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    Nursing home · Tomah, WI

    Tomah Nursing and Rehab

    1505 Butts Ave., Tomah, WI 54660

    CMS certification number: 525442 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    CMS overall rating

    1 / 5

    Certified beds

    74

    Residents / day

    53.5

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Monroe
    Certified beds
    74
    Average residents per day
    53.5
    First certified
    October 1, 1989

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    3 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Monroe, Wisconsin. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    4.00
    n=2
    State peers
    3.08

    Nurse hours / resident / day

    This home
    3.29
    County peers
    4.15
    n=2
    State peers
    4.25
    n=312

    Weekend nurse hours / resident / day

    This home
    2.85
    County peers
    3.79
    n=2
    State peers
    3.75
    n=312

    Nursing staff turnover (%)

    This home
    62.70
    County peers
    31.05
    n=2
    State peers
    46.61
    n=314

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 13.4% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 62.7% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    19
    Health citations
    38
    Resident measures
    17
    Ownership records
    8
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.29373
    Reported RN Staffing Hours per Resident per Day
    0.75952
    Reported LPN Staffing Hours per Resident per Day
    0.67287
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.86134
    Total number of nurse staff hours per resident per day on the weekend
    2.85332
    Registered Nurse hours per resident per day on the weekend
    0.43661
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02700
    Total nursing staff turnover
    62.7
    Registered Nurse turnover
    40.0
    Number of administrators who have left the nursing home
    0
    Chain Name
    ATRIUM CENTERS
    Number of Facilities in Chain
    26
    Chain Average Overall 5-star Rating
    2.9
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    WI
    Urban
    N
    Chain ID
    54
    Latitude
    43.9728
    Location
    1505 Butts Ave.,Tomah,WI,54660
    ZIP Code
    54660
    City/Town
    Tomah
    Longitude
    -90.515
    QM Rating
    3
    Abuse Icon
    Y
    Chain Name
    ATRIUM CENTERS
    County/Parish
    Monroe
    Provider Name
    Tomah Nursing and Rehab
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    1505 Butts Ave.
    Telephone Number
    6083723241
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    ORION TOMAH LLC
    Long-Stay QM Rating
    3
    High Performing Icon
    N
    Short-Stay QM Rating
    4
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.30362
    Chain Average QM Rating
    3.6
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    74
    Provider SSA County Code
    400
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    40.0
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.92439
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    62.7
    Chain Average Staffing Rating
    3.4
    Number of Facilities in Chain
    26
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    525442
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    262
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    218.500
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    53.5
    Chain Average Overall 5-star Rating
    2.9
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    88
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.7
    Rating Cycle 1 Health Deficiency Score
    262
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    88
    Rating Cycle 1 Standard Survey Health Date
    2026-01-13
    Rating Cycle 2 Standard Health Survey Date
    2024-08-29
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.81520
    Case-Mix RN Staffing Hours per Resident per Day
    0.63934
    Reported RN Staffing Hours per Resident per Day
    0.75952
    Adjusted LPN Staffing Hours per Resident per Day
    0.72219
    Case-Mix LPN Staffing Hours per Resident per Day
    0.79669
    Reported LPN Staffing Hours per Resident per Day
    0.67287
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    21
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    14
    Rating Cycle 1 Number of Standard Health Deficiencies
    9
    Rating Cycle 2 Number of Standard Health Deficiencies
    6
    Reported Licensed Staffing Hours per Resident per Day
    1.43239
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    14
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.99779
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.16987
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.86134
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.53519
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.60590
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    9
    Reported Total Nurse Staffing Hours per Resident per Day
    3.29373
    Registered Nurse hours per resident per day on the weekend
    0.43661
    Date First Approved to Provide Medicare and Medicaid Services
    1989-10-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02700
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.06249
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.17346
    Total number of nurse staff hours per resident per day on the weekend
    2.85332

    COMMUNITY EXPERIENCE

    Reviews of Tomah Nursing and Rehab

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

    Explore independent experiences alongside the official record. These links search the named source; a matching listing or discussion is not guaranteed. Confirm the address before relying on a review.

    Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.

    Apply for work at this facility

    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026