C77

BALDWIN HEALTHCARE & REHAB CENTER, LLC

Grade C 77/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

60

Ownership

For profit - Limited Liability company

Total Fines

$13,397

Last Survey

N/A

1223 ORCHARD LANE, BALDWIN CITY, KS 66006
7855946492

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.48h
LPN
0.47h
CNA
2.25h
Total
3.20h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

MIDWEST RECOVER-CARE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2017

100%

KANSAS SNF HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2023

MAD FAMILY HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2023

NATR TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2023

RARMNA HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2023

RATR TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2023

RECOVER-CARE HEALTHCARE LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2023

RNR HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2023

WETR TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2023

MARGULIES, ZISHA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2023

MARGULIES, ZISHA

IndividualCORPORATE OFFICERSince May 2023

MARGULIES, ZISHA

IndividualW-2 MANAGING EMPLOYEESince May 2023

Penalties & Fines (1)

$13,397total fines
DateTypeDescriptionAmount
Mar 14, 2023Fine$13,397

Health Inspection Deficiencies (22)

September 24, 2024Health1 deficiency
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Oct 11, 2024
June 12, 2024Health10 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jun 28, 2024
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jun 28, 2024
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Jun 28, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 28, 2024
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 28, 2024
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jun 28, 2024
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jun 28, 2024
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jun 28, 2024
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jun 28, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 28, 2024
March 14, 2023Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 9, 2023
October 5, 2022Health5 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Nov 11, 2022
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 11, 2022
0806DMinimal harm, Isolated

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected Nov 11, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 11, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 11, 2022
May 13, 2021Health5 deficiencies
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Jun 25, 2021
0625DMinimal harm, Isolated

Notify 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.

Resident Rights Deficiencies

Corrected Jun 25, 2021
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 25, 2021
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jun 25, 2021
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jun 25, 2021

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Frequently Asked Questions

What is the CareGrader rating for BALDWIN HEALTHCARE & REHAB CENTER, LLC?

BALDWIN HEALTHCARE & REHAB CENTER, LLC in BALDWIN CITY, Kansas has a CareGrader grade of C (Average), with a composite score of 77.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for BALDWIN HEALTHCARE & REHAB CENTER, LLC?

BALDWIN HEALTHCARE & REHAB CENTER, LLC has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does BALDWIN HEALTHCARE & REHAB CENTER, LLC have?

BALDWIN HEALTHCARE & REHAB CENTER, LLC has 22 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has BALDWIN HEALTHCARE & REHAB CENTER, LLC been fined?

Yes. BALDWIN HEALTHCARE & REHAB CENTER, LLC has $13,397 in total fines from CMS enforcement actions across 1 penalty.

How many beds does BALDWIN HEALTHCARE & REHAB CENTER, LLC have?

BALDWIN HEALTHCARE & REHAB CENTER, LLC has 60 certified beds with approximately 49 current residents (82% occupancy). The facility is located at 1223 ORCHARD LANE, BALDWIN CITY, Kansas 66006. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.