Mulder Health Care Facility in West Salem, WI has a 1 out of 5 overall rating, with 1-star health inspection results despite 4-star staffing and quality measures. It has had $200,694 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 3.52 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: January 22, 2026Penalties, last 24 months: $200,694recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.516.
Staffing detail
Registered nurses
1.04
Licensed practical nurses
0.43
Nurse aides
2.04
Weekend nursing
3.07
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20.8%24.4%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
0%5.1%Worsening
Residents with a urinary tract infection
0%1.6%Worsening
Residents who lost too much weight
3.3%8.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.6%8.6%Worsening
Residents whose ability to walk got worse
7.2%18.5%Worsening
Long-stay residents on antianxiety or sleep medication
14.5%10%Improving
Short-stay residents newly given an antipsychotic
0%2.2%Worsening
Residents with a long-term catheter
0%1.2%Worsening
Residents with new or worsening incontinence
5.9%9.2%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.8%—
Long-stay residents given the pneumonia vaccine
98.6%96.9%Worsening
Short-stay residents given the seasonal flu vaccine
—80%—
Short-stay residents given the pneumonia vaccine
77.4%87.5%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: L
The home failed to have enough qualified staff to meet residents’ behavioral health needs. Cited April 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 741 — 42 CFR §483.40 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited April 2025 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $186,261 was recorded.
INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $14,433 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $200,694 in total fines.
Federal fine
Apr 14, 2025
$186,261
Federal fine
Nov 4, 2024
$14,433
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of ATRIUM CENTERS · 26 homes · 3.1 stars avg
Occupancy
76.8 residents on an average day (88% of 87 beds)
Resident voice
Resident council
Medicare history
Certified for 57 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.