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Data / Nursing homes / Wisconsin / Mulder Health Care Facility

Mulder Health Care Facility, West Salem, WI: 1 star rating, fined $200,694 across 2 fines

Mulder Health Care Facility in West Salem, WI is owned by Orion Operating Services LLC, is rated 1 of 5 stars by Medicare, and was fined $200,694 across 2 fines in the three years to October 1, 2026. CMS lists 57 health citations from inspections in that time, the latest survey on July 9, 2026, and 7 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Wisconsin
Address
713 Leonard St. N, West Salem, WI 54669
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
2 of 5
Certified beds
87
Residents per day
77 on average
Ownership type
For profit, corporation
Legal business name
Orion West Salem LLC
Chain
Atrium Centers, 26 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$200,694 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
57, of which 7 with actual harm or immediate jeopardy
Latest survey
July 9, 2026
CMS Certification Number
525209
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 14, 2025Fine$186,261Not listeddata.cms.gov
November 4, 2024Fine$14,433Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 9, 2026F881Implement a program that monitors antibiotic use.G: isolated, actual harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 9, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
January 22, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2026data.cms.gov
January 22, 2026F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2026data.cms.gov
January 22, 2026F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2026data.cms.gov
January 22, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2026data.cms.gov
September 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 16, 2025data.cms.gov
September 16, 2025F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 16, 2025data.cms.gov
September 16, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 16, 2025data.cms.gov
September 16, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 16, 2025data.cms.gov
April 14, 2025F880Provide and implement an infection prevention and control program.L: widespread, immediate jeopardyCorrectedMay 9, 2025data.cms.gov
April 14, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.J: isolated, immediate jeopardyCorrectedMay 9, 2025data.cms.gov
April 14, 2025F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F838Conduct 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F700Try 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F624Prepare residents for a safe transfer or discharge from the nursing home.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
April 14, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
December 16, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 31, 2024data.cms.gov
November 4, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedNovember 20, 2024data.cms.gov
July 24, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2024data.cms.gov
February 22, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
February 22, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 21, 2024data.cms.gov
December 15, 2023F887Educate 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 15, 2023F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
October 18, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 9, 2023data.cms.gov
October 18, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 9, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 25 individual or personal trusts (2 owners, 10 managers, 3 officers, directors or trustees, 10 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Orion Operating Services LLCDirect owner100%December 9, 2019data.cms.gov
Amicus Capital Holdings IncOperational or managerial controlNot listedAugust 18, 2021data.cms.gov
Atrium Centers Management LLCOperational or managerial controlNot listedSeptember 18, 2024data.cms.gov
Atrium Centers, LLCOperational or managerial controlNot listedAugust 20, 2019data.cms.gov
Fifth Third BankOperational or managerial controlNot listedMay 19, 2022data.cms.gov
Orion Operating Services LLCOperational or managerial controlNot listedAugust 20, 2019data.cms.gov
Fifth Third BankMortgage interestNot listedMay 19, 2022data.cms.gov
Amicus Capital Holdings, Inc. Employee Stock Ownership TrustAdditional disclosable partyNot listedAugust 18, 2021data.cms.gov
Amicus Properties LLCAdditional disclosable partyNot listedJanuary 1, 2021data.cms.gov
Atrium Centers Management LLCAdditional disclosable partyNot listedSeptember 18, 2024data.cms.gov
Broad River RehabilitationAdditional disclosable partyNot listedSeptember 1, 2021data.cms.gov
Forvis Mazars LLPAdditional disclosable partyNot listedJune 1, 2023data.cms.gov
Galesville LTC Pharmay LLCAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Leaderstat LTDAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov
Ocs Real Estate Holdings LLCAdditional disclosable partyNot listedJanuary 1, 2021data.cms.gov
Orion Properties Nineteen LLCAdditional disclosable partyNot listedDecember 1, 2019data.cms.gov
Wipfli LLPAdditional disclosable partyNot listedJanuary 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.