Trempealeau Cty HCC Imd
W20410 State Rd 121, Whitehall, WI 54773 · Trempealeau County · (715) 538-4312
34 certified beds, about 33 residents a day · Government - County · Medicaid since 1988
CMS high performing icon Certified for Medicaid
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 52A407 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 10, 2026, inspectors cited 2 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).
None of its 9 health citations since November 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 4.04 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.
12.9% 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.
411/23
301/25
203/26
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
0E
3F
Potential for minimal harm
0A
0B
0C
March 10, 2026Standard inspection · 2 citations
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to secure controlled substances in a locked container separate from containers for any non-controlled medications, and to linit access to authorized personnel consistent with state or federal requirements and professional standards of practice for all 31 residents in the facility. Surveyor observed a medication refrigerator inside the locked medication room that did not have a lock in place securing entry to medications. Surveyor observed a box of liquid oral lorazepam and a vial for IV injection of lorazepam. Both packages were unopened. This is evidenced by:Facility policy, titled Controlled Substances, with a reviewed date of 10/29/25, states in part: [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents (R)(R5) observed during cares. Certified Nursing Assistant (CNA) C and CNA D did not use Enhanced Barrier Precautions (EBP) when providing direct care for R5. This is evidenced by:Facility policy, titled Enhanced Barrier Precautions, with a reviewed date of 01/06/26, states in part: Enhanced barrier precautions (EBP) refers to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employ targeted gown and gloves use during high contact resident care activities. 2. Initiation of Enhanced Barrier Precautions: b. [...]
January 15, 2025Standard inspection · 3 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, the facility did not provide activities of daily living (ADLs) for residents who are dependent on staff. The facility practice affected 1 of 4 residents observed for care (R23). Certified Nursing Assistants (CNA) C and D did not provide ADLs of washing, rinsing and drying R23's face, hands or body as part of R23's morning ADLs. This is evidenced by: Surveyor reviewed R23's most recent annual Minimum Data Set (MDS) dated [DATE] which notes he sometimes understands, sometimes is understood and is cognitively impaired. R23 is dependent on staff for transfers and bed mobility. R23 requires substantial assistance to wash, rinse and dry self, for hygiene. Surveyor reviewed R23's care plan and noted: Problem: This is my usual performance of my functional abilities for my ADLs. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility did not ensure the resident environment remained as free of accidents as possible for 1 of 4 residents reviewed for accidents (R23). Certified Nursing Assistant (CNA) C and D did not remain at bedside when R23's bed was in a high position when providing morning care. This is evidenced by: Surveyor requested and received the facility policy titled Falls and Fall Risk Management dated as most recently reviewed 1/2024. The policy in part read: Policy Statement: Preventing falls requires a substantial interdisciplinary team effort. Such efforts should focus on minimizing fall risk and risk of fall-related injuries . ~Staff will seek to identify environmental factors .that may contribute to falling. ~Strategies for reducing the risk of falls: Risk Factor: Environment. Strategy: Beds: low position and brakes on at all times. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility did not maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections for 2 of 4 residents (R) observed for morning cares (R16 and R24). Staff did not perform hand hygiene with glove use when washing residents from a dirty location to a clean location or perform perineal care from clean to dirty for R16 and R24.
November 8, 2023Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, the facility did not follow proper food handling practice. This practice had the potential to affect all 34 residents residing in the facility. Staff did not properly seal/cover and date open food items in the cold storage.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and record review, the facility did not ensure the mandatory submission of staffing data based on payroll data was completed. This had the ability to affect all 34 residents residing in the facility. Payroll Based Journal (PBJ) data was not submitted by the facility since the last annual survey.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, the facility did not maintain an infection prevention and control program according to professional standards of practice having the potential to affect all 34 residents residing in the facility at the time of survey. The facility's Water Management Plan (WMP) was not based on current standards of practice and did not: Include a comprehensive assessment of the facility's water system to identify all locations where Legionella could grow and spread. Maintain acceptable ranges of control limits (temperature ranges) and corrective actions when control limits are not met. Include a process to confirm the WMP is being implemented and is effective.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and interview, the facility did not implement policy and procedures related to screening employees for a prior history of abuse, neglect, exploitation of residents, or misappropriation of resident property for 1 of 8 employees reviewed. The facility did not ensure their abuse policy was implemented when one employee's Criminal Background Check (CBC) was not reproducible.
Fire safety inspections
1 fire safety citation on file: 1 on January 15, 2025.
Every fire safety citation1 citation
- D Have properly located and lighted "Exit" signs.
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.
| Measure | This home | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.04 | 4.21 | 3.86 |
| Registered nurses | 1.01 | 0.99 | 0.69 |
| All nursing staff on weekends | 3.83 | 3.77 | 3.42 |
| Nurse aides | 2.80 | ||
| Licensed practical nurses | 0.24 | ||
| Nursing staff turnover (share who left in a year) | 12.9% | 46.9% | 45.8% |
| Registered nurse turnover | 14.3% | 39.7% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.31 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 4.13 on weekdays and 3.83 on weekends, 7% 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 1.34 in April to June 2025 to 4.04 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.04 | 1.01 | 4.13 | 3.83 | 0.0% | 0 of 90 | 33 |
| Oct to Dec 2025 | 3.32 | 0.90 | 3.34 | 3.26 | 0.0% | 0 of 92 | 33 |
| Jul to Sep 2025 | 4.06 | 0.85 | 4.18 | 3.74 | 0.0% | 0 of 92 | 33 |
| Apr to Jun 2025 | 1.34 | 0.29 | 1.39 | 1.20 | 0.0% | 61 of 91 | 34 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wisconsin, Jan to Mar 2026 | 4.19 | 0.95 | 4.36 | 3.74 | 8.8% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wisconsin | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.5 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.5 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.5 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.9 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.4 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.8 | 15.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.3 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on March 10, 2026: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 15, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 10, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on November 8, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Grand View Care Ctr Blair, 6.6 mi · 2 of 5 stars · 26 citations
- Pigeon Falls HCC Pigeon Falls, 6.7 mi · 5 of 5 stars · 7 citations
- Dove Healthcare - Osseo Osseo, 16.4 mi · 4 of 5 stars · 9 citations
- Marinuka Manor Galesville, 19 mi · 5 of 5 stars · 9 citations
- American Lutheran Home-Mondovi Mondovi, 21.9 mi · 5 of 5 stars · 7 citations
- Meadowbrook at Black River Falls Black River Falls, 23 mi · 1 of 5 stars · 39 citations
- Pine View Care Center Black River Falls, 23.3 mi · 3 of 5 stars · 23 citations
- Augusta Health and Rehabilitation Augusta, 24 mi · 2 of 5 stars · 24 citations
Wisconsin contacts for a concern about a nursing home
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wisconsin Department of Health Services, Division of Quality Assurance, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wisconsin Board on Aging and Long Term Care, Ombudsman Program, 1-800-815-0015. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Wisconsin DHS Provider Search (Survey History), where Wisconsin publishes its own records on licensed homes.
Common questions
- What is Trempealeau Cty HCC Imd's Medicare star rating?
- CMS rates Trempealeau Cty HCC Imd 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Trempealeau Cty HCC Imd get at its last inspection?
- 2 health deficiencies at the standard inspection on March 10, 2026. The Wisconsin average is 9.5.
- Has Trempealeau Cty HCC Imd been fined?
- CMS lists no fines in the last three years.
- Does Trempealeau Cty HCC Imd accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Trempealeau Cty HCC Imd?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.