Complete Care At Jefferson Meadows LLC

Name: Complete Care At Jefferson Meadows LLC: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Baraboo, Sauk County, Wisconsin · CCN 525317 · For-profit (LLC) · part of Complete Care (85 facilities, chain average 3.1 stars)

CMS rates Complete Care At Jefferson Meadows LLC 3 of 5 overall as of August 2026. 102 certified beds, 50 residents a day on average. 23 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $54,326.

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	★★★☆☆ 3 of 5
Health inspections	★★☆☆☆ 2 of 5
Staffing	★★★☆☆ 3 of 5
Quality measures	★★★★★ 5 of 5
Quality: long-stay / short-stay	4 / 5 of 5

Staffing

Total nurse staffing	3.91674 hours per resident per day
Registered nurses	1.20005 hours per resident per day
Weekend total	3.40603 hours per resident per day
Nursing staff turnover	63.6% (registered nurses 55.6%)
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
2026-07-02 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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-07-15
2025-05-13	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-13	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 2025-06-10
2025-05-13	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 2025-06-10
2025-05-13	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-06-10
2025-05-13 complaint survey	Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-06-10
2025-05-13 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-13 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-13	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-13	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-13	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. Quality of Life and Care Deficiencies · tag F0693	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-13 complaint survey	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-13	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-13	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. Administration Deficiencies · tag F0849	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-13	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	C No actual harm, with potential for minimal harm; widespread	Deficient, Provider has date of correction 2025-06-10
2025-01-31 complaint survey	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. Quality of Life and Care Deficiencies · tag F0700	K Immediate jeopardy to resident health or safety; pattern	Deficient, Provider has date of correction 2025-02-21
2023-02-27	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2023-03-24
2023-02-27	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-03-13
2023-02-27	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-24
2023-02-27	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-24
2023-02-27	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-13
2023-02-27	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. Quality of Life and Care Deficiencies · tag F0688	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-03-24
2023-02-27	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 2023-03-24

Fines and payment denials

Date	Penalty	Amount
2025-05-13	Fine	$19,135
2025-01-31	Fine	$35,191

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
PC Wcm Opco Holdco LLC Organization	5% or greater direct ownership interest	100%	2025-02-28
PC Wcm Topco LLC Organization	5% or greater indirect ownership interest	—	2025-02-28
Peace Capital Holdings II LLC Organization	5% or greater indirect ownership interest	—	2025-02-28
Sms 2021 Trust Organization	5% or greater indirect ownership interest	—	2025-02-28
Des Capital LLC Organization	adp of the snf	—	2025-02-28
Jrk Investments LLC Organization	adp of the snf	—	2025-02-28
PC Wcm Propco Holdco LLC Organization	adp of the snf	—	2025-02-28
PC Wcm Topco LLC Organization	adp of the snf	—	2025-02-28
Peace Capital Holdings II LLC Organization	adp of the snf	—	2025-02-28
Sms 2021 Trust Organization	adp of the snf	—	2025-02-28
St. Clare Propco LLC Organization	adp of the snf	—	2025-02-28
Flygt, Thomas Individual	adp of the snf	—	2025-02-28
Greenwood, Emily Individual	adp of the snf	—	2025-02-28
Klugman, Jacob Individual	adp of the snf	—	2025-02-28
Leverentz, Luanne Individual	adp of the snf	—	2025-02-28
Pendleton, Julie Individual	adp of the snf	—	2025-02-28
Stein, Shalom Individual	adp of the snf	—	2025-02-28
Sternbuch, Daniel Individual	adp of the snf	—	2025-02-28
Stein, Shalom Individual	corporate officer	—	2025-02-28
Klugman, Jacob Individual	indirect ownership interest	—	2025-02-28
Stein, Shalom Individual	indirect ownership interest	—	2025-02-28
Hellman, Yosef Individual	managing control - governing body	—	2025-02-28
Stein, Shalom Individual	managing control - governing body	—	2025-02-28
Flygt, Thomas Individual	operational/managerial control	—	2025-02-28
Greenwood, Emily Individual	operational/managerial control	—	2025-02-28
Hellman, Yosef Individual	operational/managerial control	—	2025-02-28
Pendleton, Julie Individual	operational/managerial control	—	2025-02-28
Sternbuch, Daniel Individual	operational/managerial control	—	2025-02-28
Stein, Shalom Individual	trustee of the snf	—	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 Complete Care At Jefferson Meadows 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 Sauk County.