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Amethyst Health of Brown DeerCMS ratings, inspections and fines

Address
7500 W Dean Rd, Milwaukee, WI 53223
CCN
525498
Ownership type
For-profit, corporation
Certified beds
87
Chain
None in the CMS record
Residents per day
62
CMS flags
  • Special Focus Facility candidate
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating2 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Amethyst Health of Brown Deer an overall rating of 1 of 5 stars. The last standard survey was on 26 Feb 2026. The latest survey cycle has 48 health citations. The median for nursing homes in Wisconsin is 7. CMS lists 4 fines with a total of $415,206 for this home in its penalties file. CMS also lists 3 payment denials.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Amethyst Health of Brown Deer, with medians
Rating (1 to 5 stars)This homeMilwaukee County medianWisconsin medianUS average (CMS)
Overall rating12.03.03.0
Health inspection rating11.03.02.8
Staffing rating23.04.02.9
Quality measure rating33.03.03.6

A median is the middle value of the homes in the group: 32 homes in the county, 323 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Amethyst Health of Brown Deer in the last three survey cycles
Survey cycleStandard surveyCitationsWisconsin median
Cycle 1 (latest)26 Feb 2026487
Cycle 230 Oct 2024247
Cycle 3No date146

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 86 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 48 citations

Standard survey of this cycle: .

Health citations of Amethyst Health of Brown Deer in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
20 May 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation12 Jun 2026
20 May 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation12 Jun 2026
20 May 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation12 Jun 2026
20 May 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation12 Jun 2026
14 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation1 May 2026
14 Apr 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation1 May 2026
14 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation1 May 2026
14 Apr 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation1 May 2026
26 Feb 2026F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey19 Mar 2026
26 Feb 2026F0578Honor 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.DStandard survey19 Mar 2026
26 Feb 2026F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey19 Mar 2026
26 Feb 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey19 Mar 2026
26 Feb 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Mar 2026
26 Feb 2026F0610Respond appropriately to all alleged violations.DComplaint investigation19 Mar 2026
26 Feb 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey19 Mar 2026
26 Feb 2026F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.EStandard survey19 Mar 2026
26 Feb 2026F0641Ensure each resident receives an accurate assessment.DStandard survey19 Mar 2026
26 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation19 Mar 2026
26 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 May 2026
26 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey1 May 2026
26 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation19 Mar 2026
26 Feb 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey19 Mar 2026
26 Feb 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey1 May 2026
26 Feb 2026F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey19 Mar 2026
26 Feb 2026F0742Provide 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.DStandard survey19 Mar 2026
26 Feb 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey19 Mar 2026
26 Feb 2026F0761Ensure 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.EStandard survey19 Mar 2026
26 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey19 Mar 2026
26 Feb 2026F0814Dispose of garbage and refuse properly.FStandard survey19 Mar 2026
26 Feb 2026F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey19 Mar 2026
26 Feb 2026F0880Provide and implement an infection prevention and control program.FStandard survey19 Mar 2026
26 Feb 2026F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey19 Mar 2026
26 Feb 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey19 Mar 2026
26 Feb 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey19 Mar 2026
17 Feb 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation18 Mar 2026
17 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation18 Mar 2026
17 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation1 May 2026
17 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation1 May 2026
17 Feb 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.JComplaint investigation19 Mar 2026
17 Feb 2026F0693Ensure 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.DComplaint investigation18 Mar 2026
17 Feb 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation18 Mar 2026
17 Feb 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation18 Mar 2026
17 Feb 2026F0727Have 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.FComplaint investigation18 Mar 2026
17 Feb 2026F0732Post nurse staffing information every day.CComplaint investigation18 Mar 2026
17 Feb 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation18 Mar 2026
17 Feb 2026F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation18 Mar 2026
17 Feb 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation19 Mar 2026
5 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation16 Dec 2025

Survey cycle 2: 24 citations

Standard survey of this cycle: .

Health citations of Amethyst Health of Brown Deer in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
29 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation2 May 2025
17 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation26 Mar 2025
17 Mar 2025F0688Provide 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.DComplaint investigation26 Mar 2025
17 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation26 Mar 2025
17 Mar 2025F0692Provide enough food/fluids to maintain a resident's health.JComplaint investigation26 Mar 2025
17 Mar 2025F0693Ensure 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.DComplaint investigation26 Mar 2025
17 Mar 2025F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint investigation26 Mar 2025
17 Mar 2025F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FComplaint investigation26 Mar 2025
17 Mar 2025F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FComplaint investigation26 Mar 2025
17 Mar 2025F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FComplaint investigation26 Mar 2025
17 Mar 2025F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.FComplaint investigation26 Mar 2025
17 Mar 2025F0946Provide training in compliance and ethics.FComplaint investigation26 Mar 2025
17 Mar 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FComplaint investigation26 Mar 2025
17 Mar 2025F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EComplaint investigation26 Mar 2025
30 Oct 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey17 Dec 2024
30 Oct 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey17 Dec 2024
30 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey17 Dec 2024
30 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation17 Dec 2024
30 Oct 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation17 Dec 2024
30 Oct 2024F0732Post nurse staffing information every day.CStandard survey17 Dec 2024
30 Oct 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey17 Dec 2024
30 Oct 2024F0758Implement 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.DStandard survey17 Dec 2024
30 Oct 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey17 Dec 2024
30 Oct 2024F0880Provide and implement an infection prevention and control program.FStandard survey17 Dec 2024

Survey cycle 3: 14 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Amethyst Health of Brown Deer in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
30 May 2024F0837Establish 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.FComplaint investigation30 Jun 2024
13 Sep 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey12 Oct 2023
13 Sep 2023F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey12 Oct 2023
13 Sep 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Oct 2023
13 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey12 Oct 2023
13 Sep 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey12 Oct 2023
13 Sep 2023F0687Provide appropriate foot care.DComplaint investigation12 Oct 2023
13 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Oct 2023
13 Sep 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey12 Oct 2023
13 Sep 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey12 Oct 2023
13 Sep 2023F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation12 Oct 2023
13 Sep 2023F0761Ensure 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.DStandard survey12 Oct 2023
13 Sep 2023F0791Provide or obtain dental services for each resident.DStandard survey12 Oct 2023
13 Sep 2023F0880Provide and implement an infection prevention and control program.FStandard survey12 Oct 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Amethyst Health of Brown Deer in the CMS penalties file
DateTypeFineDays without payment
17 Feb 2026Fine$138,450
17 Feb 2026Payment denial71
17 Mar 2025Fine$176,345
30 Oct 2024Fine$16,346
30 Oct 2024Payment denial10
13 Sep 2023Fine$84,065
13 Sep 2023Payment denial27

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Amethyst Health of Brown Deer
StaffThis homeWisconsin medianWisconsin average (CMS)
All nurse staff4.514.004.21
Registered nurses (RN)0.560.900.99
Licensed practical nurses (LPN)1.150.64
Nurse aides2.812.58
All nurse staff, weekends4.103.603.77
Nurse staff turnover in a year
65.5%
Nurse staff turnover, Wisconsin median
46.2%
RN turnover in a year
No data
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Amethyst Health of Brown Deer, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay18.4%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.3%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.0%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.6%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.3%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.0%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.2%14.4%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, corporation
Legal business name
Brown Deer Health Opco LLC
Organisations in the CMS ownership record of Amethyst Health of Brown Deer
OrganisationRole in the CMS recordInterestSince
Amethyst Health of Brown Deer LLCDirect ownership interest1 Jul 2025
Velorah Health Management LLCAdp of the snf1 Jul 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Milwaukee County

The 12 nearest other nursing homes in Milwaukee County, Wisconsin
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Bradley Estates Nursing and Rehab LLCSpecial Focus candidateMilwaukee1 of 522$305,37417 Sep 2025
Avina of MilwaukeeMilwaukee1 of 533$90,92112 Mar 2026
Complete Care at Glendale WestGlendale3 of 517$11,18022 May 2025
Luther ManorMilwaukee1 of 56$163,62716 Dec 2025
Bayshore Nursing & RehabSpecial Focus candidateGlendale1 of 543$030 Sep 2025
St. Anne's Salvatorian CampusMilwaukee1 of 511$343,48826 Mar 2026
Lutheran HomeWauwatosa4 of 510$010 Jun 2025
Milwaukee Health and RehabMilwaukee4 of 53$08 Dec 2025
St Camillus Health CenterWauwatosa2 of 55$65,88114 Apr 2025
Eastcastle PL Bradford Ter Conv CtrMilwaukee5 of 513$90,27818 Feb 2026
Milwaukee Catholic HomeMilwaukee4 of 52$020 May 2026
Edenbrook LakesideMilwaukee1 of 523$138,4347 Apr 2026

All 32 nursing homes in Milwaukee County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Amethyst Health of Brown Deer (CCN 525498). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/amethyst-health-of-brown-deer-milwaukee-wi-525498/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Amethyst Health of Brown Deer last inspected?
The latest inspection with a citation in the CMS record was on 20 May 2026. It was a complaint investigation. It gave 4 citations. The standard survey before the last one was on 30 Oct 2024.
Who operates Amethyst Health of Brown Deer?
The CMS record gives the ownership type as for-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
What does the Special Focus status mean for Amethyst Health of Brown Deer?
CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 2 homes in Wisconsin as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.