Tomah Nursing and Rehab
1505 Butts Ave · Tomah, WI · 54660 · 6083723241
74 certified beds For profit - Limited Liability company Chain: Atrium Centers
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.76 | 0.55–0.75 |
| Weekend hours / resident-day | 2.97 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (27 in the current record)
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Potential for harm · D January 26, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 13, 2026
Respond appropriately to all alleged violations.
Corrected February 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 13, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 13, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 5, 2026 · Quality of Life and Care
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Potential for harm · D January 13, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected February 5, 2026 · Quality of Life and Care
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Potential for harm · D January 13, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 5, 2026 · Pharmacy Service
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Potential for harm · D January 13, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected February 5, 2026 · Pharmacy Service
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Potential for harm · F January 13, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 5, 2026 · Nutrition and Dietary
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Potential for harm · F January 13, 2026
Dispose of garbage and refuse properly.
Corrected February 5, 2026 · Nutrition and Dietary
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Potential for harm · D January 13, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J December 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 9, 2026 · Quality of Life and Care
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Potential for harm · D September 23, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 11, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F June 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 27, 2025 · Infection Control
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Potential for harm · D April 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 10, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D November 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 19, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 19, 2024 · Quality of Life and Care
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Potential for harm · E August 29, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2024 · Quality of Life and Care
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Potential for harm · F August 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 19, 2024 · Nutrition and Dietary
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Potential for harm · D August 29, 2024
Provide and implement an infection prevention and control program.
Corrected September 19, 2024 · Infection Control
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Potential for harm · E August 29, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 19, 2024 · Quality of Life and Care
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Potential for harm · D November 28, 2023 · found via complaint
Honor 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.
Corrected December 22, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525442 · certified since October 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.