Mulder Health Care Facility
713 Leonard St N · West Salem, WI · 54669 · 6087861600
87 certified beds For profit - Corporation Chain: Atrium Centers
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $200,694 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$200,694 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.04 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 2 · $200,694 |
Inspection citations (52 in the current record)
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Potential for harm · E January 22, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 22, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · E January 22, 2026 · found via complaint
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.
Corrected February 16, 2026 · Nutrition and Dietary
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Potential for harm · E January 22, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 16, 2026 · Nutrition and Dietary
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Potential for harm · D September 16, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 16, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 16, 2025 · Quality of Life and Care
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Immediate jeopardy · J April 14, 2025
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected May 9, 2025 · Quality of Life and Care
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Immediate jeopardy · L April 14, 2025
Provide and implement an infection prevention and control program.
Corrected May 9, 2025 · Infection Control
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Actual harm · G April 14, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D April 14, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2025
Respond appropriately to all alleged violations.
Corrected May 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2025
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.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D April 14, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D April 14, 2025
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.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D April 14, 2025
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D April 14, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · E April 14, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · E April 14, 2025
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.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · D April 14, 2025
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected May 9, 2025 · Quality of Life and Care
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Potential for harm · E April 14, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 9, 2025 · Nutrition and Dietary
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Potential for harm · D April 14, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 9, 2025 · Nutrition and Dietary
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Potential for harm · F April 14, 2025
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.
Corrected May 9, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 14, 2025 | Fine | $186,261 |
| November 4, 2024 | Fine | $14,433 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525209 · certified since November 11, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.