Starfile / Wisconsin

AMETHYST HEALTH OF BROWN DEER

7500 W DEAN RD, MILWAUKEE, WI 53223 · CCN 525498

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$282,090

Number of fines

3

Number of penalties

5

Payment denials

2

Inspection citations (66)1 immediate jeopardy4 actual harm

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-05 · Health · corrected 2025-12-16

   Potential for more than minimal harm

2. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-29 · Health · corrected 2025-05-02

   Potential for more than minimal harm

3. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-17 · Health · corrected 2025-03-26

   Potential for more than minimal harm

4. DF0688Provide 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.2025-03-17 · Health · corrected 2025-03-26

   Potential for more than minimal harm

5. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-17 · Health · corrected 2025-03-26

   Potential for more than minimal harm

6. JF0692Provide enough food/fluids to maintain a resident's health.2025-03-17 · Health · corrected 2025-03-26

   Immediate jeopardy

7. DF0693Ensure 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.2025-03-17 · Health · corrected 2025-03-26

   Potential for more than minimal harm

8. FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-03-17 · Health · corrected 2025-03-26

   Potential for more than minimal harm

9. FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-03-17 · Health · corrected 2025-03-26

   Potential for more than minimal harm

10. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-03-17 · Health · corrected 2025-03-26

    Potential for more than minimal harm

11. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-03-17 · Health · corrected 2025-03-26

    Potential for more than minimal harm

12. FF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-03-17 · Health · corrected 2025-03-26

    Potential for more than minimal harm

13. FF0946Provide training in compliance and ethics.2025-03-17 · Health · corrected 2025-03-26

    Potential for more than minimal harm

14. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-03-17 · Health · corrected 2025-03-26

    Potential for more than minimal harm

15. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-03-17 · Health · corrected 2025-03-26

    Potential for more than minimal harm

16. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-10-30 · Health · corrected 2024-12-17

    Potential for more than minimal harm

17. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-10-30 · Health · corrected 2024-12-17

    Potential for more than minimal harm

18. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-30 · Health · corrected 2024-12-17

    Potential for more than minimal harm

19. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-30 · Health · corrected 2024-12-17

    Actual harm

20. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-10-30 · Health · corrected 2024-12-17

    Potential for more than minimal harm

21. CF0732Post nurse staffing information every day.2024-10-30 · Health · corrected 2024-12-17

    Potential for minimal harm

22. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-10-30 · Health · corrected 2024-12-17

    Potential for more than minimal harm

23. DF0758Implement 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.2024-10-30 · Health · corrected 2024-12-17

    Potential for more than minimal harm

24. DF0759Ensure medication error rates are not 5 percent or greater.2024-10-30 · Health · corrected 2024-12-17

    Potential for more than minimal harm

25. FF0880Provide and implement an infection prevention and control program.2024-10-30 · Health · corrected 2024-12-17

    Potential for more than minimal harm

26. FF0837Establish 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.2024-05-30 · Health · corrected 2024-06-30

    Potential for more than minimal harm

27. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

28. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

29. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

30. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-13 · Health · corrected 2023-10-12

    Actual harm

31. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

32. DF0687Provide appropriate foot care.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

33. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

34. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

35. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

36. DF0759Ensure medication error rates are not 5 percent or greater.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

37. DF0761Ensure 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.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

38. DF0791Provide or obtain dental services for each resident.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

39. FF0880Provide and implement an infection prevention and control program.2023-09-13 · Health · corrected 2023-10-12

    Potential for more than minimal harm

40. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-07 · Health · corrected 2023-07-06

    Potential for more than minimal harm

41. DF0610Respond appropriately to all alleged violations.2023-06-07 · Health · corrected 2023-07-06

    Potential for more than minimal harm

42. DF0584Honor 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.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

43. DF0585Honor 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.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

44. EF0641Ensure each resident receives an accurate assessment.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

45. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

46. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

47. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

48. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

49. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

50. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

51. GF0688Provide 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.2022-06-20 · Health · corrected 2022-07-18

    Actual harm

52. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-06-20 · Health · corrected 2022-07-18

    Actual harm

53. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

54. DF0692Provide enough food/fluids to maintain a resident's health.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

55. DF0693Ensure 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.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

56. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

57. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

58. DF0758Implement 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.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

59. DF0759Ensure medication error rates are not 5 percent or greater.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

60. EF0761Ensure 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.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

61. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

62. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

63. FF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

64. EF0880Provide and implement an infection prevention and control program.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

65. FF0881Implement a program that monitors antibiotic use.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

66. DF0887Educate 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.2022-06-20 · Health · corrected 2022-07-18

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in MILWAUKEE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.