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PIGEON FALLS HCC

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PIGEON FALLS HCC is a government - county facility in PIGEON FALLS, WI with 37 certified beds and a 4-star overall CMS rating. The facility has 7 deficiency records on file.

13197 CHURCH ST, PIGEON FALLS, WI 54760

Phone: 7159832293

Overall Rating

4/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
525687
Ownership
Government - County
Provider Type
Medicare and Medicaid
Beds
37
Residents
37
In Hospital
No
County
Trempealeau
Last Inspection
Jul 23, 2025

Staffing Data

RN Hours
0.66 (nat'l avg: 0.68)
LPN Hours
0.50
CNA Hours
2.33
Total Nursing Hours
3.49 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
21.9%
RN Turnover
28.6%

What the CMS Record Reveals About PIGEON FALLS HCC

PIGEON FALLS HCC operates 37 certified beds in PIGEON FALLS, WI with approximately 37 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 7 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.49 total nursing hours per resident day (national average 3.89), with RN coverage at 0.66 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, PIGEON FALLS HCC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 21.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (7 most recent)

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 15, 2025

F — Widespread - Minimal harm Jul 23, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 15, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 15, 2025

F — Widespread - Minimal harm May 10, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 31, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 26.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 5.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for PIGEON FALLS HCC?
PIGEON FALLS HCC has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at PIGEON FALLS HCC?
PIGEON FALLS HCC reports 3.49 total nursing hours per resident day (national average: 3.89). RN hours are 0.66 per resident day (national average: 0.68). Nursing staff turnover is 21.9%.
How many beds does PIGEON FALLS HCC have?
PIGEON FALLS HCC has 37 certified beds with approximately 37 residents. The facility is located at 13197 CHURCH ST, PIGEON FALLS, WI 54760.
Does PIGEON FALLS HCC have any deficiencies on record?
Yes, PIGEON FALLS HCC has 7 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has PIGEON FALLS HCC received any fines or penalties?
No, PIGEON FALLS HCC has no fines or penalties on record.
Who owns PIGEON FALLS HCC?
PIGEON FALLS HCC is classified as "Government - County" ownership. The facility type is "Medicare and Medicaid".
When was PIGEON FALLS HCC last inspected?
The most recent health inspection for PIGEON FALLS HCC was on Jul 23, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for PIGEON FALLS HCC?
PIGEON FALLS HCC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial