Mulder Health Care: Resident Abuse After CNA Grab - WI
The incident happened on September 9, 2025, at Mulder Health Care Facility, a nursing home on Leonard Street in West Salem. The resident, identified in inspection records only as R4, had agreed to let staff help her onto a bedpan. What followed, according to witness statements and a nurse's account, was something different.
CNA G pulled back the resident's covers and grabbed her arm or wrist to turn her onto her left side. R4 tried to pull her arm away. She told the aide, "You don't have to grab my arm." CNA G responded, "I'm trying to put you on the bed pan. Do you want my help or not?" and kept holding on. R4 kept resisting. A second aide, CNA D, left to get the nurse because, as she put it, the situation was not deescalating.
When Licensed Practical Nurse F arrived, R4's eyes were watering and she was visibly trembling.
LPN F told inspectors she asked CNA G to leave the room multiple times before the aide complied. In her written witness statement, dated the same day as the incident, LPN F described walking in to find CNA G "demanding resident roll," with R4 showing "a look of fear and distress." When LPN F said she would take over the resident's care, CNA G refused: "No, I got it." LPN F said it again. Then a third time, in a stern voice. CNA G finally turned toward R4, leaned in close to her face, and kept repeating, "Do you want me to leave?" using the resident's name. She said it more than once, with the nurse and the resident both telling her to go. When she finally walked out, she continued speaking aggressively to R4 on her way through the door.
LPN F noticed redness on R4's arm near the wrist. She told inspectors that R4 calmed down as soon as CNA G left the room. When a surveyor asked LPN F directly whether she believed CNA G had been abusive to R4, she said yes.
LPN F called the Director of Nursing within 30 minutes and began collecting statements for an investigation. She also told inspectors she was surprised by what happened next. CNA G was not removed from the building. She worked the remainder of the night shift, on the 100 hall, until 6:30 that morning. Sixteen residents lived on that hall.
It did not end there. The nursing home administrator confirmed to inspectors that CNA G returned to work on September 11, from 6 a.m. to 2:30 p.m., and again on September 12, same hours. The administrator acknowledged that while CNA G was primarily assigned to one hall, she had the potential to assist residents on any of the facility's four halls.
Federal inspectors who arrived September 16 cited the facility for failing to protect residents from abuse, a deficiency tagged at a level indicating minimal harm or potential for actual harm.
The inspection was complaint-driven, meaning someone had reported concerns before surveyors arrived.
LPN F's account does not read like someone uncertain about what she witnessed. She documented it the same day. She reported it within the half hour. She gathered statements. She told inspectors she was surprised the aide kept working. What she described, in her own words, was a woman with fear on her face and tears in her eyes, trembling, while someone leaned close and demanded to know if she wanted help.
R4 calmed down, the nurse said, the moment 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 incident happened on September 9, 2025, at Mulder Health Care Facility, a nursing home on Leonard Street in West Salem.
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.