Complete Care at Jefferson Meadows LLC
1414 Jefferson St. · Baraboo, WI · 53913 · 6083564838
102 certified beds For profit - Limited Liability company Chain: Complete Care
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$54,326 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.05 | 0.55–0.75 |
| Weekend hours / resident-day | 3.44 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 2 · $54,326 |
Inspection citations (22 in the current record)
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Actual harm · G May 13, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D May 13, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 13, 2025
Provide activities to meet all resident's needs.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D May 13, 2025
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.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · D May 13, 2025
Ensure that residents are free from significant medication errors.
Corrected June 10, 2025 · Pharmacy Service
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Potential for harm · E May 13, 2025
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.
Corrected June 10, 2025 · Pharmacy Service
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Potential for harm · F May 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 10, 2025 · Nutrition and Dietary
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Potential for harm · E May 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 13, 2025
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.
Corrected June 10, 2025 · Administration
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Potential for harm · D May 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 13, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 13, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected June 10, 2025 · Quality of Life and Care
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Potential for harm · E May 13, 2025 · found via complaint
Implement a program that monitors antibiotic use.
Corrected June 10, 2025 · Infection Control
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No harm found · C May 13, 2025
Provide and implement an infection prevention and control program.
Corrected June 10, 2025 · Infection Control
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Immediate jeopardy · K January 31, 2025 · found via complaint
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.
Corrected February 21, 2025 · Quality of Life and Care
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Immediate jeopardy · J February 27, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 24, 2023 · Quality of Life and Care
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Potential for harm · D February 27, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 24, 2023 · Resident Rights
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Potential for harm · D February 27, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 24, 2023 · Resident Rights
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Potential for harm · D February 27, 2023
Keep residents' personal and medical records private and confidential.
Corrected March 13, 2023 · Resident Rights
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Potential for harm · E February 27, 2023
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected March 13, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2023
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.
Corrected March 24, 2023 · Quality of Life and Care
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Potential for harm · D February 27, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 24, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 13, 2025 | Fine | $19,135 |
| January 31, 2025 | Fine | $35,191 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525317 · certified since February 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.