Nursing home report
Registered name: Amethyst Health of Brown Deer
MILWAUKEE, WI · Medicare-certified · 87 beds
Waterfall Health of Brown Deer in Milwaukee has a 1-star overall rating, with 1-star health inspections and 2-star staffing; it is a Special Focus Facility candidate, has had $192,691 in fines in the last 24 months, and reports 4.51 nurse hours per resident per day versus the 4.1 benchmark. Recent inspection concerns included pressure ulcer care, bowel/bladder and catheter care, UTI prevention, and enough food/fluids to maintain health.
Health inspections
Staffing
4.5099 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5099.
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 February 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited February 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 690 — 42 CFR §483.25(e) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 692 — 42 CFR §483.25(g) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2023 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 4 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 4 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 4 health deficiencies.
Health inspection found 13 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $176,345 was recorded.
A federal fine of $16,346 was recorded.
A federal payment denial was recorded.
A federal fine of $16,065 was recorded.
On record with Medicare: 3 fines · $276,756 in total fines · 2 payment denials.
Federal fine
Mar 17, 2025
Medicare/Medicaid payment denial
Oct 30, 2024
Federal fine
Oct 30, 2024
Medicare/Medicaid payment denial
Sep 13, 2023
Federal fine
Sep 13, 2023
Now operated by Amethyst Health of Brown Deer, previously Waterfall Health of Brown Deer.
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.
