All states › Wisconsin › West Salem › Mulder Health Care Facility
713 Leonard St. N West Salem, WI 54669 · La Crosse County
All 2 nursing homes in West Salem, WI (2 take Medicaid)
CMS certification number 525209 · See this home on Medicare Care Compare
Is Mulder Health Care Facility a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Mulder Health Care Facility as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Wisconsin average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.43 hours per resident per day at Mulder Health Care Facility, below the Wisconsin median of 4.04 (US median: 3.72). About 0.98 of those hours are from registered nurses. On weekends it falls to 3.03 hours, 12% below its all-week average. 48.8% of nursing staff left within a year (Wisconsin median 45.7%).
About this nursing home
Paying for care at Mulder Health Care Facility: Medicare and Medicaid
Mulder Health Care Facility is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Wisconsin's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 9, 2026 and found 0 deficiencies, plus 17 from complaint inspections in the same period. In total, inspectors issued 57 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 57 citations at Mulder Health Care Facility across 10 inspection dates, 31 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 14, 2025. The most common areas cited were quality of life and care (13) and freedom from abuse, neglect, and exploitation (10). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level L, April 14, 2025). 10 citations were under CMS's abuse, neglect and exploitation rules.
July 9, 2026 · 13 citations · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GEnsure that residents are free from significant medication errors.
GImplement a program that monitors antibiotic use.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
January 22, 2026 · 4 citations · includes complaint inspection
EProtect each resident from the wrongful use of the resident's belongings or money.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide enough food/fluids to maintain a resident's health.
September 16, 2025 · 4 citations · includes complaint inspection
ERespond appropriately to all alleged violations.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 14, 2025 · 20 citations, includes immediate jeopardy · includes complaint inspection
LProvide and implement an infection prevention and control program.
JEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
GProvide enough food/fluids to maintain a resident's health.
FConduct 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.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
ETry 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DPrepare residents for a safe transfer or discharge from the nursing home.
DNotify 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.
DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
December 16, 2024 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
November 4, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 24, 2024 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
February 22, 2024 · 9 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide and implement an infection prevention and control program.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
December 15, 2023 · 2 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
FEducate 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.
October 18, 2023 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Questions to ask on a tour of Mulder Health Care Facility
- Inspectors cited the home at the immediate-jeopardy level on April 14, 2025 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on January 22, 2026. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $200,694 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 14, 2025 | Fine | $186,261 |
| Nov 4, 2024 | Fine | $14,433 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 3/5 |
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Location
Hospitals near Mulder Health Care Facility
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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10.6 mi
Mayo Clinic Health System-Franciscan Medical Center La CrosseEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 14m for patients treated and sent home
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11.3 mi
Gundersen Luth Med Ctr La CrosseEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 47m for patients treated and sent home
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13.6 mi
Franciscan Skemp Sparta Hsptl SpartaEmergency roomMedian ER visit 1h 17m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Mulder Health Care Facility › All nursing homes in West Salem ›
Compare Mulder Health Care Facility with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Onalaska Care Center · Onalaska · 5 stars · 6.8 mi
- Lakeview Health Center · West Salem · 4 stars · 0.7 mi
Other Atrium Centers nursing homes in Wisconsin
- Prescott Nursing and Rehab Community · Prescott · 3 stars
- Frederic Nursing and Rehab Community · Frederic · 3 stars
- Tomah Nursing and Rehab · Tomah · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 26 Atrium Centers nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.