Nursing HomeInspections

Mulder Health Care Facility

Nursing home in West Salem, WI

Medicare & Medicaid certified1★ overall (CMS)

Call (608) 786-1600Send a messageMap ↗

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
3 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 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 14, 2025. CMS lists 52 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 30, 2022 to Jan 22, 2026): 18 from complaint inspections, 5 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Jan 22, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 22, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 22, 2026Ensure 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.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 22, 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		E
Potential for more than minimal harm, pattern
Sep 16, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 16, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 16, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 16, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 14, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 14, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 14, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 14, 2025Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 52. 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 Aug 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 Aug 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
1.08 hours
Nurse aide time per resident per day
1.99 hours
Total nurse staffing on weekends
3.02 hours
Nursing staff turnover (yearly)
45%
RN turnover (yearly)
33%
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.

Other nursing homes in West Salem

Lakeview Health Center962 E. Garland St. E · West Salem, WI 54669 · (608) 786-1400 · Government-owned7 health citations in 3 inspection cycles · last standard inspection Jul 16, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in West Salem →