Wisconsin › Kewaunee County › Algoma
Amethyst Health of Algoma
1510 Fremont St, Algoma, WI 54201
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Amethyst Health of Algoma, in Algoma, Wisconsin, is certified for 50 beds under for-profit, limited liability company ownership.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (10, 3, 9 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 44.0 per 100 beds, more than the state median of 31.8.
CMS lists 2 penalties in the period covered: fines totalling $151K.
Reported nurse staffing is 3.6 hours per resident per day (1.1 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 51.3%.
Compared with county, state and nation
| Measure | This facility | Kewaunee Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 22 | 21 | 28.7 |
| Citations per 100 beds | 44.0 | 44.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.8 | 4.0 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.9 | 0.7 |
| Nursing staff turnover | 51.3% | 51.3% | 46.2% | 45.8% |
| Fines listed | $151,354 | $151,354 | $0 | — |
County and state figures are medians across facilities (2 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Mar 2026, 8 Jan 2025.
Severity mix: J ×2 D ×8 E ×6 F ×5 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Apr 2026 |
| 25 Mar 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 25 Apr 2026 |
| 25 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 25 Apr 2026 |
| 25 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Apr 2026 |
| 25 Mar 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 25 Apr 2026 |
| 25 Mar 2026 | F0887 | Educate 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. | E | Standard survey | 25 Apr 2026 |
| 25 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 25 Apr 2026 |
| 25 Mar 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 25 Apr 2026 |
| 25 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Apr 2026 |
| 3 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 4 Nov 2025 |
| 8 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Feb 2025 |
| 8 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 7 Feb 2025 |
| 8 Jan 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 7 Feb 2025 |
| 11 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Apr 2024 |
| 11 Jun 2024 | F0837 | 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. | F | Complaint investigation | 1 Jul 2024 |
| 8 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Dec 2023 |
| 8 Nov 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 22 Dec 2023 |
| 8 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Dec 2023 |
| 8 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Dec 2023 |
| 8 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Dec 2023 |
| 8 Nov 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 Dec 2023 |
| 8 Nov 2023 | F0922 | Have enough backup water supply for essential areas of the nursing home. | C | Standard survey | 22 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Nov 2025 | Fine | $143,202 | |
| 11 Jun 2024 | Fine | $8,152 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 51.3%, RNs 64.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.6% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.4% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.7% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.0% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Algoma Health Opco Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Amethyst Health of Algoma LLC | 5% or greater direct ownership interest | 100% | 07/01/2025 |
| Velorah Health Management LLC | Adp of the snf | NOT APPLICABLE | 07/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kewaunee County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Kewaunee Health Services | Kewaunee | 50 | 5 | 5 | 4 | 8 | 16.0 | — | 6 Mar 2024 |
All 2 facilities in Kewaunee County
Questions and answers
How many deficiencies has Amethyst Health of Algoma been cited for?
22 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Amethyst Health of Algoma been fined?
Yes. CMS lists fines totalling $151K in the period covered.
How does staffing at Amethyst Health of Algoma compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Amethyst Health of Algoma?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Amethyst Health of Algoma LLC. Individual owners and managers are not listed on this site.
When was Amethyst Health of Algoma last inspected?
The most recent survey or investigation in the CMS record is dated 25 Mar 2026; the most recent standard health survey was 25 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.