Pigeon Falls HCC
13197 Church St, Pigeon Falls, WI 54760 · Trempealeau County · 37 certified beds · avg 36 residents/day · certified since Jan 1, 2007
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 23, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 23, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jul 23, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 23, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 23, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 23, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 10, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | F |
| 2025 | 6 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.93 | 4.29 | 3.95 | bottom 44% in Wisconsin; top 42% in the U.S. |
| Registered Nurse hours | 0.98 | 1.01 | 0.69 | top 45% in Wisconsin; top 17% in the U.S. |
| Weekend total nurse staffing | 3.67 | 3.84 | 3.50 | top 50% in Wisconsin; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.51 | 0.68 | 0.48 | bottom 35% in Wisconsin; top 32% in the U.S. |
| Total nursing staff turnover (%) | 13.9 | 46.9 | 45.8 | top 1% in Wisconsin; top 1% in the U.S. |
| RN turnover (%) | 11.1 | 39.7 | 42.9 | top 6% in Wisconsin; top 4% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.65, RN 0.91, weekend 3.41. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| County of Trempealeau | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/08/2012 |
| Deetz, Jerry | Individual | Corporate Director | NOT APPLICABLE | 06/01/2017 |
| Deetz, Jerry | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Glaunert, Lori | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Glaunert, Lori | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Hammel, Katrina | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| Hammel, Katrina | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Kindschy, Bonnie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Kindschy, Bonnie | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Kindschy, Bonnie | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Klein, Stacey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Klein, Stacey | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Klein, Stacey | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Miller, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Miller, Richard | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Miller, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Solberg, Jennifer | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Solberg, Jennifer | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Solberg, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Thesing, Rosemarie | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Trempealeau Cty HCC Imd | 6.7 mi | Whitehall, WI | ★★★★★ | 5/5 | |
| Grand View Care Ctr | 9.2 mi | Blair, WI | ★★☆☆☆ | 3/5 | |
| Dove Healthcare - Osseo | 11.3 mi | Osseo, WI | ★★★★☆ | 4/5 | |
| Augusta Health and Rehabilitation | 18.7 mi | Augusta, WI | ★★☆☆☆ | 3/5 | |
| Meadowbrook at Black River Falls | 19.2 mi | Black River Falls, WI | ★☆☆☆☆ | 2/5 | |
| Pine View Care Center | 19.5 mi | Black River Falls, WI | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525687.