B

PIGEON FALLS HCC

13197 CHURCH ST, PIGEON FALLS, WI 54760
Score: 80 / 100

With a score of 80/100 and a B grade, Pigeon Falls Hcc is a well-regarded option in Pigeon Falls, Wisconsin. The facility performs above average in most CMS categories, placing it in the 77th percentile statewide.

Staffing at Pigeon Falls Hcc is near the national average, with 3.49 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 7 deficiencies at Pigeon Falls Hcc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.49 3.8 Average
Registered Nurses (RN) 0.66 0.7 Average
Licensed Practical Nurses (LPN) 0.50 0.7 Below Average
Certified Nursing Assistants (CNA) 2.33 2.4 Average
Weekend Total Nursing 3.17 3.8 Below Average
Weekend RN Hours 0.32 0.7 Below Average

🔍 Inspection & Deficiency History

7
Total Deficiencies
Jul 22, 2025
Most Recent Inspection
🟠 7 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jul 22, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0605 Severity D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    Jul 22, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jul 22, 2025 · Quality of Life and Care Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jul 22, 2025 · Quality of Life and Care Deficiencies
  • Tag 0690 Severity D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Jul 22, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.0% 4.5% Better
Falls with major injury 4.3% 3.0% Worse
On antipsychotic medication 12.5% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 26.2% 14.0% Worse
Excessive weight loss 3.1% 7.5% Better
New/worsened incontinence 28.1% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 80 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - County
Certified Beds
37
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 22, 2025
Deficiencies (Cycle 1)
6