Nursing home
Tomah Nursing and Rehab
1505 Butts Ave, Tomah, WI 54660 · Map
For profit - Limited Liability company · Part of Atrium Centers (26 facilities) · 74 certified beds
Tomah Nursing and Rehab is a Medicare-certified nursing home in Tomah, Wisconsin. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.17 hours per resident per day, below the Wisconsin average of 4.20. Its most recent inspection on Jan 13, 2026 cited 16 deficiencies.
- 1 fine totaling $61,870In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Tomah Nursing and Rehab compares
This facility vs. the Wisconsin and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Wisconsin avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.17 | 4.20 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.65 | 0.97 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.89 | 2.59 | 2.34 | below avg |
| Nursing staff turnover | 63.8% | 47.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 16.0 | 9.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 26, 2026 inspection was corrected by February 5, 2026
Penalties in CMS records: 1 fine totaling $61,870, 1 total penalty.
What inspectors found at Tomah Nursing and Rehab
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 26, 2026 · Full report (PDF) - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Jan 13, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 13, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 13, 2026 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jan 13, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jan 13, 2026 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Jan 13, 2026 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Jan 13, 2026 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Jan 13, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 13, 2026 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 22, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Sep 23, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1505 Butts Ave
Tomah, WI 54660 - CMS certification #
- 525442
- Ownership
- For profit - Limited Liability company
- Certified beds
- 74
- Avg residents/day
- 56.6
- Provider type
- Medicare and Medicaid
- First certified
- 1989-10-01
- Chain
- Atrium Centers (26 facilities)
- Setting
- Rural
Part of Atrium Centers
Atrium Centers operates 26 nursing facilities across the United States. View all Atrium Centers facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Tomah Nursing and Rehab using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
- Staff pay 1 federal wage case with violations found, since 2019
Full public records, with dates and sources
Care and services
From the community’s website
What Tomah Nursing and Rehab says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
In addition to around-the-clock nursing care and physician coverage, we provide access to other in-house support services such as pharmacy, lab, podiatry and wound care.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice &
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 28, 2019 to Feb 27, 2021. Violations found: Overtime. Back wages: $24 owed to 1 employee. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Tomah Nursing and Rehab (Atrium Living Centers, Inc.). Case 1936264.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Tomah Memorial Hospital, Tomah. 1.0 mile away, straight line. CMS overall hospital rating: 5 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Rolling Hills Rehab CTR, Sparta. 14.8 miles away, straight line.
- Nearest home health agency office
- Aveanna Home Health, La Crosse. 37.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 15.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 54660 as small town (small town core).
- Dialysis within 15 miles
- Gundersen Lutheran Renal Dialysis - Tomah, Tomah, 1.0 mile away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 54660.
Hospice Touch, office in Tomah, 2.5 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Gundersen Clinic Ltd, Sparta. 15.6 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Tomah Nursing and Rehab a good nursing home?
CMS gives Tomah Nursing and Rehab an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Tomah Nursing and Rehab staffed?
Tomah Nursing and Rehab reports 3.17 total nurse hours per resident per day, compared with the Wisconsin average of 4.20.
Has Tomah Nursing and Rehab had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does Tomah Nursing and Rehab have?
Tomah Nursing and Rehab is certified for 74 beds.