About Complete Care at Jefferson Meadows LLC
Complete Care At Jefferson Meadows Llc, located in Baraboo, WI, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Complete Care at Jefferson Meadows LLC
- More Nursing Time: Staff spends 3.88 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 3.88 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the COMPLETE CARE network. This chain operates 85 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Complete Care at Jefferson Meadows LLC provides less care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 2 |
|
| Quality Measures | 4 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 92 | May 13, 2025 |
| Weighted Average | 100 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 18.1% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 19.0% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.4% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.3% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 21.1% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.9% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 2.9% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 3.1% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 23.2% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 86.4% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 60.7% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 32.4% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 11.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 97.6% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 94.3% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 1.9% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 41.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 8.7% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2025: 5 complaints
- Total: 5 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Jun 10, 2025 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| Jun 10, 2025 | Respond appropriately to all alleged violations. |
| Jun 10, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jun 10, 2025 | Implement a program that monitors antibiotic use. |
| Feb 21, 2025 | 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. |
Nearby Hospitals
ASPIRUS DIVINE SAVIOR HOSPITAL
PORTAGE, WI
SSM HEALTH ST CLARE HOSPITAL - BARABOO
BARABOO, WI
MILE BLUFF MEDICAL CENTER
MAUSTON, WI
SAUK PRAIRIE HOSPITAL
PRAIRIE DU SAC, WI
REEDSBURG AREA MEDICAL CENTER
REEDSBURG, WI
MENDOTA MENTAL HEALTH INSTITUTE
MADISON, WI
Owner & Operator Information
Business Entity
ST CLARE CARE AND REHAB CENTER LLC
Ownership Structure
- PC WCM OPCO HOLDCO LLC Direct: 100%
- PC WCM TOPCO LLC Indirect
- PEACE CAPITAL HOLDINGS II LLC Indirect
- SMS 2021 TRUST Indirect
Management & Direction
- DES CAPITAL LLC ADP OF THE SNF
- THOMAS FLYGT ADP OF THE SNF
- THOMAS FLYGT OPERATIONAL/MANAGERIAL CONTROL
- EMILY GREENWOOD ADP OF THE SNF
- EMILY GREENWOOD OPERATIONAL/MANAGERIAL CONTROL
- YOSEF HELMAN MANAGING CONTROL - GOVERNING BODY
- YOSEF HELMAN OPERATIONAL/MANAGERIAL CONTROL
- JRK INVESTMENTS LLC ADP OF THE SNF
- JACOB KLUGMAN ADP OF THE SNF
- LUANNE LEVERENTZ ADP OF THE SNF
- PC WCM PROPCO HOLDCO LLC ADP OF THE SNF
- PC WCM TOPCO LLC ADP OF THE SNF
- PEACE CAPITAL HOLDINGS II LLC ADP OF THE SNF
- JULIE PENDLETON OPERATIONAL/MANAGERIAL CONTROL
- JULIE PENDLETON ADP OF THE SNF
- SMS 2021 TRUST ADP OF THE SNF
- ST. CLARE PROPCO LLC ADP OF THE SNF
- SHALOM STEIN ADP OF THE SNF
- SHALOM STEIN TRUSTEE OF THE SNF
- SHALOM STEIN CORPORATE OFFICER
- SHALOM STEIN MANAGING CONTROL - GOVERNING BODY
- DANIEL STERNBUCH OPERATIONAL/MANAGERIAL CONTROL
- DANIEL STERNBUCH ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Ridgeview Terrace Long Term Care | N/A | 5 |
| Columbia Health Care Center | N/A | 5 |
| Fair View Nursing and Rehabilitation Center | N/A | 4 |
| Avina of Sun Prairie | N/A | 4 |
| Greenway Manor | N/A | 4 |
| Maplewood of Sauk Prairie | N/A | 5 |
| Waunakee Valley Senior Living | N/A | 4 |
| Dove Healthcare - Lodi | N/A | 3 |
| Wisconsin Dells Health Services | N/A | 3 |
| Complete Care at Jefferson Meadows LLC | N/A | 2 |
Related Analysis
Best Nursing Homes in Baraboo, WI
Compare Complete Care at Jefferson Meadows LLC to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Complete Care at Jefferson Meadows LLC directly at 6083564838. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.