TOMAH NURSING AND REHAB

Also known publicly as Tomah Nursing & Rehab Center

TOMAH, WI

CMS provider ID 525442CMS source updated July 29, 2026

Build questions for this facility →

Compare Save to shortlist

CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 74
Ownership descriptor: For profit - Limited Liability company
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 6083723241Verified public information · checked Aug 2026
Also known publicly as: Tomah Nursing & Rehab CenterVerified public information · checked Aug 2026

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.73 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Jan 13, 2026 cited 8 deficiencies.

View inspection evidence

Ownership

CMS-published records list 19 ownership or control parties.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 26 facilities across 4 states or territories.

View chain evidence

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: For profit - Limited Liability companyCMS
Chain: ATRIUM CENTERSCMS identifies this facility as part of the ATRIUM CENTERS chain.
Related facilities: 23Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

4 CMS-reported ownership organizations
CMS reports 12 individual ownership interests
a CMS chain / common-control group

Related facilities

23 currently connected nursing homes share this CMS organization identity with ATRIUM CENTERS, LLC.

Average CMS overall rating: 3 stars across 23 reporting facilities
CMS monetary penalties: 7 of 23 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 2 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 2 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 19 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $695,028

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 19
Organizations shown: 7
Individuals shown: 12
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

ORION OPERATING SERVICES LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 1, 2007
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LOCKHART, DENNIS
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Aug 3, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ALBRIGHT ROSS, SUSAN
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 24, 2017
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BAILEY, ESSEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 3, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
FINNEY, DONALD
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 3, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ROCCA, MICHAEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 14, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ATRIUM CENTERS MANAGEMENT LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2007
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SHEA, BRANDI
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Mar 9, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ORION OPERATING SERVICES LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 1, 2007
Other facilities connected through this exact CMS organization identity: 13 across KY, MI, OH, WI.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
AMICUS CAPITAL HOLDINGS INC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2021
Other facilities connected through this exact CMS organization identity: 12 across KY, MI, OH, WI.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
ATRIUM CENTERS, LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2007
Other facilities connected through this exact CMS organization identity: 22 across KY, MI, OH, WI.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
LOCKHART, DENNIS
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Aug 3, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
ALBRIGHT ROSS, SUSAN
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 24, 2017
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
BAILEY, ESSEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 3, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
FINNEY, DONALD
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 3, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
ROCCA, MICHAEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 14, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
ATRIUM CENTERS MANAGEMENT LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2007
Other facilities connected through this exact CMS organization identity: 24 across KY, MI, OH, WI.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
SHEA, BRANDI
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Mar 9, 2022
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
ORION TOMAH LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS records connect ORION OPERATING SERVICES LLC to 14 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with ATRIUM CENTERS

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 54 is a grouping identifier, not a legal organization.

Facilities: 26
States and territories: 4
Average overall rating: 3
Average staffing rating: 3.4
Average total nurse HPRD: 3.4
Total fines: 12

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	26	3	3.4
Mon Jun	26	3.1	3.2
Fri May	26	3.1	3.2
Wed Apr	26	3.1	3.2
Sun Mar	26	3.2	3.3
Sun Feb	26	3.2	3.3

Questions to ask

CMS groups facilities in 4 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 12 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Jan 26, 2026
Survey type: Health Complaint
Linked findings: 1
Highest linked CMS classification: D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 525442
Source record locator: csv-row:128565:ccn:525442

View official CMS source

Jan 26, 2026 — Health Complaint — 1 linked finding

F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364145:ccn:525442
View official CMS source

Jan 13, 2026 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jan 13, 2026 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jan 13, 2026 — Health Standard — 8 linked findings

F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364149:ccn:525442
View official CMS source
F0655 — Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364150:ccn:525442
View official CMS source
F0698 — Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364151:ccn:525442
View official CMS source
F0699 — Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364152:ccn:525442
View official CMS source
F0755 — Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364153:ccn:525442
View official CMS source
F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364154:ccn:525442
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364146:ccn:525442
View official CMS source
F0814 — Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 5, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364147:ccn:525442
View official CMS source

Dec 22, 2025 — Health Complaint — 1 linked finding

F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 9, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364155:ccn:525442
View official CMS source

Sep 23, 2025 — Health Complaint — 1 linked finding

F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364156:ccn:525442
View official CMS source

Jun 11, 2025 — Health Complaint — 3 linked findings

F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364158:ccn:525442
View official CMS source
F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364159:ccn:525442
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364157:ccn:525442
View official CMS source

Apr 10, 2025 — Health Complaint — 2 linked findings

F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364160:ccn:525442
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364161:ccn:525442
View official CMS source

Nov 11, 2024 — Health Complaint — 1 linked finding

F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 22, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364162:ccn:525442
View official CMS source

Aug 29, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 29, 2024 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 29, 2024 — Health Standard — 5 linked findings

F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 19, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364166:ccn:525442
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 19, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364167:ccn:525442
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 19, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364165:ccn:525442
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 19, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364163:ccn:525442
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 19, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364168:ccn:525442
View official CMS source

Nov 28, 2023 — Health Complaint — 1 linked finding

F0585 — Resident Rights Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 22, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364169:ccn:525442
View official CMS source

Jul 19, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 19, 2023 — Health Standard — 2 linked findings

F0582 — Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 11, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364171:ccn:525442
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 11, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
525442
Source record locator
csv-row:364170:ccn:525442
View official CMS source

Tags appearing across inspections

F0610 appears in 3 linked inspections.
F0689 appears in 3 linked inspections.
F0880 appears in 3 linked inspections.
F0686 appears in 2 linked inspections.
F0812 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

No penalty records were found for this provider in the currently loaded CMS Penalties dataset.

Questions to ask

Questions generated from the evidence above

CMS records show F0610 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0880 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0686 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Complaint inspection recorded1 deficiency was recorded.
RN staffing increasedRN staffing increased from 0.65 to 0.76 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.

2026

Jan 26
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Jan 13
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Jan 13
Health inspection completed
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2025

Dec 2025
RN staffing increased
RN staffing increased from 0.65 to 0.76 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.65 → 0.76
CMS · Reported in a source release · View related evidence
Dec 22
Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Sep 23
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Jun 11
Complaint inspection recorded
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Apr 10
Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2024

Nov 11
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Aug 29
Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Aug 29
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence

2023

Nov 28
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.386
RN categories: 0.732
LPN/LVN categories: 0.727
CNA: 1.926

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	3.545	2.994
RN categories	0.835	0.479

Contract staff accounted for 0.9% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.025 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.266	0.627	0.703	1.936	1.8%	91
2025Q3	3.173	0.649	0.63	1.894	0%	92
2025Q4	3.352	0.758	0.652	1.942	0%	92
2026Q1	3.386	0.732	0.727	1.926	0.9%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 2-star overall rating.
CMS reports a 2-star health inspection rating.
CMS reports a 3-star staffing rating.
CMS reports a 3-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Suggest a correction Report a source-data concern Represent this facility? Submit a profile claim

How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility All Owners

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

ORION OPERATING SERVICES LLC

LOCKHART, DENNIS

ALBRIGHT ROSS, SUSAN

BAILEY, ESSEL

FINNEY, DONALD

ROCCA, MICHAEL

ATRIUM CENTERS MANAGEMENT LLC

SHEA, BRANDI

ORION OPERATING SERVICES LLC

AMICUS CAPITAL HOLDINGS INC

ATRIUM CENTERS, LLC

LOCKHART, DENNIS

ALBRIGHT ROSS, SUSAN

BAILEY, ESSEL

FINNEY, DONALD

ROCCA, MICHAEL

ATRIUM CENTERS MANAGEMENT LLC

SHEA, BRANDI

ORION TOMAH LLC

What this means

Questions to ask

CMS groups this facility with ATRIUM CENTERS

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0655 — Resident Assessment and Care Planning Deficiencies

F0698 — Quality of Life and Care Deficiencies

F0699 — Quality of Life and Care Deficiencies

F0755 — Pharmacy Service Deficiencies

F0759 — Pharmacy Service Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0814 — Nutrition and Dietary Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0658 — Resident Assessment and Care Planning Deficiencies

F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0880 — Infection Control Deficiencies

F0684 — Quality of Life and Care Deficiencies

F0686 — Quality of Life and Care Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0550 — Resident Rights Deficiencies

F0686 — Quality of Life and Care Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0880 — Infection Control Deficiencies

F0585 — Resident Rights Deficiencies

F0582 — Resident Rights Deficiencies

F0880 — Infection Control Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Questions generated from the evidence above

Facility History

What changed recently?

2026

2025

2024

2023

Reported nursing staffing at a glance

Weekday and weekend calculations

Staffing over time