Federal inspection record · CMS data as of October 1, 2026
Amethyst Health of Algoma
1510 Fremont St, Algoma, WI · (920) 487-5511
- Certified beds
- 50
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1994
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Amethyst Health of Algoma carries 131.25 inspection points. That is fewer than 19% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
Infection Control5F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
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.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Quality of Life and Care3E
- E
Provide enough food/fluids to maintain a resident's health.
- D
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Administration1F
- F
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.
Environmental1C
- C
Have enough backup water supply for essential areas of the nursing home.
Inspection history
2026-03-25
10 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
2025-01-08
3 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-11-08
9 health deficiencies · 21 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 1 h 2 min of it from a registered nurse.
This home
3 h 36 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 43% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$153,808 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-03 | Fine | $145,656 |
| 2024-06-11 | Fine | $8,152 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.8 pts worse | 94.2% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 97.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts better | 0.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.3 pts better | 2.7% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 2.9% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts better | 13.1% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.3 pts better | 8.6% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts better | 16.7% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.2 pts worse | 26.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 1.7% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts worse | 5.1% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts worse | 25.4% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 2.5% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.8 pts worse | 85.1% | 86.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.7 pts worse | 62.5% | 82.2% | 80.1% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Amethyst Health Of Algoma LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Aleksandrowicz, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Aleksandrowicz, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bernath, Hershey | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Bernath, Hershey | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Bernath, Hershey | Adp Of The SNF · Individual | 0% | 3 facilities |
| Rosadowall, Rachelle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rosadowall, Rachelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Velorah Health Management LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
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Fire safety
36 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
Emergency Preparedness5F
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish policies and procedures including evacuation.
- F
Provide emergency officials' contact information.
- E
Develop and maintain an Emergency Preparedness Program (EP).
- F
Develop Emergency Preparedness policies and procedures.
Miscellaneous5F
- D
Provide a written emergency evacuation plan.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of portable space heaters.
Egress5E
- D
Have properly located and lighted "Exit" signs.
- E
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.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- D
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
- D
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems4F
- D
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Services3F
- D
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Meet other general requirements that are deficient.
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Other homes nearby
-
Kewaunee Health Services
Kewaunee, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 54 min
- Fines
- $0
-
Door County Memorial Hospital SNF
Sturgeon Bay, WI
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 58 min
- Fines
- $0
-
Sturgeon Bay Health Services
Sturgeon Bay, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0