Baldwin Healthcare & Rehab Center, LLC
Baldwin City, Douglas County, Kansas · CCN 175338 · For-profit (Corporation) · part of Recover-Care Healthcare (27 facilities, chain average 2.4 stars)
CMS rates Baldwin Healthcare & Rehab Center, LLC 5 of 5 overall as of August 2026. 60 certified beds, 53 residents a day on average. 20 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.43211 hours per resident per day |
|---|---|
| Registered nurses | 0.55642 hours per resident per day |
| Weekend total | 3.18589 hours per resident per day |
| Nursing staff turnover | 46.7% (registered nurses 37.5%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-15 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-08 |
| 2026-04-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-08 |
| 2026-04-15 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-04-15 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2026-05-08 |
| 2024-09-24 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-11 |
| 2024-06-12 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-12 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-12 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-12 complaint survey |
Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-12 complaint survey |
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 · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-12 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-12 complaint survey |
Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-12 complaint survey |
Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-12 complaint survey |
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 · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-12 complaint survey |
Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-06-28 |
| 2022-10-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-11-11 |
| 2022-10-05 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-11 |
| 2022-10-05 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-11 |
| 2022-10-05 | 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 · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-11 |
| 2022-10-05 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-11 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Baldwin City Snf Realty LLC Organization | adp of the snf | — | 2025-09-19 |
| Bhnv Property Holdings 2 LLC Organization | adp of the snf | — | 2025-02-28 |
| Bk 5 Hud Facilities LLC Organization | adp of the snf | — | 2025-09-19 |
| Kansas Snf Holdings LLC Organization | adp of the snf | — | 2025-02-28 |
| Mad Family Holdings LLC Organization | adp of the snf | — | 2025-02-28 |
| Mrc Snf Management LLC Organization | adp of the snf | — | 2025-01-30 |
| Natr Trust Organization | adp of the snf | — | 2025-02-28 |
| Rarmna Holdings LLC Organization | adp of the snf | — | 2025-02-28 |
| Ratr Trust Organization | adp of the snf | — | 2025-02-28 |
| Recover Care Healthcare Property 2 LLC Organization | adp of the snf | — | 2025-02-28 |
| Rnr Holdings LLC Organization | adp of the snf | — | 2025-02-28 |
| Wetr Trust Organization | adp of the snf | — | 2025-02-28 |
| Midwest Recover-Care LLC Organization | direct ownership interest | — | 2025-02-28 |
| Mrcmm LLC Organization | direct ownership interest | — | 2025-02-28 |
| Bhnv 2 LLC Organization | indirect ownership interest | — | 2025-02-28 |
| Kansas Snf Holdings LLC Organization | indirect ownership interest | — | 2025-02-28 |
| Mad Family Holdings LLC Organization | indirect ownership interest | — | 2025-02-28 |
| Natr Trust Organization | indirect ownership interest | — | 2025-02-28 |
| Rarmna Holdings LLC Organization | indirect ownership interest | — | 2025-02-28 |
| Ratr Trust Organization | indirect ownership interest | — | 2025-02-28 |
| Recover-Care Healthcare LLC Organization | indirect ownership interest | — | 2025-02-28 |
| Rnr Holdings LLC Organization | indirect ownership interest | — | 2025-02-28 |
| Wetr Trust Organization | indirect ownership interest | — | 2025-02-28 |
| Mrc Snf Management LLC Organization | operational/managerial control | — | 2017-04-01 |
| Akkulugari, Shyam Individual | adp of the snf | — | 2025-03-25 |
| Belveal, Megan Individual | adp of the snf | — | 2025-04-15 |
| Goldstein, Avrohom Individual | indirect ownership interest | — | 2025-02-28 |
| Margulies, Zisha Individual | indirect ownership interest | — | 2025-02-28 |
| Akkulugari, Shyam Individual | operational/managerial control | — | 2025-02-28 |
| Belveal, Megan Individual | operational/managerial control | — | 2022-12-07 |
| Edwards, Amanda Individual | operational/managerial control | — | 2025-02-28 |
| Margulies, Zisha Individual | operational/managerial control | — | 2025-02-28 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Baldwin Healthcare & Rehab Center, LLC.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Douglas County.