• 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.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide activities to meet all resident's needs.
Provide enough food/fluids to maintain a resident's health.
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.
Ensure that residents are free from significant medication errors.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Provide and implement an infection prevention and control program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Implement a program that monitors antibiotic use.
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.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Keep residents' personal and medical records private and confidential.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PC WCM OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Feb 28, 2025 |
| PC WCM TOPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 28, 2025 |
| PEACE CAPITAL HOLDINGS II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 28, 2025 |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 28, 2025 |
| FLYGT, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| GREENWOOD, EMILY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| HELMAN, YOSEF | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| PENDLETON, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| STERNBUCH, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 28, 2025 |
| STEIN, SHALOM | CORPORATE OFFICER | Individual | N/A | Feb 28, 2025 |
This chain operates 85 facilities. View all →