nursing home in Baraboo, WI
Complete Care at Jefferson Meadows LLC
1414 Jefferson St., Baraboo, WI 53913 · (608) 356-4838
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Complete Care at Jefferson Meadows LLC at a glance
Complete Care at Jefferson Meadows LLC is a 102-bed for-profit nursing home in Baraboo, Wisconsin (Sauk County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Wisconsin average of 3.
Residents receive about 3.9 hours of nursing care per day (1.2 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (May 13, 2025) found 15 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 2 times in the past three years, totaling $54,326.
Nursing staff turnover is 63.6% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 102
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Complete Care
- Medicare-certified since
- February 1, 1982
- Resident/family council
- Resident
- County
- Sauk County
- CMS Certification Number
- 525317
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.1 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.92 hrs | 4.21 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.20 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.17 hrs | 2.58 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.41 hrs | 3.77 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 63.6% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 39.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 15 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 103.3 | 100.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $54,326 | $48,150 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 102 | 77 | 107 | |
| Average residents per day | 50 | 55 | 86 | |
| Occupancy | 48.5% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.4% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 7% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.5% | 2.7% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.9% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 19.5% | 16.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 20.3% | 18.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.2% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 37.9% | 5.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.3% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 38.5% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.6% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 82.7% | 95.7% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.3% | 82.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 44.2% | 86.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 2, 2026 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 | D Potential harm, isolated | Corrected July 15, 2026 |
| May 13, 2025 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 10, 2025 |
| May 13, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected June 10, 2025 |
| May 13, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 10, 2025 |
| May 13, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected June 10, 2025 |
| May 13, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 10, 2025 |
| May 13, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 10, 2025 |
| May 13, 2025 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 13, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 13, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 13, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 13, 2025 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 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 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 June 10, 2025 |
| May 13, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 13, 2025 Complaint | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected June 10, 2025 |
| May 13, 2025 Standard | 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 June 10, 2025 |
| May 13, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected June 10, 2025 |
| May 13, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | C No harm, widespread | Corrected June 10, 2025 |
| January 31, 2025 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0700 | K Immediate jeopardy, pattern | Corrected February 21, 2025 |
| May 14, 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 May 24, 2024 |
| May 14, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected May 24, 2024 |
| May 14, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected June 7, 2024 |
| May 14, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected May 24, 2024 |
| May 14, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected May 24, 2024 |
| May 14, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected May 24, 2024 |
| February 27, 2023 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 February 18, 2023 |
| February 27, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected March 2, 2023 |
| February 27, 2023 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 March 6, 2023 |
| February 27, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 3, 2023 |
| February 27, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected February 18, 2023 |
| February 27, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected March 7, 2023 |
| February 27, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected February 28, 2023 |
| February 27, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | J Immediate jeopardy, isolated | Corrected March 24, 2023 |
| February 27, 2023 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | E Potential harm, pattern | Corrected March 13, 2023 |
| February 27, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected March 24, 2023 |
| February 27, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected March 24, 2023 |
| February 27, 2023 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected March 13, 2023 |
| February 27, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 24, 2023 |
| February 27, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected March 24, 2023 |
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 2 federal penalties in the past three years, including $54,326 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 13, 2025 | Fine | $19,135 |
| January 31, 2025 | Fine | $35,191 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PC WCM OPCO HOLDCO LLC Organization | 5% or greater direct ownership interest | 100% | 02/28/2025 |
| PC WCM TOPCO LLC Organization | 5% or greater indirect ownership interest | — | 02/28/2025 |
| PEACE CAPITAL HOLDINGS II LLC Organization | 5% or greater indirect ownership interest | — | 02/28/2025 |
| SMS 2021 TRUST Organization | 5% or greater indirect ownership interest | — | 02/28/2025 |
| DES CAPITAL LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| FLYGT, THOMAS Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| GREENWOOD, EMILY Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| JRK INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| KLUGMAN, JACOB Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| LEVERENTZ, LUANNE Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| PC WCM PROPCO HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| PC WCM TOPCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| PEACE CAPITAL HOLDINGS II LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| PENDLETON, JULIE Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| SMS 2021 TRUST Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| ST. CLARE PROPCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| STERNBUCH, DANIEL Individual | adp of the snf | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | corporate officer | NOT APPLICABLE | 02/28/2025 |
| KLUGMAN, JACOB Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | indirect ownership interest | NOT APPLICABLE | 02/28/2025 |
| HELLMAN, YOSEF Individual | managing control - governing body | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | managing control - governing body | NOT APPLICABLE | 02/28/2025 |
| FLYGT, THOMAS Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| GREENWOOD, EMILY Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| HELLMAN, YOSEF Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| PENDLETON, JULIE Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| STERNBUCH, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 02/28/2025 |
| STEIN, SHALOM Individual | trustee of the snf | NOT APPLICABLE | 02/28/2025 |
Other nursing homes near Complete Care at Jefferson Meadows LLC
Wisconsin Dells Health Services
300 Race St., Wisconsin Dells, WI 53965 · 9.7 mi
For-profit · 90 beds · Part of North Shore Healthcare
★★★★★4Above average- ★★★★★3Average
Ridgeview Terrace Long Term Care
2350 N. Dewey Ave., Reedsburg, WI 53959 · 14.3 mi
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- CMS high performer
★★★★★5Much above averageDove Healthcare - Lodi
700 Clark St, Lodi, WI 53555 · 15 mi
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★★★★★3Average- ★★★★★1Much below average
Columbia Health Care Center
323 W. Monroe St., Wyocena, WI 53969 · 20.8 mi
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- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Complete Care at Jefferson Meadows LLC's rating?
Complete Care at Jefferson Meadows LLC has 3 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Complete Care at Jefferson Meadows LLC receive?
Its most recent standard health inspection found 15 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Complete Care at Jefferson Meadows 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 Complete Care at Jefferson Meadows LLC?
It is for profit - limited liability company and part of Complete Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Complete Care at Jefferson Meadows LLC and how do I contact it?
Complete Care at Jefferson Meadows LLC is at 1414 Jefferson St., Baraboo, WI 53913. Phone: (608) 356-4838.
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.