Starfile / Wisconsin

Complete Care at Jefferson Meadows LLC

1414 Jefferson St., Baraboo, WI 53913 · CCN 525317

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$73,275

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

COMPLETE CARE

Facilities in chain

85

Chain avg overall

3.20 / 5

Inspection citations (22)2 immediate jeopardy1 actual harm

1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-13 · Health · corrected 2025-06-10

   Potential for more than minimal harm

2. DF0610Respond appropriately to all alleged violations.2025-05-13 · Health · corrected 2025-06-10

   Potential for more than minimal harm

3. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-13 · Health · corrected 2025-06-10

   Potential for more than minimal harm

4. DF0679Provide activities to meet all resident's needs.2025-05-13 · Health · corrected 2025-06-10

   Potential for more than minimal harm

5. GF0692Provide enough food/fluids to maintain a resident's health.2025-05-13 · Health · corrected 2025-06-10

   Actual harm

6. DF0693Ensure 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.2025-05-13 · Health · corrected 2025-06-10

   Potential for more than minimal harm

7. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-05-13 · Health · corrected 2025-06-10

   Potential for more than minimal harm

8. DF0760Ensure that residents are free from significant medication errors.2025-05-13 · Health · corrected 2025-06-10

   Potential for more than minimal harm

9. EF0761Ensure 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.2025-05-13 · Health · corrected 2025-06-10

   Potential for more than minimal harm

10. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-13 · Health · corrected 2025-06-10

    Potential for more than minimal harm

11. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-13 · Health · corrected 2025-06-10

    Potential for more than minimal harm

12. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-05-13 · Health · corrected 2025-06-10

    Potential for more than minimal harm

13. CF0880Provide and implement an infection prevention and control program.2025-05-13 · Health · corrected 2025-06-10

    Potential for minimal harm

14. EF0881Implement a program that monitors antibiotic use.2025-05-13 · Health · corrected 2025-06-10

    Potential for more than minimal harm

15. KF0700Try 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.2025-01-31 · Health · corrected 2025-02-21

    Immediate jeopardy

16. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-02-27 · Health · corrected 2023-03-24

    Potential for more than minimal harm

17. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-02-27 · Health · corrected 2023-03-24

    Potential for more than minimal harm

18. DF0583Keep residents' personal and medical records private and confidential.2023-02-27 · Health · corrected 2023-03-13

    Potential for more than minimal harm

19. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-02-27 · Health · corrected 2023-03-13

    Potential for more than minimal harm

20. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-27 · Health · corrected 2023-03-24

    Immediate jeopardy

21. DF0688Provide 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.2023-02-27 · Health · corrected 2023-03-24

    Potential for more than minimal harm

22. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-02-27 · Health · corrected 2023-03-24

    Potential for more than minimal harm

Ownership

Other facilities in Baraboo

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.