Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MULDER HEALTH CARE FACILITY

WEST SALEM, WI · 87 certified beds · Last Life Safety survey April 14, 2025

CMS Certification Number 525209 · first certified November 1968

Ownership

Operated by ATRIUM CENTERS · For profit - Corporation

  • Ownership changed December 9, 2019 (change of ownership)to MULDER HEALTH CARE from WEST SALEM OPERATIONS LLC
13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within WI

13 citations — more than 28% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2026 to July 2026), and past the point by which nine in ten WI facilities have been surveyed. This facility’s last Life Safety survey was April 2025. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

1 of the 13 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility13WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
32022-1202024-02102025-04
Citations at each Life Safety survey
Survey dateCitations
December 30, 20223
February 22, 20240
April 14, 202510

Most-cited tags

Most-cited tags at this facility
K-02222K-02111K-09111E-00041K-03741K-03311K-05211K-03111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.22025-04-14
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-04-14
K-0911Meet requirements for the installation and maintenance of electrical systems.12022-12-30
E-0004Develop and maintain an Emergency Preparedness Program (EP).12025-04-14
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-04-14
K-0331Construct fire resistant interior walls.12025-04-14
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12025-04-14
K-0311Have an enclosure around a vertical opening shaft.12022-12-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 3
  • Services Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies3
Services Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Miscellaneous Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 14, 2025 — 10 citations

Citations issued on April 14, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (May 9, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 9, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Waiver has been granted (June 16, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 9, 2025)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (May 9, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 9, 2025)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (May 9, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (May 9, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 9, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 9, 2025)

December 30, 2022 — 3 citations

Citations issued on December 30, 2022
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (January 20, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (January 20, 2023)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (January 20, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.