La Crosse County, Wisconsin · Nursing home
Mulder Health Care Facility
1 of 5 overall from CMS
713 Leonard St. N, West Salem, WI 54669
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.43 hours Below the state average of 4.21
- Nursing staff who left in a year 44.6% Below the state average of 46.9%
- Health citations, last 3 inspection cycles 57 7 at the harm level or above
- Fines in 3 years $200,694 2 fines
- Certified beds in use 88.9% of 87 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Mulder Health Care Facility is a 87-bed nursing home in West Salem, Wisconsin (La Crosse County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.43 nurse staffing hours per resident per day, below the Wisconsin average of 4.21. CMS lists 2 fines totaling $200,694 in the past three years.
- Certified beds
- 87
- Residents per day (average)
- 77.3
- Certified since
- 1968 (58 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Atrium Centers (26 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Mulder Health Care Facility
Chosen from this home's public data.
- CMS lists 2 fines totaling $200,694 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 21 health deficiencies in the latest inspection cycle (the standard inspection on Jul 9, 2026 plus complaint and infection-control inspections); the Wisconsin average is 9.5. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.02 hours per resident on weekends against 3.43 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Wisconsin average 3.0
- Health inspections 1 of 5 Wisconsin average 2.8
- Staffing 4 of 5 Wisconsin average 3.6
- Quality measures 3 of 5 Wisconsin average 3.0
The vertical line marks the Wisconsin average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.43 h Wisconsin average 4.21
- Nurse aides 1.99 h Wisconsin average 2.58
- Licensed practical nurses 0.35 h Wisconsin average 0.64
- Registered nurses 1.08 h Wisconsin average 0.99
- All staff, weekends 3.02 h Wisconsin average 3.77
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Wisconsin average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover44.6%
- Wisconsin average46.9%
- Registered nurse turnover33.3%
- Wisconsin average39.7%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Wisconsin and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.0% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.4% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.8% | 2.7% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% | 95.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.2% | 18.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.1% | 16.9% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% | 95.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.1% | 5.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.7% | 24.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 22.5% | 15.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.97 | 1.66 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.45 | 2.29 | 1.78 |
Short-stay residents
| Measure | This home | Wisconsin | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.3% | 86.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.0% | 82.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.1% | 23.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 18.7% | 15.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 57 health deficiencies in the three most recent inspection cycles. Of these, 3 were at the immediate jeopardy level and 4 involved actual harm; the rest were graded as no actual harm. 31 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 9, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 9, 2026 | 21 | 5 |
| Apr 14, 2025 | 22 | 10 |
| Feb 22, 2024 | 14 | 0 |
Wisconsin homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (57)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 6, 2026)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 6, 2026)
-
GActual harm, isolated
Implement a program that monitors antibiotic use.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 6, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 6, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 6, 2026)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Aug 6, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 6, 2026)
-
EPotential for more than minimal harm, pattern
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 16, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Feb 16, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Feb 16, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 16, 2026)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 16, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 16, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 16, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 16, 2025)
-
LImmediate jeopardy, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 9, 2025)
-
JImmediate jeopardy, isolated
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care · Deficient, Provider has date of correction (May 9, 2025)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 9, 2025)
-
FPotential for more than minimal harm, widespread
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.
Administration · Deficient, Provider has date of correction (May 9, 2025)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (May 9, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 9, 2025)
-
EPotential for more than minimal harm, pattern
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.
Quality of Life and Care · Deficient, Provider has date of correction (May 9, 2025)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (May 9, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 9, 2025)
Showing the 30 most recent of 57.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Apr 14, 2025 | Fine | $186,261 |
| Nov 4, 2024 | Fine | $14,433 |
Wisconsin homes averaged 0.9 fines and $48,150 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Wisconsin
- Size107 of 323 by certified beds
- Wisconsin average residents per day54.7
- ChainAtrium Centers
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in La Crosse County7
Common questions
What is the CMS star rating for Mulder Health Care Facility?
Mulder Health Care Facility has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 3.
How many beds does Mulder Health Care Facility have?
Mulder Health Care Facility has 87 certified beds. It averages 77.3 residents per day, about 88.9% of its certified beds.
How much nursing care do residents get at Mulder Health Care Facility?
The home reports 3.43 hours of nurse staffing per resident per day, including 1.08 hours from registered nurses. The Wisconsin average is 4.21 hours and 0.99 hours from registered nurses.
Has Mulder Health Care Facility been fined?
Yes. CMS lists 2 fines totaling $200,694 in the past three years.
Does Mulder Health Care Facility accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Lakeview Health Center 50beds 96.0%in use 6.06nurse hours a day
- 5 of 5 Onalaska Care Center 80beds 65.6%in use 4.41nurse hours a day
- 5 of 5 Hillview Health Care Ctr 37beds 88.9%in use 4.61nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in La Crosse County
Who to call in Wisconsin
These offices serve residents of every nursing home in Wisconsin.
- Long-term care ombudsman Wisconsin Long Term Care Ombudsman Program 1-800-815-0015 (Email: BOALTC@wisconsin.gov.) An advocate for residents and their families.
- File a complaint about a nursing home Division of Quality Assurance (DQA) complaint line 800-642-6552 (Toll-free. DQA also takes complaints through an online Complaint Intake Survey (form F-00607) and its nursing home regional offices.) The state agency that inspects nursing homes.
Wisconsin staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 525209. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.