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Tomah Nursing And Rehab

📍 1505 Butts Ave, Tomah, WI 54660 📞 (608) 372-3241 🛏️ 74 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $50,880

$50,880
Jun 1, 2022

Fine

2021 3 penalties totaling $286,071

$167,467
Dec 21, 2021

Fine

$108,854
Dec 21, 2021

Fine

$9,750
Mar 11, 2021

Fine

2020 6 penalties totaling $208,419

$79,313
Nov 23, 2020

Fine

$9,750
Nov 23, 2020

Fine

$0
Nov 23, 2020

Payment Denial

$119,356
Aug 17, 2020

Fine

$0
Aug 17, 2020

Payment Denial

$9,750
Jun 15, 2020

Fine

2019 2 penalties totaling $79,498

$66,560
May 20, 2019

Fine

$12,938
Mar 4, 2019

Fine

2018 1 penalties totaling $42,705

$42,705
Feb 22, 2018

Fine

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Health Violations by Year

2025 2 violations

Tag 0684 D Apr 10, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 25, 2025
Tag 0686 D Apr 10, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 25, 2025

2024 6 violations

Tag 0550 D Aug 29, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Sep 19, 2024
Tag 0677 E Aug 29, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 19, 2024
Tag 0686 D Aug 29, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 19, 2024
Tag 0689 E Aug 29, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 19, 2024
Tag 0812 F Aug 29, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 19, 2024
Tag 0880 D Aug 29, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 19, 2024
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2023 8 violations

Tag 0585 D Nov 28, 2023

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: Dec 22, 2023
Tag 0582 D Jul 19, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Aug 11, 2023
Tag 0880 E Jul 19, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 11, 2023
Tag 0684 G May 31, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 22, 2023
Tag 0686 D May 31, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 22, 2023
Tag 0758 D May 31, 2023

Implement 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.

✓ Corrected: Jun 22, 2023
Tag 0812 F May 31, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 22, 2023
Tag 0880 E May 31, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 22, 2023

2022 14 violations

Tag 0740 G Oct 3, 2022

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Oct 20, 2022
Tag 0578 D Jun 1, 2022

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jun 23, 2022
Tag 0584 D Jun 1, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jun 23, 2022
Tag 0655 D Jun 1, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 15, 2022
Tag 0689 K Jun 1, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 23, 2022
Tag 0802 F Jun 1, 2022

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

✓ Corrected: Jun 23, 2022
Tag 0812 J Jun 1, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 23, 2022
Tag 0886 D Jun 1, 2022

Perform COVID19 testing on residents and staff.

✓ Corrected: Jun 15, 2022
Tag 0580 D Mar 23, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 6, 2022
Tag 0585 D Mar 23, 2022

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: Apr 15, 2022
Tag 0684 D Mar 23, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 12, 2022
Tag 0689 D Mar 23, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 12, 2022
Tag 0804 F Mar 23, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Apr 15, 2022
Tag 0835 F Mar 23, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Apr 11, 2022
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2021 11 violations

Tag 0684 J Dec 21, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 7, 2022
Tag 0686 D Dec 21, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jan 7, 2022
Tag 0760 D Oct 26, 2021

Ensure that residents are free from significant medication errors.

✓ Corrected: Nov 2, 2021
Tag 0755 D Jul 12, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jul 21, 2021
Tag 0686 D May 20, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 11, 2021
Tag 0550 D Mar 11, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 8, 2021
Tag 0676 D Mar 11, 2021

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Apr 8, 2021
Tag 0677 D Mar 11, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 8, 2021
Tag 0688 D Mar 11, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Apr 8, 2021
Tag 0689 D Mar 11, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 8, 2021
Tag 0880 E Mar 11, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 8, 2021

2020 18 violations

Tag 0580 J Dec 29, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Dec 29, 2020
Tag 0684 J Dec 29, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 21, 2021
Tag 0692 G Dec 29, 2020

Provide enough food/fluids to maintain a resident's health.

Tag 0880 F Dec 29, 2020

Provide and implement an infection prevention and control program.

Tag 0880 D Nov 23, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 21, 2021
Tag 0689 D Sep 10, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 7, 2020
Tag 0760 G Sep 10, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: Oct 7, 2020
Tag 0880 E Sep 10, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 7, 2020
Tag 0580 E Aug 17, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Sep 20, 2020
Tag 0600 G Aug 17, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 20, 2020
Tag 0609 E Aug 17, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 20, 2020
Tag 0610 E Aug 17, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Sep 20, 2020
Tag 0686 J Aug 17, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 20, 2020
Tag 0692 D Aug 17, 2020

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Sep 20, 2020
Tag 0697 G Aug 17, 2020

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Sep 20, 2020
Tag 0755 E Aug 17, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Sep 20, 2020
Tag 0865 F Aug 17, 2020

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Sep 20, 2020
Tag 0880 E Jun 15, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 9, 2020
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2019 22 violations

Tag 0689 D Sep 24, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 11, 2019
Tag 0604 D Jun 20, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jul 1, 2019
Tag 0689 D Jun 20, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 2, 2019
Tag 0558 E May 20, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jul 2, 2019
Tag 0600 H May 20, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 2, 2019
Tag 0609 E May 20, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 2, 2019
Tag 0610 E May 20, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jul 2, 2019
Tag 0679 E May 20, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Jul 2, 2019
Tag 0686 G May 20, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jul 2, 2019
Tag 0689 G May 20, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 2, 2019
Tag 0712 E May 20, 2019

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

✓ Corrected: Jul 2, 2019
Tag 0725 H May 20, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jul 2, 2019
Tag 0758 D May 20, 2019

Implement 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.

✓ Corrected: Jul 2, 2019
Tag 0759 D May 20, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jul 2, 2019
Tag 0867 F May 20, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Jul 2, 2019
Tag 0880 F May 20, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 2, 2019
Tag 0881 F May 20, 2019

Implement a program that monitors antibiotic use.

✓ Corrected: Jul 2, 2019
Tag 0919 D May 20, 2019

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Jul 2, 2019
Tag 0686 J Mar 4, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 1, 2019
Tag 0689 D Mar 4, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 1, 2019

2018 22 violations

Tag 0580 D Feb 22, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 27, 2018
Tag 0585 G Feb 22, 2018

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: Mar 27, 2018
Tag 0600 H Feb 22, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Mar 27, 2018
Tag 0609 E Feb 22, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 27, 2018
Tag 0610 E Feb 22, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Mar 27, 2018
Tag 0636 D Feb 22, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Mar 27, 2018
Tag 0637 D Feb 22, 2018

Assess the resident when there is a significant change in condition

✓ Corrected: Mar 27, 2018
Tag 0641 D Feb 22, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 27, 2018
Tag 0645 D Feb 22, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Mar 27, 2018
Tag 0657 D Feb 22, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 27, 2018
Tag 0686 G Feb 22, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 27, 2018
Tag 0689 D Feb 22, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 27, 2018
Tag 0692 G Feb 22, 2018

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 27, 2018
Tag 0697 G Feb 22, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Mar 27, 2018
Tag 0698 D Feb 22, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Mar 27, 2018
Tag 0725 F Feb 22, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Mar 27, 2018
Tag 0758 D Feb 22, 2018

Implement 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.

✓ Corrected: Mar 27, 2018
Tag 0761 E Feb 22, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Mar 27, 2018
Tag 0812 F Feb 22, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 27, 2018
Tag 0835 F Feb 22, 2018

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Mar 27, 2018
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2017 9 violations

Tag 0309 D Jun 14, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Jul 13, 2017
Tag 0312 D Jun 14, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Jul 13, 2017
Tag 0314 G Jun 14, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Jul 13, 2017
Tag 0315 G Jun 14, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Jul 13, 2017
Tag 0328 D Jun 14, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Jul 13, 2017
Tag 0425 D Jun 14, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Jul 13, 2017
Tag 0441 D Jun 14, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Jul 13, 2017
Tag 0309 D May 11, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Jul 13, 2017
Tag 0310 G May 11, 2017

Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.

✓ Corrected: Jun 14, 2017

2016 12 violations

Tag 0156 D Dec 13, 2016

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Jan 13, 2017
Tag 0242 E Dec 13, 2016

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

✓ Corrected: Jan 13, 2017
Tag 0272 D Dec 13, 2016

Conduct initial and periodic assessments of each resident's functional capacity.

✓ Corrected: Jan 13, 2017
Tag 0278 D Dec 13, 2016

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Jan 13, 2017
Tag 0310 E Dec 13, 2016

Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.

✓ Corrected: Jan 13, 2017
Tag 0312 D Dec 13, 2016

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Jan 13, 2017
Tag 0314 D Dec 13, 2016

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Jan 13, 2017
Tag 0318 E Dec 13, 2016

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Jan 13, 2017
Tag 0323 D Dec 13, 2016

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Jan 13, 2017
Tag 0328 D Dec 13, 2016

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Jan 13, 2017
Tag 0353 F Dec 13, 2016

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

✓ Corrected: Jan 13, 2017
Tag 0364 E Dec 13, 2016

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

✓ Corrected: Jan 13, 2017
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