Tomah Nursing And Rehab

1505 Butts Ave
Tomah, WI 54660
Monroe County
Phone: 608-372-3241
Provider Number: 525442
Last Inspection: 12/15/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
74
Number of Residents
Number of
Residents
55
Number of Beds Available
Beds Available
19
Percent Occupancy
Percent Occupancy
74%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Both
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • WI
  • USA
  • 48
  • 38
  • 23
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2014
  • 48
  • 30
  • 32
Lower Numbers are Better

Details by Inspection Date

 

12/15/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 1/15/2016
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 1/15/2016
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 1/15/2016
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 1/15/2016
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 1/15/2016
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 1/15/2016
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 1/15/2016
Failed To: 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. Isolated : Minimal 3 1/15/2016
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/15/2016
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 1/15/2016
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 1/15/2016
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 1/15/2016
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 1/15/2016
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 1/15/2016
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 1/15/2016
 

11/13/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 12/29/2014
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 12/29/2014
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/29/2014
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/29/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/29/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/29/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 12/29/2014
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 12/29/2014
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 12/29/2014
 

2/10/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide written records when a resident is transferred or discharged. Pattern : Potential 3 3/7/2014
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 3/7/2014
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 3/7/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 3/7/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 3/7/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 3/7/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 3/7/2014
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated : Minimal 3 3/7/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 3/7/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 3/7/2014


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

7/9/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 8/9/2015
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern : Minimal 4 8/9/2015
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/9/2015
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 8/9/2015
 

11/6/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern : Minimal 4 12/3/2013
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/3/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/3/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 12/3/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WI State Avg
Number of Residents 55 75.00 68.95
Registered Nurses 0.71 0.79 0.99
Licensed Practical / Vocational Nurses 0.44 0.51 0.54
Certified Nursing Assistants 1.94 2.72 2.53
Total Staff Hours 3.09 4.02 4.07

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WI State Avg%
High Risk Long Stay Residents With Pressure Ulcers 7 5 4
Long Stay Residents Experiencing One or More Falls with Major Injury 2 4 3
Long Stay Residents Who Have Depressive Symptoms 3 8 5
Long Stay Residents Who Lose Too Much Weight 17 10 7
Long Stay Residents Who Received an Antipsychotic Medication 21 20 13
Long Stay Residents Who Self Report Moderate to Severe Pain 9 12 9
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 6 3 2
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 8 5 2
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 7 14 14
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 8 4 3
Long Stay Residents With a Urinary Tract Infection 6 3 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 30 36 45
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 1 1
Short Stay Residents Who Self Report Moderate to Severe Pain 15 22 20
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 30 12 10
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 26 14 11
Short Stay Residents With Pressure Ulcers That Are New or Worsened 4 2 1