Mulder Health Care Facility
A nursing home in West Salem, Wisconsin 54669
713 Leonard St. N, West Salem, Wisconsin 54669. (608) 786-1600.
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 17 health citations at the latest inspection cycle Wisconsin average: 9.4
- 3.43 nurse hours per resident per day Wisconsin average: 4.25
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
17 health citations at the latest inspection cycle
The Wisconsin average is 9.4.
Last standard inspection Jul 9, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Apr 14, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
55 citations in 9 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 55 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 29 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 9, 2026: standard and complaint inspection13 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure that residents are free from significant medication errors.
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Implement a program that monitors antibiotic use.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Jan 22, 2026: complaint inspection4 citations
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Provide enough food/fluids to maintain a resident’s health.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Sep 16, 2025: complaint inspection4 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 14, 2025: standard inspection17 citations
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Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Apr 14, 2025: standard and complaint inspection3 citations
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Provide enough food/fluids to maintain a resident’s health.
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Prepare residents for a safe transfer or discharge from the nursing home.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 16, 2024: complaint inspection1 citation
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nov 4, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 24, 2024: complaint inspection1 citation
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Respond appropriately to all alleged violations.
Feb 22, 2024: standard inspection9 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Dec 15, 2023: complaint inspection2 citations
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Provide and implement an infection prevention and control program.
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Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Nov 11, 1968.
- Not on CMS’s special focus list.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 87 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $200,694 in all.
- No Medicare payment denials in the last three years.
- 29 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 14, 2025 | Fine | $186,261 |
| Nov 4, 2024 | Fine | $14,433 |
Who does the caring?
3.43 nurse hours per resident per day
The Wisconsin average is 4.25.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Wisconsin average |
|---|---|---|
| Nurse hours per resident per day | 3.43 | 4.25 |
| Of which registered nurses | 0.98 | 0.98 |
| At weekends | 3.03 | 3.75 |
| Nursing staff turnover | 48.8% | 46.7% |
| Registered nurse turnover | 36.8% | 40.1% |
| Administrators who left | 0 | Not given |
Who owns it?
- Orion Operating Services LLC owns 100% directly since Dec 9, 2019.
- Fifth Third Bank and Amicus Capital Holdings Inc. and Orion Operating Services LLC and Atrium Centers Management LLC and Atrium Centers, LLC run it.
- 26 owners or officers are people: Miguel Paredes (owns 5% or more through other companies, 100%); Essel W Bailey (owns 5% or more through other companies, 74.06%); Donald D Finney (owns 5% or more through other companies, 24.94%); Cindy Johnson (runs it (operational or managerial control)); Cindy Johnson (additional disclosable party (controls, leases property to, or provides services to the home)); Jill Cherry (runs it (operational or managerial control)); Jill Cherry (additional disclosable party (controls, leases property to, or provides services to the home)); Essel W Bailey (corporate officer); Elizabeth A Cogbill (runs it (operational or managerial control)); Elizabeth A Cogbill (additional disclosable party (controls, leases property to, or provides services to the home)); Miguel Paredes (additional disclosable party (controls, leases property to, or provides services to the home)); Brenda Stewart (runs it (operational or managerial control)); Brenda Stewart (on the governing body (managing control)); Brenda Stewart (additional disclosable party (controls, leases property to, or provides services to the home)); Curt Anderson (runs it (operational or managerial control)); Curt Anderson (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Albright Ross (corporate officer); Susan Albright Ross (runs it (operational or managerial control)); Susan Albright Ross (additional disclosable party (controls, leases property to, or provides services to the home)); Nick Shear (runs it (operational or managerial control)); Nick Shear (additional disclosable party (controls, leases property to, or provides services to the home)); Paige Hafner (runs it (operational or managerial control)); Paige Hafner (additional disclosable party (controls, leases property to, or provides services to the home)); Donald D Finney (corporate officer); Ashley Sidie (runs it (operational or managerial control)); Ashley Sidie (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Atrium Centers (26 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Owns 5% or more through other companies | 100% | Aug 18, 2021 |
| Amicus Capital Holdings Inc. | Owns 5% or more through other companies | 100% | Jan 1, 2021 |
| Orion Operating Services LLC | Owns 5% or more directly | 100% | Dec 9, 2019 |
| Atrium Centers, LLC | Owns 5% or more through other companies | 100% | Dec 9, 2019 |
| Fifth Third Bank | Holds 5% or more of the mortgage | May 19, 2022 | |
| Fifth Third Bank | Runs it (operational or managerial control) | May 19, 2022 | |
| Broad River Rehabilitation | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2021 | |
| Amicus Capital Holdings, Inc. Employee Stock Ownership Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 18, 2021 | |
| Wipfli LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Amicus Capital Holdings Inc. | Runs it (operational or managerial control) | Aug 18, 2021 | |
| Ocs Real Estate Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2021 | |
| Orion Properties Nineteen LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 1, 2019 | |
| Leaderstat Ltd | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Orion Operating Services LLC | Runs it (operational or managerial control) | Aug 20, 2019 | |
| Forvis Mazars LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2023 | |
| Atrium Centers Management LLC | Runs it (operational or managerial control) | Sep 18, 2024 | |
| Atrium Centers Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 18, 2024 | |
| Galesville LTC Pharmay LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2025 | |
| Atrium Centers, LLC | Runs it (operational or managerial control) | Aug 20, 2019 | |
| Amicus Properties LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2021 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Wisconsin average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 20.4 miles, this one had the 2nd most health citations at the latest inspection cycle (17; the middle value was 5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Mulder Health Care Facility This nursing home | 17 | |
| Lakeview Health Center | 0.7 | 4 |
| Onalaska Care Center | 6.8 | 0 |
| Hillview Health Care Ctr | 10.6 | 5 |
| Benedictine Manor of Lacrosse | 11.4 | 10 |
| Riverside | 11.7 | 5 |
| Bethany St Joseph Care Ctr | 11.7 | 6 |
| La Crescent Health Services | 12.7 | 22 |
| Morrow Memorial Home | 13.7 | 0 |
| Rolling Hills Rehab Ctr | 13.8 | 9 |
| Marinuka Manor | 18.3 | 0 |
| Norseland Nursing Home | 20.4 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.