Mulder Health Care Facility

Nursing Home · West Salem, WI

CMS overall rating 1/5 For profit - Corporation

CMS certification number525209

Contact & location

713 Leonard ST N
West Salem, WI 54669
La Crosse County
Phone
(608) 786-1600
ZIP code
54669 – all care providers

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Facility details

Certified beds
87
Residents per day
77.3 (89% occupied)
Ownership
For profit - Corporation
Legal name
Orion West Salem LLC
Chain
Atrium Centers (26 facilities, avg 3.0★)
Medicare certified since
November 11, 1968
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.43 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
1.08 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.35 (state 0.64 · U.S. 0.86)
Nurse aides
1.99 (state 2.58 · U.S. 2.32)
Weekend total
3.02 (state 3.77 · U.S. 3.42)
Nursing staff turnover
44.6 (state 46.9 · U.S. 45.8)%
RN turnover
33.3 (state 39.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 14, 2025
Health deficiencies (last cycle)
28.0 (state 9.5 · U.S. 9.3)
From complaints
11
Citations on record (3 years)
52 health · 13 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-22 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-16
2026-01-22 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-16
2026-01-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-16
2026-01-22 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-16
2025-09-16 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-09-16 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-09-16 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-09-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-16
2025-04-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
L
Immediate jeopardy to resident health or safety
Corrected 2025-05-09
2025-04-14 Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2025-05-09
2025-04-14 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-05-09
2025-04-14 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.
F0838 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 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.
F0700 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 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.
F0622 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Prepare residents for a safe transfer or discharge from the nursing home.
F0624 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
F0626 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-14 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2024-12-16 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-31
2024-11-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-11-20
2024-07-24 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-14
2024-02-22 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-02-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-02-22 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-02-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-02-22 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-02-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-02-22 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-02-22 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2024-02-22 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-21
2023-12-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-01-17
2023-12-15 Educate 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.
F0887 · Infection Control Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-01-17
2023-10-18 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-09
2023-10-18 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-09
2022-12-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2023-01-27
2022-12-30 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-01-27
2022-12-30 Give residents a notice of rights, rules, services and charges.
F0572 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-01-27
2022-12-30 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-01-27
2022-12-30 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-01-27
2022-12-30 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-01-27

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $200,694 in fines.

DateTypeAmount
2025-04-14Fine$186,261
2024-11-04Fine$14,433

Ownership & management

NameRoleSince
Orion Operating Services LLC (organization)5%+ Direct Ownership Interest · 100%
Bailey, Essel (individual)5%+ Indirect Ownership Interest · 74%
Finney, Donald (individual)5%+ Indirect Ownership Interest · 25%
Fifth Third Bank (organization)5%+ Mortgage Interest · NOT APPLICABLE
Albright Ross, Susan (individual)Administrator · NOT APPLICABLE
Amicus Capital Holdings, INC. Employee Stock Ownership Trust (organization)Administrator · NOT APPLICABLE
Amicus Properties LLC (organization)Administrator · NOT APPLICABLE
Anderson, Curt (individual)Administrator · NOT APPLICABLE
Atrium Centers Management LLC (organization)Administrator · NOT APPLICABLE
Broad River Rehabilitation (organization)Administrator · NOT APPLICABLE
Cherry, Jill (individual)Administrator · NOT APPLICABLE
Cogbill, Elizabeth (individual)Administrator · NOT APPLICABLE
Forvis Mazars LLP (organization)Administrator · NOT APPLICABLE
Galesville LTC Pharmay LLC (organization)Administrator · NOT APPLICABLE
Hafner, Paige (individual)Administrator · NOT APPLICABLE
Johnson, Cindy (individual)Administrator · NOT APPLICABLE
Leaderstat LTD (organization)Administrator · NOT APPLICABLE
Ocs Real Estate Holdings LLC (organization)Administrator · NOT APPLICABLE
Orion Properties Nineteen LLC (organization)Administrator · NOT APPLICABLE
Paredes, Miguel (individual)Administrator · NOT APPLICABLE
Shear, Nick (individual)Administrator · NOT APPLICABLE
Sidie, Ashley (individual)Administrator · NOT APPLICABLE
Stewart, Brenda (individual)Administrator · NOT APPLICABLE
Wipfli LLP (organization)Administrator · NOT APPLICABLE
Albright Ross, Susan (individual)Corporate Officer · NOT APPLICABLE
Bailey, Essel (individual)Corporate Officer · NOT APPLICABLE
Finney, Donald (individual)Corporate Officer · NOT APPLICABLE
Stewart, Brenda (individual)Managing Control - Governing Body · NOT APPLICABLE
Albright Ross, Susan (individual)Operational/managerial Control · NOT APPLICABLE
Amicus Capital Holdings INC (organization)Operational/managerial Control · NOT APPLICABLE
Anderson, Curt (individual)Operational/managerial Control · NOT APPLICABLE
Atrium Centers Management LLC (organization)Operational/managerial Control · NOT APPLICABLE
Atrium Centers, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Cherry, Jill (individual)Operational/managerial Control · NOT APPLICABLE
Cogbill, Elizabeth (individual)Operational/managerial Control · NOT APPLICABLE
Fifth Third Bank (organization)Operational/managerial Control · NOT APPLICABLE
Hafner, Paige (individual)Operational/managerial Control · NOT APPLICABLE
Johnson, Cindy (individual)Operational/managerial Control · NOT APPLICABLE
Orion Operating Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Shear, Nick (individual)Operational/managerial Control · NOT APPLICABLE
Sidie, Ashley (individual)Operational/managerial Control · NOT APPLICABLE
Stewart, Brenda (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Mulder Health Care Facility?

Mulder Health Care Facility has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Mulder Health Care Facility have?

It has 87 certified beds and cares for about 77 residents per day.

Has Mulder Health Care Facility been fined?

Yes. CMS lists 2 penalties totaling $200,694 in the last three years.

Who owns Mulder Health Care Facility?

It is part of Atrium Centers and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Mulder Health Care Facility?

(608) 786-1600. The facility is located at 713 Leonard ST N, West Salem, WI 54669.

Other nursing homes in West Salem

Compare all nursing homes in West Salem, WI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.