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C
Below Standard

TOMAH NURSING AND REHAB

1505 BUTTS AVE · TOMAH, WI 54660

6083723241 · For profit - Limited Liability company

74 beds56.6 residents73 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TOMAH NURSING AND REHAB receives an overall staffing grade of C (Below Standard). With 3.1763 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6494 HPRD, below the recommended 0.75. It is 0.72 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.67% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1763 HPRD — needs 0.30 more hours per resident per day.
⚠️RN staffing (0.6494 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1763hrs/resident/day▼ 0.72
CMS benchmark: 3.48
RN HPRD
0.6494hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
14.67%
3.3137 weekday → 2.8275 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.896hrs/resident/day
Direct care aides
LPN HPRD
0.6309hrs/resident/day
Licensed practical nurses
Consistency
0.3486std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Monroe County Average-0.69 HPRD
3.87
03.18 HPRD
vs. Wisconsin State Average-1.02 HPRD
4.20
03.18 HPRD
vs. National Average-0.72 HPRD
3.90
03.18 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
TOMAH NURSING AND REHAB ★
TOMAH · This facility
—
C
3.17630.6494★★☆☆☆
ROLLING HILLS REHAB CTR
SPARTA
14.8 mi
A
4.20780.9332★★★☆☆
ELROY HEALTH SERVICES
ELROY
19.2 mi
C
3.13570.8657★☆☆☆☆
FAIR VIEW NURSING AND REHABILITATION CENTER
MAUSTON
25.4 mi
B
4.0251.514★★★★☆
PINE VIEW CARE CENTER
BLACK RIVER FALLS
27.8 mi
A
4.51981.0119★★★★★
MEADOWBROOK AT BLACK RIVER FALLS
BLACK RIVER FALLS
28.2 mi
B
3.93161.1265★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
29
Total Deficiencies
$61,870
Fines Assessed
Dec 22, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 23, 2025Health
1 deficiency cited
▼
Jun 11, 2025Health
3 deficiencies cited
▼
Apr 10, 2025Health
2 deficiencies cited
▼
Nov 11, 2024Health
1 deficiency cited
▼
Aug 29, 2024Health
6 deficiencies cited
▼
Nov 28, 2023Health
1 deficiency cited
▼
Jul 19, 2023Health
2 deficiencies cited
▼
May 31, 2023Health
5 deficiencies cited· Includes actual harm
▼
Jun 1, 2022Health
7 deficiencies cited· Includes actual harm
▼

Penalty History

May 31, 2023Fine
$61,870
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.