Wisconsin › Sauk County › Baraboo
Complete Care At Jefferson Meadows LLC
1414 Jefferson St., Baraboo, WI 53913
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Complete Care At Jefferson Meadows LLC is a For-profit, limited liability company nursing home in Baraboo, Wisconsin, certified for 102 beds and caring for about 50 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Wisconsin median; the health inspection rating is 2, staffing 3 and quality measures 5.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (15, 1, 7 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 22.5 per 100 beds, fewer than the state median of 31.8.
CMS lists 2 penalties in the period covered: fines totalling $54K.
Reported nurse staffing is 3.9 hours per resident per day (1.2 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 63.6%.
Compared with county, state and nation
| Measure | This facility | Sauk Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 16 | 21 | 28.7 |
| Citations per 100 beds | 22.5 | 18.7 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.9 | 4.4 | 4.0 | 3.9 |
| RN hours per resident day | 1.2 | 1.2 | 0.9 | 0.7 |
| Nursing staff turnover | 63.6% | 53.8% | 46.2% | 45.8% |
| Fines listed | $54,326 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 May 2025, 14 May 2024.
Severity mix: J ×1 K ×1 G ×1 D ×14 E ×4 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Jul 2026 |
| 13 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 10 Jun 2025 |
| 13 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Jun 2025 |
| 13 May 2025 | 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 | Standard survey | 10 Jun 2025 |
| 13 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 10 Jun 2025 |
| 13 May 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Complaint investigation | 10 Jun 2025 |
| 13 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 Jun 2025 |
| 13 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 10 Jun 2025 |
| 13 May 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 10 Jun 2025 |
| 13 May 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 10 Jun 2025 |
| 13 May 2025 | F0693 | 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 | Standard survey | 10 Jun 2025 |
| 13 May 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 10 Jun 2025 |
| 13 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 10 Jun 2025 |
| 13 May 2025 | F0849 | 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 | Standard survey | 10 Jun 2025 |
| 13 May 2025 | F0880 | Provide and implement an infection prevention and control program. | C | Standard survey | 10 Jun 2025 |
| 31 Jan 2025 | F0700 | 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 investigation | 21 Feb 2025 |
| 27 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard survey | 24 Mar 2023 |
| 27 Feb 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Standard survey | 13 Mar 2023 |
| 27 Feb 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 24 Mar 2023 |
| 27 Feb 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 24 Mar 2023 |
| 27 Feb 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 13 Mar 2023 |
| 27 Feb 2023 | F0688 | 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 | Standard survey | 24 Mar 2023 |
| 27 Feb 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 24 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 May 2025 | Fine | $19,135 | |
| 31 Jan 2025 | Fine | $35,191 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 63.6%, RNs 55.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.5% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.9% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 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 | 20.3% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.4% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.0% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: St Clare Care And Rehab Center Llc. Chain: Complete Care (85 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pc Wcm Opco Holdco LLC | 5% or greater direct ownership interest | 100% | 02/28/2025 |
| Pc Wcm Topco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/28/2025 |
| Des Capital LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
| Jrk Investments LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
| Pc Wcm Propco Holdco LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
| Pc Wcm Topco LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
| St. Clare Propco LLC | Adp of the snf | NOT APPLICABLE | 02/28/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sauk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Ridgeview Terrace Long Term Care | Reedsburg | 25 | 5 | 5 | 5 | 0 | 0.0 | — | — |
| Greenway Manor | Spring Green | 50 | 3 | 4 | 1 | 8 | 16.0 | — | 25 Feb 2026 |
| Maplewood of Sauk Prairie | Sauk City | 107 | 3 | 2 | 4 | 20 | 18.7 | — | 2 Jul 2026 |
| Sauk Co Health Care Center | Reedsburg | 82 | 1 | 1 | 4 | 16 | 19.5 | $161K | 3 Feb 2026 |
All 5 facilities in Sauk County
Questions and answers
How many deficiencies has Complete Care At Jefferson Meadows LLC been cited for?
23 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Complete Care At Jefferson Meadows LLC been fined?
Yes. CMS lists fines totalling $54K in the period covered.
How does staffing at Complete Care At Jefferson Meadows LLC compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Complete Care At Jefferson Meadows LLC?
It is part of the Complete Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pc Wcm Opco Holdco LLC and Pc Wcm Topco LLC. Individual owners and managers are not listed on this site.
When was Complete Care At Jefferson Meadows LLC last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jul 2026; the most recent standard health survey was 13 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.