Amethyst Health Of Wausau
Inspection Findings
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
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 Resident R2's documentation did not support Resident 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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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
09/24/2025
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 F0945
F 0945 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
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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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.