Amethyst Health of Algoma – Nursing Home, Algoma, Wisconsin
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Last cited survey: 25 March 2026 · 49 health and 99 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Explore nursing home Amethyst Health of Algoma performance based on staff quality, resident satisfaction, safety measures, and care effectiveness in Algoma. Get insights into Medicare and Medicaid and facility-specific standards, along with comparisons to national benchmarks. Ideal for families, healthcare providers, and researchers seeking quality long-term care information.
Main info
Name
Amethyst Health of Algoma
Address
1510 Fremont St, Algoma, WI 54201
Federal Provider Number
525533
Phone
(920) 487-5511
Ownership Type
For profit - Corporation
Certified Beds
50
Residents in Certified Beds
37.9
Nursing Home Type
Medicare and Medicaid
Residence in Hospital
Legal Business Name
Legal Business Name Not Available
Date of First Medicare/Medicaid Approval
1994-06-01
Continuing Care Retirement Community
Data current as of
31 May 2026
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Location
1510 Fremont St
Algoma, WI 54201
Phone: (920) 487-5511
Compare to WI average
See how this facility compares to the WI state average among rated nursing homes (352 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | WI average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 2 | 3.09 | 5 |
| Health inspection | 2 | 2.85 | 5 |
| Staffing | 3 | 3.7 | 5 |
| Quality measures | 4 | 3.28 | 5 |
| Certified beds | 50 | 74.5 | — |
| Citations on file (health + fire) | 148 | ~7.3 health* | — |
- ABBOTSFORD HEALTH CARE CENTER — 2★ overall
- ALDEN MEADOW PARK HCC — 2★ overall
- AMERICAN LUTHERAN HOME-MENOMONIE — 5★ overall
- AMERICAN LUTHERAN HOME-MONDOVI — 5★ overall
- AMETHYST HEALTH OF WAUSAU — 1★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| ROSADOWALL, RACHELLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 07/01/2025 |
| ROSADOWALL, RACHELLE | ADP OF THE SNF | Individual | - | 07/01/2025 |
| - | ADP OF THE SNF | Organization | - | 07/22/2025 |
| - | ADP OF THE SNF | Organization | - | 07/23/2025 |
| BERNATH, HERSHEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 100.00 | 07/01/2025 |
| BERNATH, HERSHEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 07/01/2025 |
| BERNATH, HERSHEY | MANAGING CONTROL - GOVERNING BODY | Individual | - | 07/01/2025 |
| BERNATH, HERSHEY | ADP OF THE SNF | Individual | - | 07/01/2025 |
| ALEKSANDROWICZ, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 07/01/2025 |
| ALEKSANDROWICZ, MICHAEL | ADP OF THE SNF | Individual | - | 07/01/2015 |
| AMETHYST HEALTH OF ALGOMA LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 07/01/2025 |
| VELORAH HEALTH MANAGEMENT LLC | ADP OF THE SNF | Organization | - | 07/01/2025 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
148 citations on file · Latest survey: 25 March 2026 · 49 health · 99 fire safety
F: 57
D: 43
E: 39
J: 6
C: 3
All
Health
Fire safety
Last 24 months
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2026-03-25 | F628 | D — Minimal harm, isolated | Health | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| 2025-11-03 | F686 | J — Immediate jeopardy, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2025-11-03 | F686 | J — Immediate jeopardy, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2025-11-03 | F686 | J — Immediate jeopardy, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2025-01-08 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-01-08 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-01-08 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-01-08 | F804 | E — Minimal harm, pattern | Health | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2025-01-08 | F804 | E — Minimal harm, pattern | Health | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2025-01-08 | F804 | E — Minimal harm, pattern | Health | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2025-01-08 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2025-01-08 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2025-01-08 | F690 | D — Minimal harm, isolated | Health | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2024-06-11 | F837 | F — Minimal harm, widespread | Health | 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. |
| 2024-06-11 | F837 | F — Minimal harm, widespread | Health | 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. |
| 2024-06-11 | F837 | F — Minimal harm, widespread | Health | 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. |
| 2024-06-11 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-06-11 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-06-11 | F689 | J — Immediate jeopardy, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2023-11-08 | F922 | C — No actual harm, widespread | Health | Have enough backup water supply for essential areas of the nursing home. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-01-08 | K354 | E — Minimal harm, pattern | Fire Safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. |
| 2025-01-08 | K711 | F — Minimal harm, widespread | Fire Safety | Provide a written emergency evacuation plan. |
| 2025-01-08 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-01-08 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-01-08 | K711 | F — Minimal harm, widespread | Fire Safety | Provide a written emergency evacuation plan. |
| 2025-01-08 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-01-08 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-01-08 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2025-01-08 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-01-08 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-01-08 | K354 | E — Minimal harm, pattern | Fire Safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. |
| 2025-01-08 | K293 | D — Minimal harm, isolated | Fire Safety | Have properly located and lighted "Exit" signs. |
| 2025-01-08 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-01-08 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-01-08 | K711 | F — Minimal harm, widespread | Fire Safety | Provide a written emergency evacuation plan. |
| 2025-01-08 | K354 | E — Minimal harm, pattern | Fire Safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. |
| 2025-01-08 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-01-08 | K345 | F — Minimal harm, widespread | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-01-08 | K293 | D — Minimal harm, isolated | Fire Safety | Have properly located and lighted "Exit" signs. |
| 2025-01-08 | K321 | D — Minimal harm, isolated | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
Additional information
Get more details on Amethyst Health of Algoma, including health inspection results, staffing levels, and facility amenities.
Discover how the home meets care standards and ensures residents' well-being.
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 3 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 3 |
| RN Staffing Rating | 4 |
| Reported CNA Staffing Hours per Resident per Day | 2.15325 |
| Reported LPN Staffing Hours per Resident per Day | 0.62934 |
| Reported RN Staffing Hours per Resident per Day | 0.93576 |
| Reported Licensed Staffing Hours per Resident per Day | 1.5651 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.66399 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.04339 |
| Casemix CNA Staffing Hours per Resident per Day | 2.2022 |
| Casemix LPN Staffing Hours per Resident per Day | 0.76784 |
| Casemix RN Staffing Hours per Resident per Day | 0.3343 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.30434 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.01854 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.66887 |
| Adjusted RN Staffing Hours per Resident per Day | 0.99454 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.89412 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-10-29 |
Date of Standard Health Survey (Cycle 2) | 2018-11-07 |
Health Deficiency Score (Cycle 1) | 0 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 0 |
Health Deficiency Score (Cycle 2) | 0 |
Date of Standard Health Survey (Cycle 3) | 2017-10-02 |
Total Number of Health Deficiencies (Cycle 3) | 5 |
Number of Standard Health Deficiencies (Cycle 3) | 5 |
Number of Health Revisits (Cycle 3) | 2 |
Health Deficiency Score (Cycle 3) | 36 |
Health Revisit Score (Cycle 3) | 18 |
Total Health Score (Cycle 3) | 54 |
Total Weighted Health Survey Score | 99.25 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 2 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 8152 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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