Mulder Health Care: CNA Held Resident's Wrist - WI
The incident at Mulder Health Care Facility happened on the night of September 9, 2025. By the time a licensed practical nurse reached the room, the resident's eyes were watering. She was visibly trembling.
The trouble started when CNA G came to help a resident, identified in inspection records only as R4, use a bedpan. A second nursing assistant, CNA D, had already been in the room and described what followed as a power trip. CNA G told R4 she needed to move her belongings before staff could help her. R4 told her to move them herself. CNA G said she wouldn't, and that if R4 didn't cooperate, staff couldn't help her. R4 told her to leave.
CNA D told R4 that if she left, no one else on the floor would feel comfortable helping her that night. R4 asked about staff on other halls. CNA G then asked, according to CNA D's written statement, "Do you want me to help?" The resident said that was fine.
What happened next is documented in two separate witness statements. Staff pulled back the covers. CNA G grabbed R4's arm at the wrist and began turning her to place her on the bedpan. R4 tried to pull her arm away. "You don't have to grab my arm," she told the aide. CNA G responded: "I'm trying to put you on the bed pan. Do you want my help or not?" She kept holding the wrist. R4 kept resisting. CNA D left to find the nurse.
LPN F was in the hall when CNA D came for her. In her written statement, she described walking into the room to find CNA G demanding the resident roll over, and R4 with a look of fear and distress. She immediately asked CNA G to leave. CNA G told the resident she had it and would continue the care. LPN F said no, she would take over. CNA G said no, she had it.
LPN F told her in a stern voice to leave now.
CNA G turned to the resident, leaned in until she was inches from her face, and kept repeating the same question: "Do you want me to leave?" She used R4's name each time. The resident said yes. LPN F repeated herself a third time. CNA G finally walked out, still speaking aggressively to the resident as she went.
LPN F checked R4's arm. The skin near the wrist was slightly red.
R4 calmed down as soon as CNA G left the room, LPN F told the inspector. When the surveyor asked LPN F directly whether she considered CNA G's conduct abusive, she said yes.
LPN F called the Director of Nursing within 30 minutes and began collecting statements for an investigation. She was surprised, she told the inspector, that CNA G was not removed from the building while that investigation was underway. CNA G finished out the rest of the night shift on the 100 hall.
The facility did not report the incident to the state until September 12, three days after it occurred.
Federal inspectors visited Mulder Health Care on September 16 and cited the facility for failing to protect R4 from abuse. The citation was classified as causing minimal harm or potential for actual harm.
R4's wrist was red. She had been trembling. And the aide who grabbed her, scolded her, and put her face inches from hers went on to finish her shift.
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 violations during a health inspection on September 16, 2025.
The incident at Mulder Health Care Facility happened on the night of September 9, 2025.
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.