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Deficiency Records for Tomah Nursing and Rehab

A list of the most recent deficiencies for Tomah Nursing and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Tomah Nursing and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-08-29 2024-09-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-29 2024-09-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-29 2024-09-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-29 2024-09-19 N
Provide and implement an infection prevention and control program. Health 2024-08-29 2024-09-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-08-29 2024-09-19 Y
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-08-26 2024-09-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-26 2024-09-12 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-08-26 2024-09-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-08-26 2024-09-12 N
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. Health 2023-11-28 2023-12-22 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-07-19 2023-08-11 N
Provide and implement an infection prevention and control program. Health 2023-07-19 2023-08-11 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-07-18 2023-08-11 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-07-18 2023-08-11 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-07-18 2023-08-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-18 2023-08-11 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-07-18 2023-08-11 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-07-18 2023-08-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-18 2023-08-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-31 2023-06-22 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-31 2023-06-22 Y
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-05-31 2023-06-22 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-31 2023-06-22 Y
Provide and implement an infection prevention and control program. Health 2023-05-31 2023-06-22 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-10-03 2022-10-20 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-05-18 2022-06-24 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-05-18 2022-06-24 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-05-18 2022-06-24 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-05-18 2022-06-24 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-05-18 2022-06-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-05-18 2022-06-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-18 2022-06-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-18 2022-06-24 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-05-18 2022-06-24 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-18 2022-06-24 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-05-18 2022-06-24 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-06-01 2022-06-23 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-06-01 2022-06-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-01 2022-06-23 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-06-01 2022-06-23 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-01 2022-06-23 Y
Perform COVID19 testing on residents and staff. Health 2022-06-01 2022-06-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-06-01 2022-06-15 Y
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. Health 2022-03-23 2022-04-15 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-03-23 2022-04-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-23 2022-04-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-23 2022-04-12 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-03-23 2022-04-11 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-23 2022-04-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-21 2022-01-07 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-12-21 2022-01-07 Y
Ensure that residents are free from significant medication errors. Health 2021-10-26 2021-11-02 Y

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