Tomah Nursing and Rehab
1505 Butts Ave, Tomah WI 54660 · (608) 372-3241 · 57.97% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Tomah Nursing and Rehab is the only facility we found in Tomah, Wisconsin. With a bottom of the barrel overall grade of F, this facility isn't high on our list. Based on our assessment, this place is not a fit for any prospective resident. More information on this facility's category grades may be found below. Its best category is nursing, which is addressed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 74 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
While we graded this nursing home very poorly overall, it received a fairly respectable nursing rating this year. We gave it a B- in that category. The nursing rating is based on many factors. The most important one is the number of hours nurses spend with residents. This place provided just 3.1 hours of nursing care per patient each day, which is a relatively low figure. Nevertheless, more than one quarter of those hours were provided by registered nurses, which are one of the most highly trained levels of nurses. This is a high ratio of skilled nursing care, which we weight more heavily in our nursing scores. Finally, despite not having the most impressive total nursing hours per resident, this facility actually performed admirably in the area of preventing major falls. This is generally a reliable indicator that a place has sufficient quality controls in place.
Short-term Care Quality
We were also surprised to discover that this facility earned a solid short-term care grade in our assessment. We gave it a B- in this area. Short-term care scores are based in part on the nursing home's quantity of skilled highly skilled professionals. This means a wide scope of services, ranging from registered nurses to physical and respiratory therapists, not to mention other types of therapy. This place provides more services with physical therapists and registered nurses than most facilities we looked at. This is a very favorable sign. Finally, we looked at the percentage of patients who were able to return to the community from this nursing home. We found that it outperformed the majority of facilities in the country with 49.3 percent of its residents returning home. This is a higher rate than most nursing homes.
Facility Inspections
We also wanted to draw your attention to this nursing home's inspection grades where it received an F. This generally means we found some red flags on the inspection reports. For places that received this bad of an inspection rating, we recommend scrutinizing the severe deficiencies on its inspection report. This particular facility was hit with 4 deficiencies by government inspectors. The only favorable thing we found is that none of its deficiencies were in the categories that suggest that they caused a risk to resident health or safety. Lastly, this nursing home was cited by CMS for possible abuse or neglect. This is generally a really bad sign. We would never recommend this facility.
Long-term Care Quality
The final area we analyzed is long-term care, in which this facility received a poor grade in this area also. We gave it a lowly F for this area, which is definitely a major disappointment. Nursing homes that receive this kind of score in long-term care likely don't provide the kind of consistent 24/7 care that some other nursing homes offer. Once we assessed the quantity of care provided by aids and other staff, we next considered the facility's vaccination record. Frankly, we were a bit concerned this facility vaccinated 60.135136 percent of its patients for pneumonia, which is several points below what we expected. Surprisingly, this place was actually able to limit hospitalizations. With just 1.62 hospitalizations per one thousand long-term resident days, this facility has fewer hospitalizations than the average nursing home. This was its best score in this category.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Tomah Nursing and Rehab Quality Metrics
Minimizes Pressure Ulcers
This statistic is an indication of the percent of long-term stay patients which have new or worsened pressure ulcers. We find that pressure ulcers are a solid barometer of the quality of nursing care a facility provides.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint indicates the percentage of long-term patients who sustained a fall which caused serious injury. This is one of the statistics we use in computing nursing grades.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of residents that sustained a urinary tract infection. Urinary tract infections are considered by many in the nursing home industry to be a measure of the quality of nursing care . UTI's are often caused by lower quality nursing care. Nevertheless, this datapoint can also be skewed for certain nursing homes due to different reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This datapoint is a measure of the percent of long-term stay patients who are prescribed antipsychotic drugs. High levels of antipsychotic drug use may indicate that a nursing home is using these medications to subdue residents in scenarios where such drugs aren't medically required. However, some facilities may need to rely on these drugs due to having more residents suffering from cognitive disorders.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percentage of patients prescribed antianxiety drugs. These drugs are prescribed to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percentage of residents who are exhibiting symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of residents who received the flu and pneumonia vaccines. Higher vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percentage of residents who needed increased assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may be a sign of deterioration of a resident's medical condition.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percentage of residents that were able to retain mobility over time. Retaining mobility is often a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is a measure of the number of rehospitalizations per 1,000 days of short-term care. Avoiding rehospitalizations during rehabilitation is critical to restoring the physical well-being of residents.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percent of short-term stay patients that saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with activities of daily living often correlates with successful rehabilitation.
Percentage of Resident
Higher is Better