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Complete Care At Jefferson Meadows Llc in Baraboo, WI

1414 Jefferson St., Baraboo, WI 53913
6083564838
Hours not listed yet
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.7/5

5.0/5

Quality Measures

vs State Average: 3.1/5

3 penaltiesin last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
3Penalties in last 3 years
3Fines issued
CitationDateDescriptionSeverity
F881May 13, 2025Implement a program that monitors antibiotic use.E
F645May 13, 2025PASARR screening for Mental disorders or Intellectual DisabilitiesD
F679May 13, 2025Provide activities to meet all resident's needs.D
F692May 13, 2025Provide enough food/fluids to maintain a resident's health.G
F693May 13, 2025Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D
Score
4.0
State Average
3.7
National Average
2.9
1.1RN Hours / Resident / Day
4.2Total Nurse Hours / Resident / Day
38.5%RN Turnover Rate
Score
5.0
State Average
3.1
National Average
3.6
4.0Long-Stay QM Rating
5.0Short-Stay QM Rating
49.7Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay
Percentage of long-stay residents who lose too much weightLong Stay
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay
Percentage of long-stay residents with a urinary tract infectionLong Stay
Percentage of long-stay residents who have depressive symptomsLong Stay
Percentage of long-stay residents who were physically restrainedLong Stay
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineLong Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineShort Stay
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTERESTPC WCM OPCO HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTPC WCM TOPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTPEACE CAPITAL HOLDINGS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTSMS 2021 TRUST
OPERATIONAL/MANAGERIAL CONTROLFLYGT, THOMAS
OPERATIONAL/MANAGERIAL CONTROLGREENWOOD, EMILY
OPERATIONAL/MANAGERIAL CONTROLHELMAN, YOSEF
OPERATIONAL/MANAGERIAL CONTROLPENDLETON, JULIE
OPERATIONAL/MANAGERIAL CONTROLSTERNBUCH, DANIEL
CORPORATE OFFICERSTEIN, SHALOM
Recent Penalties
DateTypeFine
May 13, 2025Fine$19,135
Jan 31, 2025Fine$54,140
Feb 27, 2023Fine$36,290

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