Baldwin Healthcare & Rehab Center, LLCCMS ratings, inspections and fines
- Address
- 1223 Orchard Lane, Baldwin City, KS 66006
- CCN
- 175338
- Ownership type
- For-profit, corporation
- Certified beds
- 60
- Residents per day
- 53
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Baldwin Healthcare & Rehab Center, LLC an overall rating of 5 of 5 stars. The last standard survey was on 15 Apr 2026. The latest survey cycle has 4 health citations. The median for nursing homes in Kansas is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Douglas County median | Kansas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 5 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 296 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Kansas median |
|---|---|---|---|
| Cycle 1 (latest) | 15 Apr 2026 | 4 | 8 |
| Cycle 2 | 12 Jun 2024 | 11 | 8 |
| Cycle 3 | No date | 5 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 May 2026 |
| 15 Apr 2026 | F0761 | 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 | Complaint investigation | 8 May 2026 |
| 15 Apr 2026 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard survey | 8 May 2026 |
| 15 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 May 2026 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 11 Oct 2024 |
| 12 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 28 Jun 2024 |
| 12 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 28 Jun 2024 |
| 12 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 28 Jun 2024 |
| 12 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 28 Jun 2024 |
| 12 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 28 Jun 2024 |
| 12 Jun 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 28 Jun 2024 |
| 12 Jun 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 28 Jun 2024 |
| 12 Jun 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 28 Jun 2024 |
| 12 Jun 2024 | F0758 | 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. | D | Complaint investigation | 28 Jun 2024 |
| 12 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 28 Jun 2024 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Oct 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 11 Nov 2022 |
| 5 Oct 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Nov 2022 |
| 5 Oct 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 11 Nov 2022 |
| 5 Oct 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Nov 2022 |
| 5 Oct 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Nov 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Kansas median | Kansas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.43 | 3.90 | 4.07 |
| Registered nurses (RN) | 0.56 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.59 | 0.65 | |
| Nurse aides | 2.28 | 2.70 | |
| All nurse staff, weekends | 3.19 | 3.50 | 3.60 |
- Nurse staff turnover in a year
- 46.7%
- Nurse staff turnover, Kansas median
- 47.4%
- RN turnover in a year
- 37.5%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.8% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.6% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.2% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.9% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.0% | 15.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Recover-Care Baldwin City LLC
- Chain
- Recover-Care Healthcare (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Midwest Recover-Care LLC | Direct ownership interest | 28 Feb 2025 | |
| MRCMM LLC | Direct ownership interest | 28 Feb 2025 | |
| BHNV 2 LLC | Indirect ownership interest | 28 Feb 2025 | |
| Kansas SNF Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| Rarmna Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| Recover-Care Healthcare LLC | Indirect ownership interest | 28 Feb 2025 | |
| RNR Holdings LLC | Indirect ownership interest | 28 Feb 2025 | |
| MRC SNF Management LLC | Operational/managerial control | 1 Apr 2017 | |
| Baldwin City SNF Realty LLC | Adp of the snf | 19 Sep 2025 | |
| BHNV Property Holdings 2 LLC | Adp of the snf | 28 Feb 2025 | |
| BK 5 Hud Facilities LLC | Adp of the snf | 19 Sep 2025 | |
| Kansas SNF Holdings LLC | Adp of the snf | 28 Feb 2025 | |
| MRC SNF Management LLC | Adp of the snf | 30 Jan 2025 | |
| Rarmna Holdings LLC | Adp of the snf | 28 Feb 2025 | |
| Recover Care Healthcare Property 2 LLC | Adp of the snf | 28 Feb 2025 | |
| RNR Holdings LLC | Adp of the snf | 28 Feb 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Douglas County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Medicalodges Eudora | Eudora | 1 of 5 | 23 | $29,802 | 14 Aug 2024 | |
| Lawrence Presbyterian Manor | Lawrence | 3 of 5 | 6 | $0 | 18 Feb 2026 | |
| Lawrence Memorial Hospital SNF | Lawrence | 3 of 5 | 8 | $0 | 14 Oct 2024 | |
| Pioneer Ridge Retirement Community | Lawrence | 1 of 5 | 22 | $29,286 | 3 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Baldwin Healthcare & Rehab Center, LLC (CCN 175338). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/baldwin-healthcare-rehab-center-llc-baldwin-city-ks-175338/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Baldwin Healthcare & Rehab Center, LLC last inspected?
- The latest inspection with a citation in the CMS record was on 15 Apr 2026. It was a standard survey and a complaint investigation. It gave 4 citations. The standard survey before the last one was on 12 Jun 2024.
- Who operates Baldwin Healthcare & Rehab Center, LLC?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Recover-Care Healthcare. The CMS ownership file names MRC SNF Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Baldwin Healthcare & Rehab Center, LLC a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kansas as a Special Focus Facility and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.