Amethyst Health Of Wausau
AMETHYST HEALTH OF WAUSAU in WAUSAU, WI — inspection on August 19, 2025.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
discharge or resident expiring.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
SUMMARY STATEMENT OF DEFICIENCIES
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 R4 should have had an updated elopement risk assessment.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
SUMMARY STATEMENT OF DEFICIENCIES
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 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 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 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
SUMMARY STATEMENT OF DEFICIENCIES
Review of 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 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
SUMMARY STATEMENT OF DEFICIENCIES
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.