BALDWIN HEALTHCARE & REHAB CENTER, LLC
1223 ORCHARD LANE, BALDWIN CITY, KS 66006 · CCN 175338
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 49.5
- Phone
- 7855946492
Inspection history vs Kansas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Kansas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-06-12 | 10 | 10.1 | 9.5 | -0.1 better |
| 2 | 2022-10-05 | 6 | 9.9 | 9.8 | -3.9 better |
| 3 | 2021-05-13 | 6 | 7.2 | 9.3 | -1.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.56 | 48.5% |
| RN staffing (reported) | 0.54 | 40.0% |
| Total nurse staffing (adjusted) | 3.20 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- RECOVER-CARE HEALTHCARE
- Facilities in chain
- 25
- Chain avg overall
- 2.50 / 5
Inspection citations (22)1 immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-24 · Health · corrected 2024-10-11
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-12 · Health · corrected 2024-06-28
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-12 · Health · corrected 2024-06-28
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-06-12 · Health · corrected 2024-06-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-12 · Health · corrected 2024-06-28
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-12 · Health · corrected 2024-06-28
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-06-12 · Health · corrected 2024-06-28
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-06-12 · Health · corrected 2024-06-28
Potential for minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-06-12 · Health · corrected 2024-06-28
Potential for more than minimal harm
- DF0758Implement 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.2024-06-12 · Health · corrected 2024-06-28
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-06-12 · Health · corrected 2024-06-28
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-14 · Health · corrected 2023-03-09
Immediate jeopardy
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-10-05 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-05 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-10-05 · Health · corrected 2022-11-11
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-05 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-10-05 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-05-13 · Health · corrected 2021-06-25
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2021-05-13 · Health · corrected 2021-06-25
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2021-05-13 · Health · corrected 2021-06-25
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-05-13 · Health · corrected 2021-06-25
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-05-13 · Health · corrected 2021-06-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MIDWEST RECOVER-CARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| KANSAS SNF HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| MAD FAMILY HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| NATR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| RARMNA HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| RATR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| RECOVER-CARE HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| RNR HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| WETR TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| MARGULIES, ZISHA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 |
| MARGULIES, ZISHA | Individual | CORPORATE OFFICER | — | 2023-05-01 |
| MARGULIES, ZISHA | Individual | W-2 MANAGING EMPLOYEE | — | 2023-05-01 |
Other facilities in BALDWIN CITY
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.