaint4 findings · 1 harm
- Feb 26, 2026Standard and complaint26 findings · 1 harm
- Feb 17, 2026Complaint13 findings · 2 harm
- Dec 5, 2025Complaint1 finding
- Apr 29, 2025Complaint1 finding
- Mar 17, 2025Complaint13 findings · 1 harm
- Oct 30, 2024Standard and complaint10 findings · 1 harm
Show the 43 earlier surveys
- May 30, 2024Complaint1 finding
- Sep 13, 2023Standard and complaint13 findings · 1 harm
- Jun 7, 2023Complaint2 findings
- Sep 28, 2022Complaint3 findings
- Jun 20, 2022Standard and complaint25 findings · 2 harm
- Apr 29, 2022Complaint1 finding
- Apr 19, 2022Complaint10 findings · 1 harm
- Apr 14, 2022Complaint20 findings · 9 harm
- Jan 25, 2022Infection control19 findings · 3 harm
- Nov 3, 2021Complaint5 findings
- Mar 3, 2021Standard and complaint13 findings · 1 harm
- Jan 21, 2021Infection control4 findings
- Dec 16, 2020Complaint10 findings
- Sep 2, 2020Complaint1 finding
- Feb 18, 2020Complaint5 findings · 1 harm
- Oct 23, 2019Standard16 findings · 1 harm
- Aug 7, 2019Complaint9 findings · 3 harm
- May 8, 2019Complaint1 finding
- Mar 27, 2019Complaint7 findings · 2 harm
- Jan 22, 2019Complaint3 findings
- Oct 31, 2018Complaint9 findings
- Jul 31, 2018Standard and complaint1 finding
- Feb 7, 2018Complaint10 findings
- Sep 21, 2017Standard and complaint21 findings · 3 harm
- Mar 21, 2017Complaint11 findings · 3 harm
- Oct 6, 2016Standard9 findings · 1 harm
- Apr 19, 2016Complaint9 findings
- Feb 9, 2016Complaint4 findings · 1 harm
- Aug 12, 2015Standard and complaint19 findings
- May 26, 2015Complaint2 findings · 2 harm
- Mar 16, 2015Complaint3 findings
- Dec 11, 2014Complaint5 findings
- Aug 14, 2014Complaint1 finding
- Jun 16, 2014Standard5 findings · 1 harm
- Feb 25, 2014Complaint3 findings
- Nov 25, 2013—3 findings
- Aug 28, 2013—5 findings
- May 8, 2013—12 findings · 1 harm
- Jan 24, 2013—1 finding
- Jul 3, 2012—1 finding
- May 17, 2012—11 findings · 2 harm
- May 20, 2011—8 findings
- Feb 16, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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