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TOMAH NURSING AND REHAB - TOMAH, WI

 



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Address
1505 BUTTS AVE
TOMAH, WI, 54660
Phone (make sure to verify first before calling): (608) 372-3241

Number of Certified Beds: 74
Total Number of Residents: 51
Percent of Occupied Beds: 69%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 3 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Administrative Staff - Part Time: 0.21
Certified Nurse Aides - Full Time: 1.87
Certified Nurse Aides - Part Time: 5.83
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 1.07
Food Service Personnel - Part Time: 4.27
Housekeeping Personnel - Full Time: 1.06
Licensed Practical/ Vocational Nurses - Full Time: 5.51
Licensed Practical/ Vocational Nurses - Part Time: 1.33
Medical Directors - Under Contract: 0.11
Registered Nurses - Full Time: 0.96
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 0.99
Activities Professionals - Full Time: 1.14
Podiatrists - Under Contract: 0.06
Persons Not Included In Any Other Categories - Part Time: 0.79
Registered Nurses - Part Time: 2.04
Housekeeping Personnel - Part Time: 3.33
Nurse Aides In Training - Part Time: 0.04

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

24.4%
Wisconsin:

15.6%
Percent of long-stay residents who self-report moderate to severe pain
Here:

25.4%
Wisconsin:

11.2%
Percent of long-stay residents who lose too much weight
This Nursing Home:

6.5%
Wisconsin:

7.2%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

7.2%
Wisconsin:

4.7%
Percent of long-stay residents with a urinary tract infection
Here:

6.5%
State:

6.4%
Percent of long-stay residents who have depressive symptoms
Here:

4.3%
State:

6.9%
Percent of long-stay residents who were physically restrained
This Nursing Home:

6.5%
Wisconsin:

0.9%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
Wisconsin:

97.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

100.0%
Wisconsin:

98.4%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

25.9%
State:

21.8%
Percent of short-stay residents with Pressure ulcers that are new or worsened
Here:

1.8%
Wisconsin:

1.6%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
Wisconsin:

92.1%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

95.8%
State:

92.0%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

27.5%
State:

18.8%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.640
State:

0.887
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.490
State:

0.546
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.130
Wisconsin:

1.429
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.040
Wisconsin:

0.074
Number Therapy Hours Per Resident Per Day
Here:

0.040
State:

0.079

Complaint Deficiency

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Actual harm)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Some (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Immediate jeopardy to resident health or safety)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Few (Minimal harm or potential for actual harm)

Train all employees on what to do in an emergency, and carry out announced staff drills: Many (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Back-up procedures in place for a faulty automatic sprinkler system: Many (Potential for minimal harm)

An approved back-up procedure for a faulty fire alarm system: Many (Potential for minimal harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Potential for minimal harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Some (Potential for minimal harm)

Try to resolve each resident's complaints quickly: Few (Minimal harm or potential for actual harm)

Allow residents to easily view the results of the nursing home's most recent survey: Many (Potential for minimal harm)

Provide enough notice before discharging or transferring a resident: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Actual harm)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

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