Wisconsin › Monroe County › Tomah
Tomah Nursing and Rehab
1505 Butts Ave, Tomah, WI 54660
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Tomah Nursing and Rehab, in Tomah, Wisconsin, is certified for 74 beds under for-profit, limited liability company ownership and belongs to the Atrium Centers chain.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (12, 12, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 36.5 per 100 beds, about the same as the state median of 31.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 60.7%.
Compared with county, state and nation
| Measure | This facility | Monroe Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 24 | 21 | 28.7 |
| Citations per 100 beds | 36.5 | 36.5 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.3 | 4.0 | 3.9 |
| RN hours per resident day | 0.7 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 60.7% | 40.6% | 46.2% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Jan 2026, 29 Aug 2024.
Severity mix: J ×1 D ×19 E ×3 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 5 Feb 2026 |
| 13 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Feb 2026 |
| 13 Jan 2026 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 5 Feb 2026 |
| 13 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Feb 2026 |
| 13 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 5 Feb 2026 |
| 13 Jan 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 5 Feb 2026 |
| 13 Jan 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 5 Feb 2026 |
| 13 Jan 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 5 Feb 2026 |
| 13 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 5 Feb 2026 |
| 13 Jan 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 5 Feb 2026 |
| 22 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 9 Jan 2026 |
| 23 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 Nov 2025 |
| 11 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 27 Jun 2025 |
| 11 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Jun 2025 |
| 11 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Jun 2025 |
| 10 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Apr 2025 |
| 10 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 25 Apr 2025 |
| 11 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Nov 2024 |
| 29 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Sep 2024 |
| 29 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 19 Sep 2024 |
| 29 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 19 Sep 2024 |
| 29 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Sep 2024 |
| 29 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 19 Sep 2024 |
| 29 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Sep 2024 |
| 28 Nov 2023 | F0585 | 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. | D | Complaint investigation | 22 Dec 2023 |
| 19 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Aug 2023 |
| 19 Jul 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 11 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 60.7%, RNs 36.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.0% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.7% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.8% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.8% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.3% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Orion Tomah Llc. Chain: Atrium Centers (26 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Orion Operating Services LLC | 5% or greater direct ownership interest | 100% | 12/01/2007 |
| Atrium Centers Management LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2007 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Monroe County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Morrow Memorial Home | Sparta | 80 | 5 | 4 | 5 | 13 | 16.3 | — | 4 Jun 2025 |
| Rolling Hills Rehab Ctr | Sparta | 50 | 3 | 2 | 5 | 24 | 48.0 | — | 21 May 2026 |
All 3 facilities in Monroe County
Questions and answers
How many deficiencies has Tomah Nursing and Rehab been cited for?
27 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Tomah Nursing and Rehab been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Tomah Nursing and Rehab compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Tomah Nursing and Rehab?
It is part of the Atrium Centers chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Orion Operating Services LLC and Atrium Centers Management LLC. Individual owners and managers are not listed on this site.
When was Tomah Nursing and Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 26 Jan 2026; the most recent standard health survey was 13 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.