nursing home in Algoma, WI
Amethyst Health of Algoma
1510 Fremont St, Algoma, WI 54201 · (920) 487-5511
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Amethyst Health of Algoma at a glance
Amethyst Health of Algoma is a 50-bed for-profit nursing home in Algoma, Wisconsin (Kewaunee County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Wisconsin average of 3.
Residents receive about 3.6 hours of nursing care per day (1.1 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (March 25, 2026) found 10 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 2 times in the past three years, totaling $153,808.
Nursing staff turnover is 51.3% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 1, 1994
- Resident/family council
- Resident
- County
- Kewaunee County
- CMS Certification Number
- 525533
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.60 hrs | 4.21 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 1.07 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.05 hrs | 2.58 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.13 hrs | 3.77 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.3% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 64.3% | 39.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 131.3 | 100.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $153,808 | $48,150 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 77 | 107 | |
| Average residents per day | 37 | 55 | 86 | |
| Occupancy | 73.6% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.7% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.4% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.3% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 28.6% | 16.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 20.7% | 18.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.9% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.8% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.5% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.4% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.9% | 95.7% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 72.1% | 82.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 79.7% | 86.5% | 82% | Average |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 36 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 25, 2026 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected April 25, 2026 |
| March 25, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 25, 2026 |
| March 25, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 25, 2026 |
| March 25, 2026 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected May 27, 2026 |
| March 25, 2026 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected June 5, 2026 |
| March 25, 2026 Fire safety | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0925 | D Potential harm, isolated | Corrected April 25, 2026 |
| March 25, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected April 25, 2026 |
| March 25, 2026 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected April 25, 2026 |
| March 25, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 25, 2026 |
| March 25, 2026 Standard | 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. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected April 25, 2026 |
| March 25, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected April 25, 2026 |
| March 25, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected April 25, 2026 |
| March 25, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 25, 2026 |
| March 25, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected April 25, 2026 |
| March 25, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected April 25, 2026 |
| March 25, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected April 25, 2026 |
| November 3, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | J Immediate jeopardy, isolated | Corrected November 4, 2025 |
| January 8, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected February 7, 2025 |
| January 8, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 7, 2025 |
| January 8, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 1, 2025 |
| January 8, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 7, 2025 |
| January 8, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected February 7, 2025 |
| January 8, 2025 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | E Potential harm, pattern | Corrected February 7, 2025 |
| January 8, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 8, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 8, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected February 7, 2025 |
| January 8, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected February 7, 2025 |
| January 8, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected February 7, 2025 |
| June 11, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 27, 2024 |
| June 11, 2024 Complaint | 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. Administration Deficiencies · Tag F0837 | F Potential harm, widespread | Corrected July 1, 2024 |
| November 8, 2023 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 12, 2024 |
| November 8, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Waiver has been granted |
| November 8, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected September 3, 2024 |
| November 8, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | E Potential harm, pattern | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected August 29, 2024 |
| November 8, 2023 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | E Potential harm, pattern | Corrected August 26, 2024 |
| November 8, 2023 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | E Potential harm, pattern | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected May 2, 2024 |
| November 8, 2023 Fire safety | Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. Egress Deficiencies · Tag K0255 | D Potential harm, isolated | Corrected August 23, 2024 |
| November 8, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 8, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 26, 2024 |
| November 8, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected December 22, 2023 |
| November 8, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected December 22, 2023 |
| November 8, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 8, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 8, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 8, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected December 22, 2023 |
| November 8, 2023 Standard | Have enough backup water supply for essential areas of the nursing home. Environmental Deficiencies · Tag F0922 | C No harm, widespread | Corrected December 22, 2023 |
| October 13, 2023 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | F Potential harm, widespread | Corrected November 13, 2023 |
| October 13, 2023 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected November 13, 2023 |
| October 13, 2023 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | E Potential harm, pattern | Corrected November 13, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $153,808 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 3, 2025 | Fine | $145,656 |
| June 11, 2024 | Fine | $8,152 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AMETHYST HEALTH OF ALGOMA LLC Organization | 5% or greater direct ownership interest | 100% | 07/01/2025 |
| ALEKSANDROWICZ, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 07/01/2015 |
| BERNATH, HERSHEY Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| ROSADOWALL, RACHELLE Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| VELORAH HEALTH MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| BERNATH, HERSHEY Individual | managing control - governing body | NOT APPLICABLE | 07/01/2025 |
| ALEKSANDROWICZ, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| BERNATH, HERSHEY Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| ROSADOWALL, RACHELLE Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
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Frequently asked questions
What is Amethyst Health of Algoma's rating?
Amethyst Health of Algoma has 2 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Amethyst Health of Algoma receive?
Its most recent standard health inspection found 10 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Amethyst Health of Algoma accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Amethyst Health of Algoma?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Amethyst Health of Algoma and how do I contact it?
Amethyst Health of Algoma is at 1510 Fremont St, Algoma, WI 54201. Phone: (920) 487-5511.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.