Nursing HomeInspections

Mulder Health Care Facility

Nursing home in West Salem, WI

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address
713 Leonard St. N, West Salem, WI 54669
Phone
(608) 786-1600
Listed under
For-profit
Medicare CCN
525209
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
87
Average residents per day
77
Ownership
For-profit, corporation
Legal business name
Orion West Salem LLC
Chain
Atrium Centers (26 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 11, 1968
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525209. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 9, 2026. CMS lists 57 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 18, 2023 to Jul 9, 2026): 31 from complaint inspections, 7 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jul 9, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 9, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 9, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 9, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
F
Potential for more than minimal harm, widespread
Jul 9, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
F
Potential for more than minimal harm, widespread
Jul 9, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Jul 9, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
G
Actual harm, isolated

Showing the 12 most recent of 57. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $200,694 in the last three years.

Apr 14, 2025Fine: $186,261
Nov 4, 2024Fine: $14,433

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.43 hours
Registered nurse (RN) time per resident per day
0.98 hours
Nurse aide time per resident per day
2.09 hours
Total nurse staffing on weekends
3.03 hours
Nursing staff turnover (yearly)
49%
RN turnover (yearly)
37%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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