PIGEON FALLS HCC Inspection Report, Violations & Safety Grade (PIGEON FALLS, Wisconsin)

13197 CHURCH ST, PIGEON FALLS, Wisconsin 54760

Phone: 7159832293

CMS Overall:5/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

34.8

Ownership

Government - County

Provider Type

Medicare and Medicaid

County

Trempealeau

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Overall5/5

Health4/5

Staffing5/5

Quality3/5

Metric	This Facility	Wisconsin Avg	Difference
RN Hours per Resident per Day	0.94	0.98	-0.04
Total Nurse Hours per Resident per Day	3.89	4.25	-0.36
CMS Staffing Rating	5/5	3.7/5	-
Nursing Staff Turnover	18.8%	46.7%	-

7 health citations on record

Date	Category	Description	Severity
2025-07-23	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2025-07-23	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D – Moderate Harm Potential
2025-07-23	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2025-07-23	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2025-07-23	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2025-07-23	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2023-05-10	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential

9 fire safety citations on record

Date	Category	Description	Severity
2025-07-23	Egress Deficiencies	Have horizontal exits used in accordance with safety requirements.	E – Moderate Harm Potential
2025-07-23	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	D – Moderate Harm Potential
2025-07-23	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the installation and maintenance of electrical systems.	D – Moderate Harm Potential
2025-07-23	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	C – Minimal Harm Potential
2024-05-30	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2023-05-10	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2023-05-10	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2023-05-10	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2023-05-10	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	D – Moderate Harm Potential

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Our family advisors can help you find vetted, top-rated facilities in the PIGEON FALLS area at no cost.

Advisor service is free for families. We may receive referral compensation.