Amethyst Health Of Wausau
AMETHYST HEALTH OF WAUSAU in WAUSAU, WI — inspection on September 24, 2025.
Found 2 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
admission, re-admission, and daily skilled assessments. RC C and DON B stated they did not have a performance improvement plan related to this. RC C stated, If you had come next week, we would have had it implemented. DON B acknowledged R2's documentation did not support R2 was assessed and monitored appropriately after his re-admission from the hospital.
Interviews with DON B and RC C reported the facility did not have a current policy on comprehensive assessments and nurse documentation. DON B and RC C stated the facility was in the process of creating new policies and procedures related to assessments and documentation.
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IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Amethyst Health of Wausau
1010 E Wausau Ave Wausau, WI 54403
SUMMARY STATEMENT OF DEFICIENCIES
Based on interview and record review, the facility did not ensure required infection control training was completed for 2 out of 2 staff in Housekeeping (HSK). (HSK E and HSK D).
This has the potential to affect all 33 residents.Housekeeping staff HSK E and HSK D were not provided the required infection control training since being hired.
Findings include:Per State Operations Manual, appendix PP, 483.95 Infection control, states in part, .All facilities must develop, implement and permanently maintain an effective training program for all staff, which includes, training on the standards, policies, and procedures for the infection prevention and control program as described at S483.80(a)(2), that is appropriate and effective, and as determined by staff need.
For the purposes of this training requirement, staff includes all facility staff (direct and indirect care functions), contracted staff, and volunteers (training topics as appropriate to role).Changes to the facility's resident population, community infection risk, national standards, staff turnover, the facility's physical environment, or facility assessment may necessitate ongoing revisions to the facility's training program for infection prevention and control.All training should support current scope and standards of practice through curricula which detail learning objectives, performance standards, evaluation criteria, and addresses potential risks to residents, staff, and volunteers if procedures are not followed.
There should be a process in place to track staff participation in and understanding of the required training.On 09/24/25 at 10:00 AM, Surveyor interviewed HSK E, who stated she did not receive any training on infection control since she was hired on 01/29/25. On 09/24/25 at 10:25 AM, Surveyor interviewed HSK D, who stated she did not receive any training on infection control since she was hired on 08/21/25.On 09/24/25 at 11:00 AM, Surveyor interviewed Nursing Home Administrator (NHA) A regarding housekeeping staff infection control education. NHA A stated the facility currently does not have a policy for infection control training completed nor have they provided infection control training to HSK E and HSK D. NHA A stated the expectation would be that staff receive the required training on infection control, and the facility did not provide required training.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.