nursing home in Baldwin City, KS
Baldwin Healthcare & Rehab Center, LLC
1223 Orchard Lane, Baldwin City, KS 66006 · (785) 594-6492
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Baldwin Healthcare & Rehab Center, LLC at a glance
Baldwin Healthcare & Rehab Center, LLC is a 60-bed for-profit nursing home in Baldwin City, Kansas (Douglas County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Kansas average of 3.1.
Residents receive about 3.4 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 4.1 hours.
Its most recent standard health inspection (April 15, 2026) found 4 health citations. The Kansas average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 46.7% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Recover-Care Healthcare
- Medicare-certified since
- January 1, 1995
- Resident/family council
- Resident
- County
- Douglas County
- CMS Certification Number
- 175338
Ratings
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.1 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.43 hrs | 4.07 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.28 hrs | 2.70 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.19 hrs | 3.60 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 46.7% | 48.1% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 37.5% | 42% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 27 | 83.4 | 80.6 | Better |
Penalties
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $20,430 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 61 | 107 | |
| Average residents per day | 53 | 51 | 86 | |
| Occupancy | 87.7% | 82.4% | 80.9% |
Long-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.6% | 4.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.9% | 4.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 2% | 18.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 1.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.8% | 17.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 9.2% | 16.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.8% | 4.9% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3% | 6.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.8% | 23.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 31% | 22.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 92.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.9% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 97.8% | 73.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 91.1% | 76.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 15, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 23, 2026 |
| April 15, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 23, 2026 |
| April 15, 2026 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected June 12, 2026 |
| April 15, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 29, 2026 |
| April 15, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected June 12, 2026 |
| April 15, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected June 29, 2026 |
| April 15, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected June 12, 2026 |
| April 15, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 8, 2026 |
| April 15, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 8, 2026 |
| April 15, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 8, 2026 |
| April 15, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | C No harm, widespread | Corrected May 8, 2026 |
| September 24, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected October 11, 2024 |
| June 12, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 6, 2024 |
| June 12, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected August 6, 2024 |
| June 12, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 9, 2024 |
| June 12, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 24, 2024 |
| June 12, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected July 24, 2024 |
| June 12, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 24, 2024 |
| June 12, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected July 24, 2024 |
| June 12, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected August 2, 2024 |
| June 12, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected July 24, 2024 |
| June 12, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected July 24, 2024 |
| June 12, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 24, 2024 |
| June 12, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected July 24, 2024 |
| June 12, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 28, 2024 |
| June 12, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 28, 2024 |
| June 12, 2024 Complaint | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected June 28, 2024 |
| June 12, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 28, 2024 |
| June 12, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 28, 2024 |
| June 12, 2024 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 28, 2024 |
| June 12, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 28, 2024 |
| June 12, 2024 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 28, 2024 |
| June 12, 2024 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 28, 2024 |
| June 12, 2024 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected June 28, 2024 |
| October 5, 2022 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected November 8, 2022 |
| October 5, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 8, 2022 |
| October 5, 2022 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected November 8, 2022 |
| October 5, 2022 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected November 8, 2022 |
| October 5, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected November 8, 2022 |
| October 5, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected November 8, 2022 |
| October 5, 2022 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected November 8, 2022 |
| October 5, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected November 8, 2022 |
| October 5, 2022 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected November 8, 2022 |
| October 5, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected November 8, 2022 |
| October 5, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 11, 2022 |
| October 5, 2022 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected November 11, 2022 |
| October 5, 2022 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 11, 2022 |
| October 5, 2022 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected November 11, 2022 |
| October 5, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 11, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AKKULUGARI, SHYAM Individual | adp of the snf | NOT APPLICABLE | 03/25/2025 |
| BALDWIN CITY SNF REALTY LLC Organization | adp of the snf | NOT APPLICABLE | 09/19/2025 |
| BELVEAL, MEGAN Individual | adp of the snf | NOT APPLICABLE | 04/15/2025 |
| BHNV PROPERTY HOLDINGS 2 LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| BK 5 HUD FACILITIES LLC Organization | adp of the snf | NOT APPLICABLE | 09/19/2025 |
| KANSAS SNF HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| MAD FAMILY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| MRC SNF MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 01/30/2025 |
| NATR TRUST Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| RARMNA HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| RATR TRUST Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| RECOVER CARE HEALTHCARE PROPERTY 2 LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| RNR HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| WETR TRUST Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| MIDWEST RECOVER-CARE LLC Organization | direct ownership interest | NOT APPLICABLE | 02/28/2025 |
| MRCMM LLC Organization | direct ownership interest | NOT APPLICABLE | 02/28/2025 |
| BHNV 2 LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| GOLDSTEIN, AVROHOM Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| KANSAS SNF HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| MAD FAMILY HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| MARGULIES, ZISHA Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| NATR TRUST Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| RARMNA HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| RATR TRUST Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| RECOVER-CARE HEALTHCARE LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| RNR HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| WETR TRUST Organization | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| AKKULUGARI, SHYAM Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| BELVEAL, MEGAN Individual | operational/managerial control | NOT APPLICABLE | 12/07/2022 |
| EDWARDS, AMANDA Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| MARGULIES, ZISHA Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| MRC SNF MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
Other nursing homes near Baldwin Healthcare & Rehab Center, LLC
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★★★★★1Much below averageRock Creek of Ottawa
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★★★★★3AverageLawrence Presbyterian Manor
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★★★★★3AverageMeadowbrook Rehabilitation Hospital
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Frequently asked questions
What is Baldwin Healthcare & Rehab Center, LLC's rating?
Baldwin Healthcare & Rehab Center, LLC has 5 out of 5 stars on the CMS overall star rating. The average for Kansas nursing homes is 3.1 stars.
How many inspection citations did Baldwin Healthcare & Rehab Center, LLC receive?
Its most recent standard health inspection found 4 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Baldwin Healthcare & Rehab Center, LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Baldwin Healthcare & Rehab Center, LLC?
It is for profit - corporation and part of Recover-Care Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Baldwin Healthcare & Rehab Center, LLC and how do I contact it?
Baldwin Healthcare & Rehab Center, LLC is at 1223 Orchard Lane, Baldwin City, KS 66006. Phone: (785) 594-6492.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.