Nursing homes › Wisconsin › Complete Care at Jefferson Meadows LLC
1414 Jefferson St., Baraboo, WI 53913 · 6083564838 · 102 certified beds
Per CMS filings, this facility is affiliated with Complete Care, a group operating 85 facilities in 8 states. Group record: average rating 3.1/5, 7 abuse citation icons, 0 facilities on the Special Focus list, $2,308,934 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 3.92 (Wisconsin median: 4.06). RN hours: 1.20. Weekend total: 3.41. Nursing staff turnover: 64%.
All-time on record: 22 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-13 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2025-06-10 |
| 2025-05-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-06-10 |
| 2025-05-13 | 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. | E | Health | corrected 2025-06-10 |
| 2025-05-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2025-06-10 |
| 2025-05-13 | Implement a program that monitors antibiotic use. | E | complaint | corrected 2025-06-10 |
| 2025-05-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-06-10 |
| 2025-05-13 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-06-10 |
| 2025-05-13 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-06-10 |
| 2025-05-13 | Provide activities to meet all resident's needs. | D | Health | corrected 2025-06-10 |
| 2025-05-13 | 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. | D | Health | corrected 2025-06-10 |
| 2025-05-13 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2025-06-10 |
| 2025-05-13 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-06-10 |
| 2025-05-13 | 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. | D | Health | corrected 2025-06-10 |
| 2025-05-13 | Provide and implement an infection prevention and control program. | C | Health | corrected 2025-06-10 |
| 2025-01-31 | 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. | K | complaint | corrected 2025-02-21 |
| 2023-02-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Health | corrected 2023-03-24 |
| 2023-02-27 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Health | corrected 2023-03-13 |
| 2023-02-27 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2023-03-24 |
| 2023-02-27 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2023-03-24 |
| 2023-02-27 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2023-03-13 |
| 2023-02-27 | 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. | D | Health | corrected 2023-03-24 |
| 2023-02-27 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2023-03-24 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-13 | Fine | $19,135 |
| 2025-01-31 | Fine | $35,191 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PC WCM OPCO HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/28/2025 |
| PC WCM TOPCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/28/2025 |
| PEACE CAPITAL HOLDINGS II LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/28/2025 |
| SMS 2021 TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/28/2025 |
| KLUGMAN, JACOB | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/28/2025 |
| STEIN, SHALOM | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/28/2025 |
| HELLMAN, YOSEF | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/28/2025 |
| STEIN, SHALOM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/28/2025 |
| STEIN, SHALOM | Corporate Officer | Individual | NOT APPLICABLE | since 02/28/2025 |
| FLYGT, THOMAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| GREENWOOD, EMILY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| HELLMAN, YOSEF | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| PENDLETON, JULIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| STERNBUCH, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525317. Corrections: data@carerecords.org.