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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeWisconsinComplete Care at Jefferson Meadows LLC

Complete Care at Jefferson Meadows LLC

1414 Jefferson St., Baraboo, WI 539136083564838
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
5/5
Beds
102
certified
Ownership changed in the last 12 months.
3 fine(s) totaling $109,565

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 102 certified beds with an average of 49.7 residents per day (49% occupancy)

• Last health inspection found 14 deficiencies (inspected May 13, 2025)

• Has been fined a total of $109,565 across 3 fine(s)

• Total nursing staff: 4.20 hours per resident per day

• Staff turnover rate: 60.0% (high)

• Part of the Complete Care chain (85 facilities)

Complete Care at Jefferson Meadows LLC is a 3-star Medicare and Medicaid certified nursing home in Baraboo, Wisconsin with 102 certified beds. It has been operating since 1982. The facility scored at average compared to Wisconsin facilities.

Beds
102
Avg Residents/Day
49.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 1, 1982
Sprinklers
Yes
Council
Resident
County
Sauk
Last Inspection
May 13, 2025
Deficiencies (Cycle 1)
14
Weighted Score
100.3
Infection Citations
0

Deficiency Citations (22)

F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: May 13, 2025Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: May 13, 2025Corrected: NoCycle: 1
F0692Actual Harm

Provide enough food/fluids to maintain a resident's health.

Survey: May 13, 2025Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: May 13, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 13, 2025Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: May 13, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 13, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: May 13, 2025Corrected: NoCycle: 1
F0849Potential for Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey: May 13, 2025Corrected: NoCycle: 1
F0880Minimal Harm

Provide and implement an infection prevention and control program.

Survey: May 13, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 13, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 13, 2025Corrected: NoCycle: 1
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: May 13, 2025Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: May 13, 2025Corrected: NoCycle: 1
F0700Immediate Jeopardy

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: Jan 31, 2025Corrected: NoCycle: 2
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Feb 27, 2023Corrected: NoCycle: 3
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Feb 27, 2023Corrected: NoCycle: 3
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Feb 27, 2023Corrected: NoCycle: 3
F0604Potential for Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey: Feb 27, 2023Corrected: NoCycle: 3
F0686Immediate Jeopardy

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 27, 2023Corrected: NoCycle: 3
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Feb 27, 2023Corrected: NoCycle: 3
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Feb 27, 2023Corrected: NoCycle: 3
Total Fines
$109,565
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineMay 13, 2025
$19,135
FineFeb 27, 2023
$36,290
FineJan 31, 2025
$54,140

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.71 hrs
National avg: 2.35 hrs
LPN0.42 hrs
National avg: 0.86 hrs
RN1.06 hrs
National avg: 0.68 hrs
Total Nursing4.20 hrs
National avg: 3.89 hrs
Weekend Total3.65 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
60.0%
RN Turnover
38.5%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
Yes (within 12 months)

Owners & Managers (10)

NameRoleTypeOwnership %Since
PC WCM OPCO HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Feb 28, 2025
PC WCM TOPCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 28, 2025
PEACE CAPITAL HOLDINGS II LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 28, 2025
SMS 2021 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 28, 2025
FLYGT, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
GREENWOOD, EMILYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
HELMAN, YOSEFOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
PENDLETON, JULIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
STERNBUCH, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 28, 2025
STEIN, SHALOMCORPORATE OFFICERIndividualN/AFeb 28, 2025

Frequently Asked Questions

What is the CMS rating for Complete Care at Jefferson Meadows LLC?▾
Complete Care at Jefferson Meadows LLC has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 5/5. This facility is rated average.
Has Complete Care at Jefferson Meadows LLC had any health inspection violations?▾
Complete Care at Jefferson Meadows LLC had 14 deficiency citations in its most recent health inspection (May 13, 2025). The facility has been fined a total of $109,565 across 3 fine(s).
What are the staffing levels at Complete Care at Jefferson Meadows LLC?▾
Complete Care at Jefferson Meadows LLC provides 4.20 total nursing staff hours per resident per day, including 1.06 RN hours, 0.42 LPN hours, and 2.71 nurse aide hours. The total staff turnover rate is 60.0%.
How many beds does Complete Care at Jefferson Meadows LLC have?▾
Complete Care at Jefferson Meadows LLC has 102 certified beds with an average of 49.7 residents per day, resulting in approximately 49% occupancy. The facility is For profit - Limited Liability company owned and is part of the Complete Care chain.

Part of Complete Care

This chain operates 85 facilities. View all →