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TOMAH NURSING AND REHAB

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TOMAH NURSING AND REHAB VS
Nursing Homes USA
General
City TOMAH   0% Nursing Homes USA have TOMAH
State attribute explanation WI   2.5% Nursing Homes USA have WI
Street 1505 BUTTS AVE  
Zip Code 54660  
Phone 6083723241  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
74 
108.94
Total Number of Residents
51 
91.25
Percent of Occupied Beds
69 %
83.65 %
Health Survey Date 10/12/2011  
Fire Survey Date 10/6/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies
17 
7.48
Staff Information
Number of Residents
51 
91.38
Number of RN Hours Per Resident Per Day
0.64 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.49 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.13 
1.59
Number of CNA Hours Per Resident Per Day
0.04 
5.49
Number Therapy Hours Per Resident Per Day
0.04 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/07/2010
date Of Correction: 11/01/2010 
Deficiency #2 Scope: Few
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 07/01/2009
date Of Correction: 08/07/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 06/02/2011
date Of Correction: 07/02/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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.
survey Date: 06/02/2011
date Of Correction: 07/02/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 07/01/2009
date Of Correction: 08/06/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 07/01/2009
date Of Correction: 08/06/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 06/02/2011
date Of Correction: 07/02/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 10/07/2010
date Of Correction: 11/01/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/02/2011
date Of Correction: 07/02/2011 
Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/07/2010
date Of Correction: 11/01/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 07/01/2009
date Of Correction: 08/06/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/01/2009
date Of Correction: 08/06/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 07/01/2009
date Of Correction: 08/06/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/12/2011
date Of Correction: 11/08/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 06/02/2011
date Of Correction: 07/02/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/07/2010
date Of Correction: 11/01/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 07/01/2009
date Of Correction: 08/07/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
23.7 (74.7) %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
15.2 %
16.66 %
Percent of long-stay residents who lose too much weight
6.8 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.7 %
15.63 %
Percent of long-stay residents with a urinary tract infection
4.5 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
6.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
22.7 (72.9) %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
96 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
98.1 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
22.1 (71.8) %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
14.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
7 %
9.22 %
Percent of long-stay residents who lose too much weight
3.5 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
13.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 10.3:1 % 
Percent of long-stay residents with a urinary tract infection
6.2 %
9.58 %
Percent of long-stay residents who have depressive symptoms
2.20 %
19.86 %
Percent of long-stay residents who were physically restrained
6.4 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
23.9 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
97.2 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
95.2 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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