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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Amethyst Health of Wausau is an 80-bed skilled nursing and rehabilitation facility in Wausau, Wisconsin, offering skilled nursing, sub-acute care, long-term care, memory care, and rehabilitation services. It is operated by Waterfall Health of Wausau LLC and accepts Medicare, Medicaid, and private pay.
The facility holds a 2-star CMS overall rating. Across 11 inspections over a seven-year period, it recorded 51 total citations — a rate of 4.64 per inspection, modestly above the Wisconsin average of 4.19. More telling is the enforcement record: federal fines run 191% above the Wisconsin average, 23 of 51 citations came from complaint investigations. The facility also received 4 critical citations in the past three years, including multiple abuse/neglect findings.
Staffing is another factor in the low overall rating. Nurse staffing averages 3 hours and 4 minutes per resident per day, 28% below the Wisconsin average of 4 hours and 14 minutes, ranking the facility 153rd out of 172 Wisconsin SNFs. The facility’s occupancy rate of 70% is also well below the state average, ranking 377th out of 404 Wisconsin facilities — indicating current availability.
The facility provides 24-hour staffing, rehabilitation services, memory care, and respite care. Short-term rehabilitation makes up a substantial share of admissions. Medicare accounts for roughly a third of new residents.
Amethyst Health of Wausau is best suited for seniors seeking short-term rehab or long-term skilled nursing care in Marathon County, especially those looking for current availability and flexible payment options. However, families should take note of its staffing levels, enforcement history, and neglect findings before making a placement decision.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 153rd out of 172 homes in Wisconsin for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 53m per day | ▼ 9% State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 28m per day | ▼ 25% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 37m per day | ■ Avg State avg: 2h 35m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 45m per day | ■ Avg State avg: 3h 43m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 59% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 40m per day | ■ Avg State avg: 40m per day · National avg: 28m per day |
Lower than the Wisconsin average: 70%Amethyst Health of Wausau is administrated by Robert Owens.
Wisconsin average 6
Last Health inspection on Nov 2025
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 51 citations resulted from standard inspections; 23 of 51 resulted from complaint investigations; and 8 of 51 came from combined inspections (standard and complaint).
344% worse than Wisconsin averageWisconsin average: 0.9
67% worse than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
84% more staff per resident than Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
31 total: 6 full-time employees and 25 contractors.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
17 total: 6 full-time employees and 11 contractors.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
66 total: 27 full-time employees and 39 contractors.
66
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,653 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 39 | 66 | 8,659 | 92 | 100% | 8 |
| Registered Nurse | 6 | 25 | 31 | 2,067 | 91 | 99% | 7.3 |
| Licensed Practical Nurse | 6 | 11 | 17 | 1,571 | 88 | 96% | 8.6 |
| Nurse Practitioner | 3 | 1 | 4 | 800 | 83 | 90% | 9.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 519 | 63 | 68% | 6.9 |
| Speech Language Pathologist | 1 | 0 | 1 | 517 | 64 | 70% | 8.1 |
| Administrator | 3 | 0 | 3 | 511 | 65 | 71% | 7.7 |
| Dental Services Staff | 1 | 0 | 1 | 498 | 64 | 70% | 7.8 |
| Physical Therapy Aide | 1 | 0 | 1 | 432 | 55 | 60% | 7.9 |
| Qualified Social Worker | 2 | 0 | 2 | 284 | 46 | 50% | 6.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 95 | 51 | 55% | 1.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 92 | 34 | 37% | 2.7 |
| Physical Therapy Assistant | 4 | 0 | 4 | 81 | 40 | 43% | 2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 59 | 10 | 11% | 5.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 42 | 7 | 8% | 6 |
| Medical Director | 0 | 1 | 1 | 29 | 24 | 26% | 1.2 |
| Nurse Aide in Training | 1 | 0 | 1 | 2 | 1 | 1% | 2 |
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
In line with Wisconsin averageWisconsin average: $95K
191% more fines than Wisconsin averageWisconsin average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
51% more payment denials than Wisconsin averageWisconsin average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
7 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
37% better than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.2
22% better than Wisconsin averageWisconsin average: 22.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.3%
47% better than Wisconsin averageWisconsin average: 17.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
In line with Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
6% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.7%
22% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.1%
67% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
7.6%
56% worse than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
3.5%
31% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
23.4%
46% worse than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Wisconsin averageWisconsin average: 95.0%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.8%
11% better than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
15% better than Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.3%
19% better than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.2%
8% worse than Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin averageWisconsin average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
50.6%
In line with Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
32% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
31Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Amethyst Health of Wausau based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #119 / 177Payroll — State benchmarkedThis home is ranked 119th out of 177 homes in Wisconsin for payroll. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Wausau's city center to Amethyst Health of Wausau's address, calculated via Google Maps.
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Amethyst Health of Wausau is located in WAUSAU, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Amethyst Health of Wausau |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Wausau | - | 80
Facility
80
WI AVG
61
Rank
#120 / 496 | - |
83
Facility
83
WI AVG
42
Rank
#36 / 580 | - |
| Oak Park Nursing & Rehab Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Madison (North Star) | - | 100
Facility
100
WI AVG
61
Rank
#67 / 496 | A+ |
5
Facility
5
WI AVG
42
Rank
#533 / 580 | 1 Bed / 2 Bed |
| Sun Prairie Senior Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sun Prairie | - | 42
Facility
42
WI AVG
61
Rank
#337 / 496 | A+ |
74
Facility
74
WI AVG
42
Rank
#79 / 580 | Studio / 1 Bed / 2 Bed |
| Meadowbrook at Oconto Falls |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Oconto Falls | - | 99
Facility
99
WI AVG
61
Rank
#75 / 496 | A+ |
25
Facility
25
WI AVG
42
Rank
#410 / 580 | - |
| St. Ann Health and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Milwaukee (Muskego Way) | - | 50
Facility
50
WI AVG
61
Rank
#235 / 496 | A- |
84
Facility
84
WI AVG
42
Rank
#31 / 580 | - |
The legal owner and operator of Amethyst Health of Wausau is Wausau Health Opco Llc.
Amethyst Health of Wausau has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Amethyst Health of Wausau's occupancy is 39%.
Amethyst Health of Wausau is registered as a for-profit in WI.
Robert Owens is the administrator of Amethyst Health of Wausau.
Amethyst Health of Wausau has 80 beds.
Amethyst Health of Wausau is located at 1010 E WAUSAU AVE.
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