Mulder Health Care: CNA Abuse of Resident - WI]
The resident said yes. The nursing assistant said fine, and walked out.
That exchange at Mulder Health Care Facility, a nursing home at 713 Leonard St N in West Salem, is at the center of a federal abuse finding stemming from a September 2025 complaint inspection. The resident, identified in inspection records only as R4, had been trying to get help to a bedpan when the situation unraveled.
It started with a piece of furniture. R4 asked CNA G to move something. CNA G refused. "I'm not moving your belongings," CNA G told the resident. "You can, otherwise we can't help you."
R4 told the staff they could leave. CNA D, the other nursing assistant in the room, warned her that if she left, there would be no one else willing to help. She told R4 that no other staff on the floor that night felt comfortable assisting her. When R4 asked whether someone from another hall could come instead, CNA D listed who was available.
CNA G then asked the resident, "Do you want me to help??" The resident said that was fine. Staff pulled back the covers. CNA G grabbed R4's arm and wrist to turn her onto her left side for the bedpan.
R4 tried to pull her arm away. "You don't have to grab my arm," she said.
CNA G kept holding on. "I'm trying to put you on the bed pan. Do you want my help or not?" R4 continued to resist. CNA D left to get the nurse, telling inspectors later that the situation was not deescalating.
LPN F was in the hallway when she was called in. She told inspectors she found R4 with watering eyes and visible trembling. CNA G, she said, was speaking aggressively and behaving inappropriately. LPN F asked CNA G to leave the room more than once before she did.
When inspectors asked LPN F whether she noticed anything with the resident's arm, she said it was slightly red near the wrist. When asked whether R4 calmed down once CNA G was gone, LPN F said yes, the resident calmed as soon as CNA G left.
When asked directly whether she believed CNA G had been abusive to R4, LPN F said yes.
She called the Director of Nursing right away and began collecting statements for an investigation. Then she said something that stuck: she was surprised that CNA G was not removed from the building during the investigation.
CNA G finished out the rest of the night shift. On the 100 hall. The same hall where R4's room was.
Federal inspectors cited the facility under F0600, the tag covering abuse, neglect, and exploitation of residents. The level of harm was listed as minimal harm or potential for actual harm, affecting few residents.
What the inspection record does not explain is why, after a nurse reported abuse to the Director of Nursing the same night, the staff member she identified as the aggressor was allowed to keep working in the building, on the same floor, for the remainder of that shift. The investigation began. The statements were gathered. CNA G stayed.
R4's eyes had stopped watering by then. The nurse said she calmed down once CNA G left the room.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mulder Health Care Facility from 2025-09-16 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 28, 2026 · Our methodology
MULDER HEALTH CARE FACILITY in WEST SALEM, WI was cited for abuse-related violations during a health inspection on September 16, 2025.
The nursing assistant said fine, and walked out.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.