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Complete Care At Jefferson Meadows Llc

1414 Jefferson St., Baraboo, WI 53913
6083564838
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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 penalties in 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
5 Deficiencies found in last inspections
3 Penalties in last 3 years
3 Fines issued
Citation Date Description Severity
May 13, 2025 Provide activities to meet all resident's needs. D
May 13, 2025 Provide enough food/fluids to maintain a resident's health. G
May 13, 2025 Ensure 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
May 13, 2025 Ensure that residents are free from significant medication errors. D
May 13, 2025 PASARR screening for Mental disorders or Intellectual Disabilities D
Score
4.0
State Average
3.7
National Average
2.9
1.1 RN Hours / Resident / Day
4.2 Total Nurse Hours / Resident / Day
38.5% RN Turnover Rate
Score
5.0
State Average
3.1
National Average
3.6
4.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
49.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST PC WCM OPCO HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST PC WCM TOPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST PEACE CAPITAL HOLDINGS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST SMS 2021 TRUST
OPERATIONAL/MANAGERIAL CONTROL FLYGT, THOMAS
OPERATIONAL/MANAGERIAL CONTROL GREENWOOD, EMILY
OPERATIONAL/MANAGERIAL CONTROL HELMAN, YOSEF
OPERATIONAL/MANAGERIAL CONTROL PENDLETON, JULIE
OPERATIONAL/MANAGERIAL CONTROL STERNBUCH, DANIEL
CORPORATE OFFICER STEIN, SHALOM
Recent Penalties
Date Type Fine
May 13, 2025 Fine $19,135
Jan 31, 2025 Fine $54,140
Feb 27, 2023 Fine $36,290

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