TOMAH NURSING AND REHAB
1505 BUTTS AVE, TOMAH, WI 54660 · CCN 525442
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 74
- Avg residents/day
- 56.6
- Phone
- 6083723241
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2026-01-13 | 17 | 9.8 | 9.5 | +7.2 worse |
| 2 | 2024-08-29 | 7 | 9.2 | 9.8 | -2.2 better |
| 3 | 2023-07-19 | 8 | 8.3 | 9.3 | -0.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 5 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.17 | 63.8% |
| RN staffing (reported) | 0.65 | 62.5% |
| Total nurse staffing (adjusted) | 3.40 | — |
Fines & penalties
- Total fines
- $61,870
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- ATRIUM CENTERS
- Facilities in chain
- 26
- Chain avg overall
- 3.20 / 5
Inspection citations (32)1 immediate jeopardy1 actual harm
- DF0610Respond appropriately to all alleged violations.2026-01-26 · Health · corrected 2026-02-05
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-13 · Health · corrected 2026-02-05
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2026-01-13 · Health · corrected 2026-02-05
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2026-01-13 · Health · corrected 2026-02-05
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2026-01-13 · Health · corrected 2026-02-05
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2026-01-13 · Health · corrected 2026-02-05
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-13 · Health · corrected 2026-02-05
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2026-01-13 · Health · corrected 2026-02-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-13 · Health · corrected 2026-02-05
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2026-01-13 · Health · corrected 2026-02-05
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-22 · Health · corrected 2026-01-09
Immediate jeopardy
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-23 · Health · corrected 2025-11-24
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-11 · Health · corrected 2025-06-27
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-06-11 · Health · corrected 2025-06-27
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-06-11 · Health · corrected 2025-06-27
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-10 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-10 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-11 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-29 · Health · corrected 2024-09-19
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-29 · Health · corrected 2024-09-19
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-29 · Health · corrected 2024-09-19
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-29 · Health · corrected 2024-09-19
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-29 · Health · corrected 2024-09-19
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-29 · Health · corrected 2024-09-19
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-11-28 · Health · corrected 2023-12-22
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-07-19 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-07-19 · Health · corrected 2023-08-11
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-31 · Health · corrected 2023-06-22
Actual harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-31 · Health · corrected 2023-06-22
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-05-31 · Health · corrected 2023-06-22
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-31 · Health · corrected 2023-06-22
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-05-31 · Health · corrected 2023-06-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ORION OPERATING SERVICES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2007-12-01 |
| AMICUS CAPITAL HOLDINGS INC ESOP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-01-01 |
| ATRIUM CENTERS, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-10-01 |
| ATRIUM CENTERS MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-10-01 |
| LOCKHART, DENNIS | Individual | CORPORATE DIRECTOR | — | 2003-08-03 |
| ALBRIGHT ROSS, SUSAN | Individual | CORPORATE OFFICER | — | 2017-12-24 |
| BAILEY, ESSEL | Individual | CORPORATE OFFICER | — | 2003-08-03 |
| FINNEY, DONALD | Individual | CORPORATE OFFICER | — | 2003-08-03 |
| ROCCA, MICHAEL | Individual | CORPORATE OFFICER | — | 2021-06-14 |
| SHEA, BRANDI | Individual | W-2 MANAGING EMPLOYEE | — | 2022-03-09 |
Other facilities in TOMAH
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.