Find a nursing home

Home / Wisconsin / Pigeon Falls

Pigeon Falls HCC

13197 Church St., Pigeon Falls, WI 54760 · Trempealeau County · (715) 983-2293

37 certified beds, about 36 residents a day · Government - County · Medicare and Medicaid since 2007

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 525687 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 23, 2025, inspectors cited 6 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).

None of its 7 health citations since May 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.65 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 0.91 of those hours.

13.9% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
2F
Potential for minimal harm
0A
0B
0C
July 23, 2025Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to distribute food under sanitary conditions. This had the potential to affect all 35 residents. Observations revealed Food Service Worker (FSW) F serving and handling food on 2 of 3 days of survey with his facial hair cover under the level of his lips, allowing his moustache to remain uncovered. This is evidenced by: The facility policy titled Uniform Dress Code, dated last revised 01/24/25, states in part: Associates working with food .-Wear the approved hair restraint when on duty regardless of length or presence of hair.-Restrain all facial hair with a beard net/restraint. On 07/21/2025 at 12:15 PM, Surveyor observed FSW F in the main dining room kitchen area. FSW was plating food for multiple residents. [...]
  2. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on interview and record review, a resident's medication order was not limited to 14 days, and prescribing practitioner did not document the rationale for the extended time use or a specific duration for use for 1 of 2 sampled residents, (R) R21, reviewed for PRN (as needed) psychotropic medications. R21 was prescribed PRN Hydroxyzine for anxiety on 06/06/2025; there was no rationale for extended use written and no specific duration for use. This is evidenced by: R21 was admitted to the facility in 2016 and has diagnoses that include anxiety disorder, vascular dementia, cerebral infarct, depressive disorder, dysphagia and aphasia. R21's physician order dated 06/06/25 states: Hydroxyzine 25mg as needed two times a day for anxiety. [...]
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on interview and record review the facility did not ensure that the resident received treatment and care in accordance with professional standards of practice of comprehensive weekly wound assessments for 1 of 1 resident (R) 5 reviewed. This is evidenced by:R5 was admitted to the facility on [DATE]. R5's current diagnoses include in part, non-pressure chronic ulcer of left lower leg and long term use of anticoagulants. Minimum Data Set (MDS) dated [DATE] a quarterly assessment documented a brief interview for mental status (BIMS) score of 15/15, meaning R5 is cognitively intact. R5 had no impairment to all extremities and is independent with activities of daily living. R5 is not at risk for pressure injuries. On 05/01/25, a Braden assessment for risk of pressure injury was completed with a score of 21. A score of 19 or higher the resident is not at risk for pressure injury. [...]
  4. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on observation, interview and record review, the facility did not ensure 1 of 2 residents (R) reviewed for pressure injuries (PI) received care consistent with professional standards of practice to prevent the development of a new pressure injury and promote healing of existing PIs (R8). R8 developed one medical device related PI on 05/20/25. The facility did not have preventive measures to reduce friction related to medical device in place. The facility did not complete weekly comprehensive assessments with staging of the PI upon discovery and did not care plan new interventions timely to promote healing. This is evidenced by:Facility policy titled, Pressure Ulcers, Prevention & Treatment, with a reviewed date of 01/2025, states in part: General Guidelines of Prevention: 3. Pressure can also come from splints, casts, bandages, and wrinkles in the bed linen. [...]
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on interview and record review, the facility did not ensure residents (R) with indwelling Foley catheters received care and treatment consistent with professional standards of practice to prevent complications or urinary tract infections from the catheter, for 1 of 1 resident (R7) reviewed with a Foley catheter. R7's Foley catheter was changed on a routine monthly basis without clinical indications and not following professional standards of practice. This is evidenced by:The Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HICPAC), Guideline for prevention of catheter-associated urinary tract infections 2009, read in part, E. Changing indwelling catheters or drainage bags at routine, fixed intervals is not recommended. [...]
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on observation, interview and record review, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 of 1 resident (R) (R5) observed. Facility did not place enhanced barrier precautions (EBP) for R5 who has an open wound. Facility staff did not wear appropriate Personal Protective Equipment (PPE) when providing wound care for R5. Activity Aide E was observed to perform ineffective hand hygiene. This is evidenced by: Example 1 Facility's policy titled Enhanced Barrier Precautions with reviewed date 01/08/25, documented 2.b. An order for enhanced barrier precautions (in accordance with physician-approved standing orders) will be initiated for residents with any of the following: i. [...]
May 30, 2024Standard inspection · 0 citations
May 10, 2023Standard inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 31, 2023
    Inspectors wroteBased on observations, interview and policy review, the facility did not prepare and distribute food under sanitary conditions. This has the potential to affect 35 of 35 residents. Staff were observed touching food with contaminated gloves. Scoop left in flour bin. Staff not properly washing hands. Dirty dishes crossing clean dishes. Dietary staff observed to touch food and clean items with contaminated gloves, observed to change gloves without washing hands and observed to place paper directly onto peoples food. This is evidenced by: On 05/08/23 at 12:10 PM, Surveyor was observing lunch being served on Hickory Heights Dining Room. [...]

Fire safety inspections

9 fire safety citations on file: 4 on July 23, 2025, 1 on May 30, 2024, 4 on May 10, 2023.

Every fire safety citation9 citations
  1. E
    Have horizontal exits used in accordance with safety requirements.
    K 226 · July 23, 2025 · Corrected (the home has a date of correction)
  2. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 23, 2025 · Corrected (the home has a date of correction)
  3. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · July 23, 2025 · Corrected (the home has a date of correction)
  4. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 23, 2025 · Corrected (the home has a date of correction)
  5. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 30, 2024 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 10, 2023 · Corrected (the home has a date of correction)
  7. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 10, 2023 · Corrected (the home has a date of correction)
  8. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 10, 2023 · Corrected (the home has a date of correction)
  9. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 10, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWisconsinUnited States
All nursing staff (RN, LPN and aides)3.654.213.86
Registered nurses0.910.990.69
All nursing staff on weekends3.413.773.42
Nurse aides2.37
Licensed practical nurses0.37
Nursing staff turnover (share who left in a year)13.9%46.9%45.8%
Registered nurse turnover11.1%39.7%42.9%
Administrators who left0

CMS expects 3.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.75 on weekdays and 3.41 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.58 in April to June 2025 to 3.65 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.650.913.753.41 0.0%0 of 9036
Oct to Dec 20253.560.683.583.50 0.0%0 of 9236
Jul to Sep 20253.490.663.613.17 0.0%2 of 9237
Apr to Jun 20253.580.743.683.33 0.0%0 of 9135
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Wisconsin, Jan to Mar 20264.190.954.363.748.8%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Wisconsin

JobMedianMiddle halfEmployed
Wisconsin, all employers
CNAs (nursing assistants)$21.70$19.03 to $22.7528,370
LPNs and LVNs$30.65$28.67 to $36.067,390
Registered nurses$45.93$39.39 to $49.3368,060
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Pigeon Falls HCC. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWisconsinUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
32.716.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.42.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.82.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.83.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.518.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.25.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.215.815.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.72.31.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Pigeon Falls HCC's Medicare short-stay residents. How to read these, and what Medicare pays for.

CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: COUNTY OF TREMPEALEAU.

NameRoleTypeShareSince
County of Trempealeau5% or greater direct ownership interestOrganization100%02/08/2012
Kindschy, BonnieManaging control - governing bodyIndividual01/01/2024
Klein, StaceyManaging control - governing bodyIndividual01/01/2024
Miller, RichardManaging control - governing bodyIndividual01/01/2024
Solberg, JenniferManaging control - governing bodyIndividual01/01/2024
Turner, BridgetteManaging control - governing bodyIndividual01/01/2024
Deetz, JerryCorporate directorIndividual06/01/2017
Glaunert, LoriCorporate officerIndividual01/01/2020
Hammel, KatrinaOperational/managerial controlIndividual06/01/2022
Thesing, RosemarieOperational/managerial controlIndividual08/01/2013
Kindschy, BonnieTrustee of the SNFIndividual01/01/2024
Klein, StaceyTrustee of the SNFIndividual01/01/2024
Miller, RichardTrustee of the SNFIndividual01/01/2024
Solberg, JenniferTrustee of the SNFIndividual01/01/2024
Turner, BridgetteTrustee of the SNFIndividual01/01/2024
Deetz, JerryAdp of the SNFIndividual06/01/2022
Glaunert, LoriAdp of the SNFIndividual06/01/2022
Hammel, KatrinaAdp of the SNFIndividual06/01/2022
Kindschy, BonnieAdp of the SNFIndividual01/01/2024
Klein, StaceyAdp of the SNFIndividual01/01/2024
Miller, RichardAdp of the SNFIndividual01/01/2024
Solberg, JenniferAdp of the SNFIndividual01/01/2024
Thesing, RosemarieAdp of the SNFIndividual08/01/2013
Turner, BridgetteAdp of the SNFIndividual01/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 23, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 23, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on July 23, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 23, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.41 hours per resident per day, below the Wisconsin average of 3.77.

Other nursing homes nearby

Wisconsin contacts for a concern about a nursing home

These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.

Common questions

What is Pigeon Falls HCC's Medicare star rating?
CMS rates Pigeon Falls HCC 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Pigeon Falls HCC get at its last inspection?
6 health deficiencies at the standard inspection on July 23, 2025. The Wisconsin average is 9.5.
Has Pigeon Falls HCC been fined?
CMS lists no fines in the last three years.
Does Pigeon Falls HCC accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Pigeon Falls HCC?
CMS lists 24 owners and managers. Legal business name: COUNTY OF TREMPEALEAU.

Sources

Find a nursing home Read an inspection