Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Amethyst Health of Algoma

Algoma, WI · 50 certified beds · Last Life Safety survey March 25, 2026

CMS Certification Number 525533 · first certified June 1994

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • New ownershipOwnership changed July 1, 2025 (change of ownership)from FREMONT SNF OPCO LLC
36
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
9
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within WI

36 citations — more than 94% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 9.7. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was March 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 36 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 36 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0922 Have enough backup water supply for essential areas of the nursing home.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility36WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility36
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-10182023-1182025-0172026-03
Citations at each Life Safety survey
Survey dateCitations
October 13, 20233
November 8, 202318
January 8, 20258
March 25, 20267

Most-cited tags

Most-cited tags at this facility
K-03533K-03453K-07112K-09182E-00132K-02932K-03212K-07122
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-03-25
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32026-03-25
K-0711Provide a written emergency evacuation plan.22026-03-25
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-01-08
E-0013Develop Emergency Preparedness policies and procedures.22026-03-25
K-0293Have properly located and lighted "Exit" signs.22025-01-08
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-01-08
K-0712Have simulated fire drills held at unexpected times.22025-01-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 14
  • Miscellaneous Deficiencies 5
  • Emergency Preparedness Deficiencies 5
  • Egress Deficiencies 5
  • Other 7
Citations by CMS category
CategoryCitations
Smoke Deficiencies14
Miscellaneous Deficiencies5
Emergency Preparedness Deficiencies5
Egress Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies4
Services Deficiencies3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 25, 2026 — 7 citations

Citations issued on March 25, 2026
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (April 25, 2026)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (May 27, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 25, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 25, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 25, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (June 5, 2026)
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Deficient, Provider has date of correction (April 25, 2026)

January 8, 2025 — 8 citations

Citations issued on January 8, 2025
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (February 7, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 7, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 7, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 7, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (February 7, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (February 7, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 7, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 1, 2025)

November 8, 2023 — 18 citations

Citations issued on November 8, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 22, 2023)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (December 22, 2023)
K-0222Add 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.Deficient, Provider has date of correction (December 22, 2023)
K-0255Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.Waiver has been granted (August 23, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 22, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 22, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Waiver has been granted (August 26, 2024)
K-0324Provide properly protected cooking facilities.Waiver has been granted (May 2, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Waiver has been granted (January 12, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (December 22, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 22, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (December 22, 2023)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Waiver has been granted (August 26, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Waiver has been granted (August 29, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted (September 3, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 22, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (December 22, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Waiver has been granted

October 13, 2023 — 3 citations

Citations issued on October 13, 2023
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (November 13, 2023)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (November 13, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (November 13, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.