Amethyst Health Of Wausau
Inspection Findings
F-Tag F0569
F 0569
discharge or resident expiring.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0604
F 0604 Level of Harm - Minimal harm or potential for actual harm
consent for the use of the Wander Guard. The IDON confirmed there was not an elopement risk assessment that warranted the use of a Wander Guard. The IDON confirmed an order, and consent should be in place prior to the use of a Wander Guard. The IDON stated Resident R4 should have had an updated elopement risk assessment.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm
dressing per wound clinic instruction and resident refused. Asked if could removeand [sic] place wet to dry dressing per wound clinic instruction and resident refused .During an interview on 08/19.25 at 8:20 PM, the Interim Director of Nursing (IDON) stated, The resident's refusals should have been care planned.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
08/19/25 at 1:34 PM, Licensed Practical Nurse (LPN) 2 stated, The order for Hydrocodone two tablets was to be given prior to wound care once a day. The other order for Hydrocodone one tablet was to be given every four hours as needed for pain other than wound care. LPN2 was asked if she knew of wound care to be completed by the nurse after midnight. LPN2 stated, We always try to do the wound care while the residents are still awake unless ordered differently by the MD [Medical Doctor]. LPN2 was asked if the wound care for Resident R1 had been ordered by the MD for times after midnight. LPN2 stated, Not that I can remember.During an interview on 08/19/25 at 8:15 PM, the Interim Director of Nursing (IDON) reviewed the orders for Resident R1's pain medication and stated, The two tablets of Hydrocodone were to be given once a day prior to wound care to prevent pain. The resident had wound care ordered at times twice a day. If the nurses saw that the resident was having uncontrolled pain during the second wound care that was ordered, then
they would need to reach out to the provider and request an extra dose of the pain medication to be used twice a day instead of once a day. The IDON was asked when the one tablet of Hydrocodone 5-325 mg one tablet was to be given and IDON confirmed the one tablet of Hydrocodone 5-325 mg was to be given every four hours as needed for pain. The IDON was asked if this dose of pain medication was to be given prior to wound care and the IDON stated, No. The IDON was asked if the nurses administering the Hydrocodone to Resident R1 followed the six rights of medication administration which are the right resident, right drug, right dosage, right time, right route and the right documentation. The IDON stated, No, they did not.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
nurse should notify the physician when they are not able to administer the first dose of medication that has been ordered by the provider. 2.Review of Resident R2's undated Face Sheet located under the Profile tab in the EMR indicated Resident R2 had been admitted to the facility on [DATE REDACTED]. with the diagnosis of incomplete and multiple sclerosis (immune system eats away at the protective coverings of the nerves and can cause muscle weakness).Review of the Physician Orders located under the Orders tab in the EMR indicated an order dated 08/16/25 for Methocarbamol oral tablet 500 mg, give one tablet by mouth four times a day for muscle spasms.Review of Resident R2's MAR for August 2025 revealed beginning on 08/17/25 at the morning administration through 08/17/25, bedtime on 08/18/25, and in the evening and at bedtime indicated 9 was documented for the Methocarbamol. Review of Resident R2's Nursing Progress Notes located under the Progress Note tab in the EMR indicated the Methocarbamol was on hold due to pending delivery. During an interview
on 08/19/25 at 6:00 PM, LPN3 confirmed the above findings that Resident R2 did not receive the ordered Methocarbamol on the above dates. During an interview on 08/19/25 at 8:15 PM, the IDON revealed the nurse should notify the physician when they are not able to administer the first dose of medication that has been ordered by the provider.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0880
Federal health inspectors cited AMETHYST HEALTH OF WAUSAU in WAUSAU, WI for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-08-19.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 6 deficiencies cited during this inspection of AMETHYST HEALTH OF WAUSAU.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-19.
AMETHYST HEALTH OF WAUSAU in WAUSAU, WI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WAUSAU, WI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AMETHYST HEALTH OF WAUSAU or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.