Nursing home report
Registered name: Amethyst Health of Algoma
Algoma, WI · Medicare-certified · 50 beds
Waterfall Health of Algoma has a 2 out of 5 overall rating, with 2-star health inspections, 3-star staffing, and 4-star quality measures. It is below the federal staffing benchmark at 3.60 nurse hours per resident day versus 4.1, and it had $143,202 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.6031 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6031.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a responsible governing body to set and carry out policies and properly manage the facility. Cited June 2024 — widespread issue, potential for harm.
F-Tag 837 — 42 CFR §483.70 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2025 — limited pattern, potential for harm.
F-Tag 804 — 42 CFR §483.60 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $143,202 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 3 health deficiencies.
A federal fine of $8,152 was recorded.
On record with Medicare: 2 fines · $151,354 in total fines.
Federal fine
Nov 3, 2025
Federal fine
Jun 11, 2024
Now operated by Amethyst Health of Algoma, previously Waterfall Health of Algoma.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
