The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
PIGEON FALLS HCC
PIGEON FALLS, WI · Medicare-certified · 37 beds
In good standing
Government-run
4 of 5 overall
Pigeon Falls HCC has a 4-star overall rating, with 4 stars for health inspections and staffing, but 2 stars for quality measures. It reported 3.56 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and was cited recently in food handling, psychotropic medication use, and treatment/care areas.
Facility ratings
Health inspections
Staffing
3.5586 hrs/resident/day
Quality measures
Last inspection: July 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5586.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.48
- Nurse aides
- 2.40
- Weekend nursing
- 3.50
Hours per resident per day.
Total staff turnover: 18%
Registered nurse turnover: 13%
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).
Long-stay residents on antipsychotic medication
11.1%4.5%Improving
Residents with a fall causing major injury
2.8%9.1%Worsening
Residents with pressure ulcers (bedsores)
0%6.1%Worsening
Residents with a urinary tract infection
0%3.2%Worsening
Residents who lost too much weight
3%3.4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.1%25.9%Worsening
Residents whose ability to walk got worse
8.1%26.7%Worsening
Long-stay residents on antianxiety or sleep medication
11.4%16.1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
33.7%27.7%Improving
Residents with depressive symptoms
8.3%3.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.2%100%Improving
Short-stay residents given the pneumonia vaccine
—87.1%—
What the inspectors found
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 36.3 residents on an average day (98% of 37 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.