Tomah Nursing And Rehab
TOMAH NURSING AND REHAB in TOMAH, WI — inspection on December 22, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety
the baseboard heat registries to ensure they are not at risk for burns.
Resident beds will maintain a safe distance away from the baseboard heat registries.
Resident recliners will be positioned in a way that does not put them at risk to come in contact with a baseboard heat registry.
Concerns with any baseboard heat registry will be brought to the Maintenance Lead or Administrator's attention and receive prompt follow-up.
Effective Date: 12/10/25The deficient practice continues at a scope and severity of E (potential for harm/pattern) related to the examples of R9, R10, and R11 and as the facility continues to implement its action plan:3. R9 was admitted to the facility on [DATE] with diagnoses including type 2 diabetes mellitus, muscle weakness (generalized), contracture of muscle (permanent shortening and tightening of muscle fibers leading to reduced flexibility and difficulty moving), multiple sites, low back pain, history of falling, tremor, dementia, and osteolysis (bone degeneration). R9's most recent Minimum Data Set with Assessment Reference Date of 11/10/25 indicated R9 has a BIMS score of 00 out of 15 indicating severe cognitive impairment.
Section GG indicated R9 utilizes a wheelchair for mobility and is independent with rolling left and right including all other mobility except for tub/shower transfers, which he is dependent on staff, and walking 10 feet which was not attempted due to R9's current illness, exacerbation, or injury. R9's Comprehensive Care Plan indicated in part:Problem: Resident requires assistance for ADLs (Activities of Daily Living) r/t (related to) weakness and diagnosis of dementia.
Approaches include, in part: .Mobility: Independent wheelchair.
Start Date: 8/22/23.
Bed Mobility: Independent.
Start Date: 8/22/23.
Transfers: Assist of 1. He does self-transfer at times.
Start Date: 5/27/24.On 12/9/25 at 3:40, Surveyors observed R9's room and noted he has his room temperature set to 75 F.
Two Surveyors both touched R9's baseboard heater and both had to pull their hands away immediately due to the baseboard heater being so hot.
Surveyors also noted that the bed was touching the baseboard heater at the time of observation and R9 was laying in the bed. R9, who gave permission for Surveyors to observe his baseboard heater, stated that the wall is hotter than hell. R9, who had his bed in the low position, also indicates his fingers have accidentally touched the baseboard heater while he was sleeping and it makes him jump because the baseboard heater is so hot. On 12/9/25 at 4:35 PM, LPN C (Licensed Practical Nurse) went to R9's room with Surveyor.
Surveyor asked LPN C what she thought of the distance between R9's bed and the baseboard heater. LPN C indicated the bed and the baseboard heater were too close together. On 12/10/2
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