Tomah Nursing and Rehab
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 30 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (16 vs median 7)
- High staff turnover (64%)
- High RN turnover (62%)
Bottom 25% in WI · Below recommended RN staffing · Worst in ATRIUM CENTERS chain · $61,870 in fines
What this means for your family
This facility has a strong reputation for hospice and rehabilitation services, with many families praising the compassion of the staff. However, you should be aware of recurring reports regarding slow response times to call lights and staffing shortages. We recommend visiting during off-hours to observe staffing levels firsthand and asking management directly about their protocols for call light response and resident safety.
Google Reviews
Google Reviews
30 reviews on Google“Tomah Nursing and Rehab receives polarized feedback, with recent reviews highlighting compassionate hospice care and successful rehabilitation outcomes. However, long-standing concerns regarding chronic understaffing, slow response times to call lights, and inconsistent food quality persist. Families should be aware that while many report positive experiences with individual staff members, others have raised serious allegations regarding facility cleanliness and neglect.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate hospice and end-of-life care
- Effective physical and rehabilitation therapy
- Friendly and helpful individual staff members
- Clean and well-maintained facility environment
Concerns
- Slow or unanswered call lights (mentioned by 5 reviewers)
- Chronic understaffing (mentioned by 3 reviewers)
- Poor food quality and dining experience (mentioned by 4 reviewers)
- Inconsistent communication and administrative errors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 32 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given that staffing levels are a priority for quality care, what specific protocols do you have in place to ensure call lights are answered promptly during all shifts?
- 2I noticed that residents have shared feedback regarding the dining experience; what improvements or changes are you currently making to the food quality and meal service?
- 3With 16 recent state violations, could you walk me through the specific steps the facility has taken to address these concerns and improve your overall CMS health inspection rating?
- 4Since your team has shown a real strength in providing compassionate end-of-life and hospice care, how do you ensure that same level of dedicated attention is applied to the daily medical needs of long-term residents?
- 5I see that the facility sometimes responds to online feedback; how do you use that family input to improve your internal communication processes and administrative follow-through?
- 6What does a typical daily activity schedule look like for residents, and how do you encourage social engagement for those who might otherwise spend most of their time in their rooms?
Personalized based on this facility's data
Key Review Excerpts
“The staff became part of our family in our short time of 3 days. We had family members come in from all over. the room was packed it was so uncomfortable everyone was looking at the back of someones head and the staff took into action immediately and set up the activity room for us.”
“My husband has progressed so quickly and will be able to return home soon. We are very pleased with our experience here.”
“Mom lived out her final days at Tomah Nursing and Rehab. The staff came along side us to care for mom. Her care team was courteous and compassionate. Her room was always clean.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
5
measures
5
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have repeatedly filed complaints against this facility, triggering 17 deficiencies, with concerning patterns in abuse investigations, accident hazard prevention, and medication management appearing across multiple years. Recent issues include failure to properly investigate suspected abuse (January 2026) and ongoing safety hazards, though most deficiencies show correction dates, indicating the facility addresses problems when cited.
Jan 26, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jan 13, 2026Routine16
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke Deficiencies
Construct fire resistant interior walls.
Smoke Deficiencies
Install properly constructed windows in hallway walls or doors.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Jan 13, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Dec 22, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 23, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jun 11, 2025Complaint3
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Ownership & Operations
Who Operates This Facility
Tomah Nursing and Rehab
for profit
Chain Affiliation
Atrium Centers
26 facilities nationwide
Chain avg rating: 3.1/5 · Rank 25 of 26 (Worst)
Ownership & Management
Owners
Orion Operating Services LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
30 reviews from families & visitors
Official Website
Visit atriumlivingcenters.com
Medicare data downloads
Original nursing home datasets
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