Wisconsin › La Crosse County › West Salem
Mulder Health Care Facility
713 Leonard St N, West Salem, WI 54669
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Mulder Health Care Facility is a For-profit, corporation nursing home in West Salem, Wisconsin, certified for 87 beds and caring for about 77 residents a day.
CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 52 health deficiencies across the three most recent survey cycles (28, 11, 13 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 59.8 per 100 beds, more than the state median of 31.8.
CMS lists 2 penalties in the period covered: fines totalling $201K.
Reported nurse staffing is 3.4 hours per resident per day (1.1 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 44.6%.
Compared with county, state and nation
| Measure | This facility | La Crosse Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 52 | 13 | 21 | 28.7 |
| Citations per 100 beds | 59.8 | 14.0 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.4 | 4.0 | 3.9 |
| RN hours per resident day | 1.1 | 1.2 | 0.9 | 0.7 |
| Nursing staff turnover | 44.6% | 42.9% | 46.2% | 45.8% |
| Fines listed | $200,694 | $0 | $0 | — |
County and state figures are medians across facilities (7 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Apr 2025, 22 Feb 2024.
Severity mix: J ×2 L ×1 G ×2 D ×31 E ×9 F ×7
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 Jan 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 16 Feb 2026 |
| 22 Jan 2026 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 16 Feb 2026 |
| 22 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 16 Feb 2026 |
| 22 Jan 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 16 Feb 2026 |
| 16 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 16 Oct 2025 |
| 16 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 16 Oct 2025 |
| 16 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Oct 2025 |
| 16 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Oct 2025 |
| 14 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | L | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | J | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 9 May 2025 |
| 14 Apr 2025 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 9 May 2025 |
| 14 Apr 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 9 May 2025 |
| 14 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 9 May 2025 |
| 14 Apr 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 9 May 2025 |
| 16 Dec 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 31 Dec 2024 |
| 4 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 20 Nov 2024 |
| 24 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Aug 2024 |
| 22 Feb 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 21 Mar 2024 |
| 22 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Mar 2024 |
| 22 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 21 Mar 2024 |
| 22 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Mar 2024 |
| 22 Feb 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 21 Mar 2024 |
| 22 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Mar 2024 |
| 22 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Mar 2024 |
| 22 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Mar 2024 |
| 22 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Mar 2024 |
| 15 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 17 Jan 2024 |
| 15 Dec 2023 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Complaint investigation | 17 Jan 2024 |
| 18 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Nov 2023 |
| 18 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Nov 2023 |
| 30 Dec 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 27 Jan 2023 |
| 30 Dec 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Jan 2023 |
| 30 Dec 2022 | F0572 | Give residents a notice of rights, rules, services and charges. | D | Standard survey | 27 Jan 2023 |
| 30 Dec 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 27 Jan 2023 |
| 30 Dec 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 27 Jan 2023 |
| 30 Dec 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 27 Jan 2023 |
| 30 Dec 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 27 Jan 2023 |
| 30 Dec 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Jan 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Apr 2025 | Fine | $186,261 | |
| 4 Nov 2024 | Fine | $14,433 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 44.6%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.0% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.2% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.5% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Orion West Salem Llc. Chain: Atrium Centers (26 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Orion Operating Services LLC | 5% or greater direct ownership interest | 100% | 12/09/2019 |
| Fifth Third Bank | 5% or greater mortgage interest | NOT APPLICABLE | 05/19/2022 |
| Amicus Capital Holdings Inc | Operational/managerial control | NOT APPLICABLE | 08/18/2021 |
| Atrium Centers Management LLC | Operational/managerial control | NOT APPLICABLE | 09/18/2024 |
| Atrium Centers, LLC | Operational/managerial control | NOT APPLICABLE | 08/20/2019 |
| Fifth Third Bank | Operational/managerial control | NOT APPLICABLE | 05/19/2022 |
| Orion Operating Services LLC | Operational/managerial control | NOT APPLICABLE | 08/20/2019 |
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Adp of the snf | NOT APPLICABLE | 08/18/2021 |
| Amicus Properties LLC | Adp of the snf | NOT APPLICABLE | 01/01/2021 |
| Atrium Centers Management LLC | Adp of the snf | NOT APPLICABLE | 09/18/2024 |
| Broad River Rehabilitation | Adp of the snf | NOT APPLICABLE | 09/01/2021 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| Galesville LTC Pharmay LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Leaderstat Ltd | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Ocs Real Estate Holdings LLC | Adp of the snf | NOT APPLICABLE | 01/01/2021 |
| Orion Properties Nineteen LLC | Adp of the snf | NOT APPLICABLE | 12/01/2019 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in La Crosse County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hillview Health Care Ctr | La Crosse | 37 | 5 | 4 | 5 | 12 | 32.4 | — | 12 Feb 2026 |
| Lakeview Health Center | West Salem | 50 | 5 | 4 | 5 | 7 | 14.0 | — | 20 May 2026 |
| Onalaska Care Center | Onalaska | 80 | 5 | 5 | 5 | 8 | 10.0 | — | 12 May 2025 |
| Bethany St Joseph Care Ctr | La Crosse | 100 | 4 | 3 | 5 | 13 | 13.0 | — | 19 Jun 2025 |
| Riverside | La Crosse | 123 | 4 | 4 | 5 | 13 | 10.6 | $22K | 15 Jan 2026 |
| Benedictine Manor of Lacrosse | La Crosse | 80 | 1 | 1 | 4 | 25 | 31.3 | $91K | 18 Jun 2026 |
All 7 facilities in La Crosse County
Questions and answers
How many deficiencies has Mulder Health Care Facility been cited for?
52 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Mulder Health Care Facility been fined?
Yes. CMS lists fines totalling $201K in the period covered.
How does staffing at Mulder Health Care Facility compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Mulder Health Care Facility?
It is part of the Atrium Centers chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Orion Operating Services LLC, Amicus Capital Holdings Inc and Atrium Centers Management LLC. Individual owners and managers are not listed on this site.
When was Mulder Health Care Facility last inspected?
The most recent survey or investigation in the CMS record is dated 22 Jan 2026; the most recent standard health survey was 14 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.