CCN 525209 · La Crosse County, Wisconsin
Mulder Health Care Facility
713 Leonard St. N, West Salem, WI 54669
Mulder Health Care Facility is a 87-bed for-profit nursing home in West Salem, Wisconsin, first certified for Medicare or Medicaid in 1968. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 77.3 residents a day, about 89% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 87
- Average residents per day
- 77.3 (88.9% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Orion West Salem LLC
- Certified since
- Nov 11, 1968
- Chain or affiliated group
- Atrium Centers (26 facilities, chain average 2.9 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Wisconsin median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 70 at 1, 66 at 2, 59 at 3, 52 at 4, 74 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.43 | 4.02 | 3.68 |
| RN hours per resident per day | 1.08 | 0.93 | 0.58 |
| Weekend nurse hours per resident per day | 3.02 | ||
| Nursing staff turnover | 44.6% | 46.2% | 44.9% |
| Occupancy (residents / beds) | 88.9% | 75.1% | 85.7% |
| Fines reported by CMS | 2 totaling $200,694 | ||
| Health deficiencies, latest standard survey | 21 (Jul 9, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Mulder Health Care Facility does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Orion Operating Services LLCOrganization | Direct Ownership Interest | 100% | 12/09/2019 |
| Bailey, EsselIndividual | Indirect Ownership Interest | 74% | 12/09/2019 |
| Finney, DonaldIndividual | Indirect Ownership Interest | 25% | 12/09/2019 |
| Fifth Third BankOrganization | Mortgage Interest | n/a | 05/19/2022 |
| Amicus Capital Holdings IncOrganization | Operational / Managerial Control | n/a | 08/18/2021 |
| Atrium Centers Management LLCOrganization | Operational / Managerial Control | n/a | 09/18/2024 |
| Atrium Centers, LLCOrganization | Operational / Managerial Control | n/a | 08/20/2019 |
| Fifth Third BankOrganization | Operational / Managerial Control | n/a | 05/19/2022 |
| Orion Operating Services LLCOrganization | Operational / Managerial Control | n/a | 08/20/2019 |
| Albright Ross, SusanIndividual | Operational / Managerial Control | n/a | 01/02/2018 |
| Anderson, CurtIndividual | Operational / Managerial Control | n/a | 08/01/2025 |
| Cherry, JillIndividual | Operational / Managerial Control | n/a | 06/01/2025 |
| Cogbill, ElizabethIndividual | Operational / Managerial Control | n/a | 05/01/2025 |
| Hafner, PaigeIndividual | Operational / Managerial Control | n/a | 01/16/2025 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Fifth Third Bank.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Dec 9, 2019 | Orion West Salem LLC | West Salem Operations LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.