D+
51/100

AMETHYST HEALTH OF WAUSAU Inspection Report, Violations & Safety Grade (WAUSAU, Wisconsin)

1010 E WAUSAU AVE, WAUSAU, Wisconsin 54403

Phone: 7158422028

CMS Overall:1/5

Overview & Bed Count

Certified Beds
80
Avg Residents/Day
30.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Marathon
Sprinkler Systems
Yes
Special Focus
SFF Candidate
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityWisconsin AvgDifference
RN Hours per Resident per Day0.960.98-0.03
Total Nurse Hours per Resident per Day4.264.25+0.01
CMS Staffing Rating3/53.7/5-
Nursing Staff Turnover63.6%46.7%-

Health Citation History

52 health citations on record

DateCategoryDescriptionSeverity
2026-08-17Resident Rights DeficienciesHonor 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.F – Moderate Harm Potential
2026-08-17Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-08-17Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.F – Moderate Harm Potential
2026-08-17Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2026-08-17Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2026-08-17Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-08-17Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-08-17Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-08-17Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2025-11-06Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.K – Immediate Jeopardy
2025-11-06Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.K – Immediate Jeopardy
2025-11-06Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.K – Immediate Jeopardy
2025-11-06Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.K – Immediate Jeopardy
2025-11-06Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2025-09-24Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-09-24Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.D – Moderate Harm Potential
2025-09-04Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2025-09-04Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-09-04Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-09-04Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionD – Moderate Harm Potential
2025-09-04Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2025-09-04Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-09-04Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-09-04Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-09-04Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-09-04Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential
2025-08-19Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2025-08-19Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2025-08-19Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-08-19Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-08-19Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-08-19Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-04-15Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-08-01Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-08-01Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2024-08-01Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-05-30Administration DeficienciesEstablish 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.F – Moderate Harm Potential
2023-08-09Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G – Actual Harm
2023-08-09Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2023-08-09Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-08-09Environmental DeficienciesKeep all essential equipment working safely.F – Moderate Harm Potential
2023-08-09Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2023-08-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2023-08-09Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-08-09Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2023-08-09Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-08-09Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-08-09Quality of Life and Care DeficienciesProvide 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.D – Moderate Harm Potential
2023-08-09Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2023-08-09Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential

Showing 50 of 52 citations.

Fire Safety Citation History

24 fire safety citations on record

DateCategoryDescriptionSeverity
2026-08-10Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2025-09-04Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.F – Moderate Harm Potential
2025-09-04Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2025-09-04Miscellaneous DeficienciesProvide a written emergency evacuation plan.F – Moderate Harm Potential
2025-09-04Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-09-04Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2025-09-04Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-09-04Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-08-01Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-08-01Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2024-08-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-08-01Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2024-08-01Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2024-08-01Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-08-01Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2024-08-01Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-08-01Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-08-01Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-08-01Gas, Vacuum, and Electrical Systems DeficienciesHave power receptacles that are properly grounded.D – Moderate Harm Potential
2023-08-09Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2023-08-09Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2023-08-09Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-08-09Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-08-09Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential

Total Penalties & Fines

$21,496
Total Fine Amount (CMS)
1
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-11-06Payment Denial-58 days starting 2025-12-05
2025-05-23Fine$21,496-

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