Amethyst Health of Brown Deer
7500 W Dean Rd · Milwaukee, WI · 53223 · 4143717500
87 certified beds For profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $192,410 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$192,410 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 4.00 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 3 · $276,475 |
Inspection citations (84 in the current record)
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Actual harm · G April 14, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D April 14, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D April 14, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D April 14, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 1, 2026 · Quality of Life and Care
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Actual harm · G February 26, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Honor 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.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 26, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · E February 26, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Ensure each resident receives an accurate assessment.
Corrected March 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Provide 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.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 19, 2026 · Pharmacy Service
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Potential for harm · E February 26, 2026
Ensure 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.
Corrected March 19, 2026 · Pharmacy Service
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Potential for harm · E February 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 19, 2026 · Nutrition and Dietary
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Potential for harm · F February 26, 2026
Dispose of garbage and refuse properly.
Corrected March 19, 2026 · Nutrition and Dietary
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Potential for harm · F February 26, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected March 19, 2026 · Administration
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Potential for harm · F February 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 19, 2026 · Infection Control
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Potential for harm · F February 26, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected March 19, 2026 · Infection Control
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Potential for harm · D February 26, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 19, 2026 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 17, 2025 | Fine | $176,345 |
| October 30, 2024 | Fine | $16,065 |
| October 30, 2024 | Payment Denial | 10 days |
| September 13, 2023 | Fine | $84,065 |
| September 13, 2023 | Payment Denial | 27 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525498 · certified since October 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.