Note: Tomah Nursing and Rehab has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.

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 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 74 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Nurse Quality

B-
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: DMay 19: CJun 19: CJul 19: CAug 19: CSep 19: CJan 20: B-Mar 20: B-Apr 20: BMay 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

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

B-
Oct 18: BNov 18: BDec 18: BJan 19: B+Feb 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B+Mar 20: B+Apr 20: B+May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

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

F
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-May 19: DJun 19: FJul 19: FAug 19: FSep 19: FJan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: F
Historical

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

F
Oct 18: FNov 18: FDec 18: FJan 19: DFeb 19: DMay 19: FJun 19: FJul 19: FAug 19: FSep 19: FJan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: F
Historical

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.

Aug 20
Provider:
F
State:
B+
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

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.

Provider
C
9.38%
State
B+
5.64%
National
B
7.33%

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.

Provider
A+
0%
State
B
3.54%
National
B
3.36%

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.

Provider
C
3.45%
State
B
2.92%
National
B
2.65%

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.

Provider
B+
12.21%
State
B+
12.1%
National
B
14.17%

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.

Provider
A+
7.59%
State
B+
15.28%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This tells you the percentage of residents who are exhibiting symptoms of depression.

Provider
B
1.49%
State
B
5.26%
National
B+
5.09%

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.

Provider
F
80.07%
State
B
93.65%
National
B
92.04%

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.

Provider
A+
4.23%
State
B+
13.53%
National
B
14.47%

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.

Provider
F
7.89%
State
B
18.07%
National
B
17.10%

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.

Provider
B+
1.49
State
B+
1.35
National
B
1.70

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.

Provider
A+
7.89
State
B
18.07
National
B
17.10

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.

Provider
C
13.44
State
B-
12.26
National
B
10.27

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.

Provider
B
67.75%
State
B+
74.45%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta 15.04 mi
310 W Main St Sparta Wisconsin 54656
(608) 269-2132
Critical Access Hospitals
Voluntary non-profit - Church

Nearby Dialysis

Gundersen Lutheran Renal Dialysis - Tomah 0.79 mi
Dialysis Stations: 16
505 Gopher Drive, Suite B Tomah Wisconsin 54660
(608) 374-0280