Tomah Nursing and Rehab — nursing home in Tomah, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 74 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 53.5 CMS, MDS-derived
CMS Certification Number: 525442
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 1, 1989
Ownership type: For profit - Limited Liability company
Operator (legal business name): Orion Tomah LLC
CMS chain: Atrium Centers 26 facilities
Phone: (608) 372-3241
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

14

latest Aug 10, 2026

Citations

57

38 health · 19 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D32	E8	F11
Minimal	A·	B·	C4

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525442
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 74
First approved: Oct 1, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Wisconsin.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 10, 2026	Health	Health Complaint	11	Immediate jeopardy	—	Open →
Jan 26, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jan 13, 2026	Fire safety	Fire Safety Standard	8	Potential harm	1	Open →
Jan 13, 2026	Health	Health Complaint, Health Standard	9	Potential harm	—	Open →
Dec 22, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Sep 23, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jun 11, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Apr 10, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Nov 11, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 29, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Aug 29, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Nov 28, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Jul 19, 2023	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Jul 19, 2023	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D32	E8	F11
Minimal	A·	B·	C4

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 10, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Aug 31, 2026	Complaint
Aug 10, 2026	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 31, 2026	Complaint
Aug 10, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 31, 2026	Complaint
Aug 10, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 31, 2026	Complaint
Aug 10, 2026	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 31, 2026	Complaint
Aug 10, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 31, 2026	Complaint
Aug 10, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 31, 2026	Complaint
Aug 10, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 31, 2026	Complaint
Aug 10, 2026	F-0790	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 27, 2026	Complaint
Aug 10, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Aug 31, 2026	Complaint
Aug 10, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 31, 2026	Complaint
Jan 26, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 5, 2026	Complaint
Jan 13, 2026	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 27, 2026
Jan 13, 2026	K-0331	Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 27, 2026
Jan 13, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 27, 2026
Jan 13, 2026	K-0364	Install properly constructed windows in hallway walls or doors. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 27, 2026
Jan 13, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	No plan of correction
Jan 13, 2026	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 27, 2026
Jan 13, 2026	K-0912	Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 27, 2026
Jan 13, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 5, 2026	Complaint
Jan 13, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 5, 2026
Jan 13, 2026	F-0655	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 · Clinical care	D · Potential harm Isolated	Corrected Feb 5, 2026
Jan 13, 2026	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 5, 2026
Jan 13, 2026	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 5, 2026
Jan 13, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 5, 2026
Jan 13, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 5, 2026
Jan 13, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 5, 2026
Jan 13, 2026	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 5, 2026
Jan 13, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jan 27, 2026
Dec 22, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jan 9, 2026	Complaint
Sep 23, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 24, 2025	Complaint
Jun 11, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 27, 2025	Complaint
Jun 11, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 27, 2025	Complaint
Jun 11, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jun 27, 2025	Complaint
Apr 10, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 25, 2025	Complaint
Apr 10, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 25, 2025	Complaint
Nov 11, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 22, 2024	Complaint
Aug 29, 2024	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 12, 2024
Aug 29, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 12, 2024
Aug 29, 2024	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 12, 2024
Aug 29, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 19, 2024
Aug 29, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 19, 2024	Complaint
Aug 29, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 19, 2024
Aug 29, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 19, 2024
Aug 29, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Sep 19, 2024
Aug 29, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 19, 2024
Aug 29, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Sep 12, 2024
Nov 28, 2023	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 22, 2023	Complaint
Jul 19, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 11, 2023
Jul 19, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 11, 2023
Jul 19, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 11, 2023
Jul 19, 2023	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 11, 2023
Jul 19, 2023	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 11, 2023
Jul 19, 2023	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 11, 2023
Jul 19, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 11, 2023
Jul 19, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Aug 11, 2023
Jul 19, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Aug 11, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.29

State avg 4.25US avg 3.90

Registered nurse (RN)0.76

State avg 0.98US avg 0.69

Licensed practical nurse0.67

State avg 0.65US avg 0.86

Nurse aide1.86

State avg 2.61US avg 2.35

Weekend total nurse2.85

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.54 (case-mix index 1.30).

Staff turnover

Total nursing staff turnover62.7%

State avg 46.7%US avg 45.3%

Registered nurse turnover40.0%

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 13, 2026
Cycle 1 health score: 262
Total weighted score: 218.5

Operating entity

Orion Tomah LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Atrium Centers

26 facilities in 4 states. CMS chain ID 54.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

8

Organizations

2

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Orion Operating Services LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2007

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Orion Operating Services LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2007
Atrium Centers Management LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2007
Dennis Lockhart	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 3, 2003
Susan Albright Ross	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 24, 2017
Essel Bailey	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 3, 2003
Donald Finney	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 3, 2003
Michael Rocca	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 14, 2021
Brandi Shea	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Mar 9, 2022

Same chain in Wisconsin

All 25 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Mulder Health Care Facility 713 Leonard St. N, West Salem, WI 54669 CCN 525209Abuse icon	87	Jul 9, 2026	723 IJ4 harm	$201k
Prescott Nursing and Rehab Community 1505 Orrin Rd, Prescott, WI 54021 CCN 525398	65	Jul 13, 2026	451 IJ	$31k
Frederic Nursing and Rehab Community 205 United Way, Frederic, WI 54837 CCN 525665	60	May 19, 2026	39	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1505 Butts Ave., Tomah, WI 54660
ZIP: 54660
County: Monroe County FIPS 55081
State: Wisconsin
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525442	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525442	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 525442

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction