Tomah Nursing & Rehab Center

    1505 Butts Ave, Tomah, WI, 54660
    2.7 · 22 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Clean facility, understaffing causes concerns

    I had a mixed experience. The building is clean, quiet and spacious, many staff were professional, caring and helpful with meds, PT and post-op care (my dad's bed sores improved and dinners were often delicious), and activities/holidays were lovely. But chronic understaffing meant unanswered call lights, long waits for personal care, poor communication and occasional rude or unsafe behavior and maintenance/cleanliness lapses - administration was responsive when I complained, so I'd meet with leadership before deciding.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.68 · 22 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.0
    • Meals

      2.5
    • Amenities

      2.3
    • Value

      2.7

    Pros

    • Caring and helpful staff
    • Compassionate hospice nursing
    • Physical therapy provided daily
    • Bed sores healed in at least one case
    • Medications administered daily
    • Dietary needs observed (kidney-diet mentioned)
    • Friendly and supportive staff when reachable
    • Staff went out of their way and became like family
    • Activity programming and event support (family celebration, photos)
    • Holiday parties and gifts for residents
    • Some reports of clean, quiet, and spacious rooms
    • Professional specialty services and post-surgical help
    • Positive follow-up from nursing staff and department heads
    • Instances of overall outstanding/caring experiences and recommendations

    Cons

    • Unanswered call lights and long waits for assistance
    • Chronic staffing shortages and reduced staff hours
    • Poor or rude staff attitude (insults, rudeness, incompetence)
    • Allegations of abusive or unsafe behavior (spitting in drink, abuse)
    • Dirty, run-down facility with broken or unsanitary furniture
    • Lousy housekeeping and pest/bug reports
    • Cold or below-standard food and inconsistent dining quality
    • Delayed or no help with personal cares during initial admission
    • Falls with long waits for help (example: 25-minute wait)
    • Alleged illegal alteration of medical records
    • Inaccurate or misrepresented medical readings (e.g., blood pressure)
    • Poor communication and staff misidentification or confusion
    • Plate offered to non-conscious/comatose patient (feeding concerns)
    • Phone often not answered or difficult to reach staff
    • Lack of leadership and poor management follow-through
    • Air mattress failures and recurring bed sore issues
    • Crowded or uncomfortable rooms in some instances
    • Contradictory reports that indicate inconsistent quality

    Summary review

    Overall sentiment in these review summaries is highly mixed and polarized, with a significant number of very positive accounts coexisting alongside many severe negative reports. Positive comments frequently highlight individual staff members who are compassionate, attentive, and willing to go above and beyond. Several reviewers praised hospice care, daily physical therapy, effective wound healing (bed sores healed in at least one account), consistent medication administration, and attention to dietary needs. Event programming and social activities (family celebrations, holiday parties, photos) and isolated descriptions of clean, spacious rooms and professional specialty services underscore that good experiences do occur.

    Conversely, a substantial portion of the feedback raises serious concerns about staffing, safety, cleanliness, and leadership. Recurrent themes across negative reviews include unanswered call lights and long waits for assistance, documented staff shortages or reduced staff hours, poor responsiveness to bathroom and personal care needs, and delayed help after falls (one review cited a 25-minute wait after a fall). These operational problems are often paired with complaints about rude or unprofessional staff behavior—ranging from insults to allegations of abusive or unsafe actions (including a report of spitting into a resident's drink). Several reviewers labeled the nursing as incompetent or reported that CNAs dismissed complaints with statements like "if you don't like it take her somewhere else."

    Safety and clinical concerns also appear: one review alleges illegal alteration of medical records and misrepresentation of vital signs (blood pressure readings recorded as normal although family disputed them). There were reports of poor clinical judgment and communication errors, such as a plate of food being left for a comatose patient and confusion about whether a patient was present. These examples point to potentially serious lapses in both documentation integrity and clinical oversight when they occur.

    Facility condition and housekeeping are another divided area. Multiple accounts describe the building as dirty, run down, with broken or unsanitary furniture, pest/bug issues, cold food, and failing equipment (e.g., air mattress going flat). At the same time, other reviewers described the facility as clean, quiet, and spacious. This contrast suggests inconsistent housekeeping, maintenance, and food-service performance across different shifts, units, or time periods.

    Communication and management repeatedly surface as problematic. Complaints include phone lines not being answered, staff misidentification, confusion among staff about residents' presence, and an overarching sense of poor leadership. Some reviewers urge meetings with administrators and note that follow-up by department heads and management led to improvements in those specific cases—indicating that where leadership engages, problems can be at least partially resolved. However, several reviewers call for the facility to be shut down or express outrage at brief, unsatisfactory stays, reflecting highly negative and urgent concerns from a subset of families.

    In summary, the reviews show a facility with a wide range of experiences: there are clear examples of compassionate, effective care and strong social programming, but these are shadowed by frequent and serious complaints about staffing levels, responsiveness to basic needs, hygiene, documentation integrity, and leadership. The pattern suggests inconsistency — some residents receive attentive, high-quality care while others experience neglect, safety lapses, or poor treatment. For prospective residents or families, key areas to probe further during a tour or intake would include staffing ratios and turnover, call-light response times, wound-care protocols, medication and record-keeping procedures, housekeeping and pest control practices, and management responsiveness to complaints. For the facility, priorities should include stabilizing staffing, improving call-response and personal-care timelines, tightening clinical documentation controls, strengthening supervisory oversight, and addressing housekeeping and food-service inconsistencies to reduce the stark variability in resident experiences.

    Location

    Map showing location of Tomah Nursing & Rehab Center

    About Tomah Nursing & Rehab Center

    Tomah Nursing & Rehab Center sits in Tomah, Wisconsin, and works as a licensed nursing facility with a capacity for 74 certified beds, usually caring for around 52 residents each day, so it feels less crowded than some bigger places, and they've been managed by Atrium Centers Management LLC since 2007, got direct ownership by Orion Operating Services LLC, and links with Amicus Capital Holdings Inc Esop and Atrium Centers, Inc., which all tie back to Atrium Centers in their ownership. The center focuses on skilled nursing care, rehabilitation therapy, palliative care, memory care for Alzheimer's and Dementia, as well as respite care for short stays, always keeping a mix of short-term rehab services and long-term care, and offers physical, occupational, and speech therapy programs, while providing 24-hour care along with things like I.V. therapy, wound care, tube feedings, and other nursing services, not to mention support from physicians, nurse practitioners, eye doctors, dentists, and podiatrists who all visit as needed, and if you're dealing with wound or ostomy care they do take in patients needing that help.

    When you walk inside, the place tries to keep things clean and safe, and offers a warm, community-focused environment-a lot of folks say it feels homelike, with room for friends and family to visit, which tends to make the transition from hospital to nursing care smoother, and they have care teams built from nurses, therapists, and support staff who plug away with these individualized "care mapping" plans, always talking about wanting folks to recover and return home if possible or get stronger and more independent, even running outpatient programs for folks who don't need to live on site. Nurse staff turn over a lot-about 67.9%-and the staffing levels stick near 3.29 hours per resident each day, which is a number folks look at when thinking over the attention their loved ones might get.

    There's been a fair number of inspection problems, like recent federal citations for not meeting standards in quality of care and the daily life of residents; they've had inspection reports piling up to 25 different deficiencies, some about infection control-four of those in fact-plus citations for not providing proper pressure ulcer care and treatment in line with doctor's orders and what residents prefer (F0684 and F0686), and the place did face complaint reports with one deficiency in November 2024 and two in April 2025. The center says they keep a focus on comfort, safety, and offering that all-hands, all-hearts approach, and they do have services lined up for pharmacy, wound care, in-house lab work, and so forth. Folks get a plan tailored by nurses, therapists, providers, and staff, and though the AHCA Bronze award's been won for outcomes and achievements, it's fair to know about those inspection issues too, because records sure show several areas for improvement.

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