Baldwin Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 69.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 23 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.54 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 50 beds and averages 33.4 residents a day — about 67% occupied, or roughly 17 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.24 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.08 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.56 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.71 hrs/resident/day on weekends vs 4.45 on weekdays — 17% thinner on weekends. RN hours go from 1.19 to 0.83 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · Fcited before2025-12-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect all 30 residents residing in the facility. Dietary [NAME] G did not monitor that dishes were being washed with the minimum requirement of 120 degrees Fahrenheit for proper sanitization of dishes. Findings include:Surveyor reviewed facility policy titled, Dish Machine Temperature, dated revised on 04/2024, stated in part: .-9. If the temperature gauge on the machine malfunctions, staff will need to clean the dishes twice, once via 120 temperature water and dawn dish soap and then run the dishes through the dish machine. A recorded document will be provided next to the dishwasher, and the Dietary Manager will oversee making [NAME] it is completed and communicated to all staff until further notice.Surveyor reviewed facility policy titled, Dish Machine Operation, dated revised on 04/2024, stated in part: .-3. Wash temperature should…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-12-10 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain an effective pest control program so the facility is free of rodents with the potential to affect all 30 residents.Surveyor observed mouse droppings in the dry storage room located in the kitchen area.This is evidenced by:Surveyor reviewed facility policy titled, Pest Control, dated revised on 09/30/2024, which stated in part: .-Purpose: To reduce the potential of specific pest problems within the facility.Policy: Maintenance staff will monitor all parts of the building for prevention and elimination of any insects and/or rodents in a safe, efficient manner.Procedure: A specific pest control service plan will always be in place at facility. Services provided will include prevention and elimination of any insects and/or rodents in a safe, efficient manner. The Maintenance Department is responsible for maintaining a current contract with a pest control company.On 12/08/2025 at 8:47 AM, Surveyor entered kitchen and began tour. Dietary Manager F was in kitchen to walk Surveyor around. Surveyor walked into dry storage…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility did not ensure residents/representatives received notice before transfer or discharge, notice of bed-hold policy, and did not send a copy of the discharge notice to the Office of the State Long Term Care Ombudsman Notification for 2 of 2 residents (R7 and R39). R7 and/or representative were not provided/received notice of transfer to hospital, notice of bed-hold policy and facility did not notify Ombudsman of transfer.Facility did not notify Ombudsman of R39's discharge. The facility policy titled Notice of Bedhold Policies undated, states in part: If a Resident of [name of facility] is temporarily transferred to a hospital or another health care facility for emergency care .[Facility] will hold the resident's bed until the resident or residents representative waives the right to have the bed held for the resident.The facility policy titled Notice of Transfer/Discharge undated, states in part, This information is provided to a resident and/or resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-10 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility did not follow best standards of practice when administering medication for 1 resident (R26) of 25 residents reviewed for medication administrationR26's Gabapentin medication was removed from its original packaging from pharmacy, placed into a medication cup, stored in a locked cupboard to be administered 2 hours later to a resident, which has potential for a medication related adverse event to occur.Findings include:Wisconsin State Legislature, 132.65 Section 7(b) states in part: Additional requirements for unit dose systems.the individual medication shall remain in the identifiable unit dose package until directly administered to the resident.R26 was admitted to the facility on [DATE] and has a Brief Interview for Mental Status (BIMS) score of 3/15, meaning severe cognitive impairment. On 12/09/25 at 7:38 AM, during Surveyor observation of medication administration, Registered Nurse (RN) J prepared R26's morning medications to be given before…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-10 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview, the facility did not ensure procedures were in place to ensure medication with expired dates were removed/destroyed from 1 of 2 medication storage rooms.Four bottles of Aspirin were expired in 1 of 2 medication storage rooms.On 12/09/2025 at 1:40 PM, Surveyor observed the medication storage room on one unit with assist of Registered Nurse (RN) D and observed 4 bottles of Aspirin 325 mg that were expired: 2 unopened bottles that expired June 2025; 1 bottle open with approximately 1/2 of remaining tablets that expired June 2025; and 1 unopened bottle expired August of 2025. RN D stated there was a resident who was in the facility during June 2025, who the bottles of Aspirin were used for. This resident was no longer in the facility and no other resident since then required Aspirin 325mg. RN D stated RN D will destroy immediately. On 12/09/2025 at 1:46 PM, Surveyor interviewed Director of Nursing (DON) B regarding observation of 4 bottles of expired medication in storage room. DON B indicated was not aware of expired medications in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-10 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility did not maintain infection prevention to provide a safe, sanitary environment to help prevent the development and transmission of communicable diseases and infection for 2 residents (R32, R17) of 5 residents reviewed for infection prevention in a sample of 12.Facility did not:Perform hand hygiene between feeding multiple residents at same time which could result in possible infection transmission. Perform hand hygiene after touching contaminated surfaces and prior to feeding residents which could result in possible infection transmission by cross contamination.Offer hand hygiene to residents prior to meal being served.Perform hand hygiene during peri-area cares which could result in possible infection transmission.Findings include: Example 1 Facility policy titled Hand Hygiene Policy for dining room/feeding, revised 03/2023, states in part: Nursing Staff of [NAME] Care Center will perform adequate hand hygiene at all appropriate times to reduce the spread of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-08 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. The facility did not adequately clean light fixtures that were placed above serving areas. The facility did not ensure staff used proper hand hygiene when distributing food. This has the ability to affect all 39 of 39 residents residing in the facility. Findings include: The facility policy entitled, Use of Plastic Gloves, dated 05/05/21 states, 3. REMEMBER GLOVES ARE JUST LIKE HANDS. THEY GET SOILED. ANYTIME YOU TOUCH A CONTAMINATED SURFACE, THE GLOVES MUST BE CHANGED . f. anytime you tough a contaminated surface. g. During food preparations, as often as necessary to remove soil and contamination and prevent cross contamination when changing tasks. 4. Wash hands after removing gloves. The facility policy entitled, General Food Preparation and Handling, dated 05/05/21 states, Food items will be prepared to conserve maximum nutritive value, develop and enhance flavor and free of injurious organisms and substances.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-08 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility did not establish an Infection Control Program under which it investigates, controls, and prevents infections in the facility, and a system for recording incidents identified under the facility's Infection Control Program, including corrective action in a timely manner, for both residents and staff. This has the potential to affect all 39 residents in the facility. -The facility did not have a tracking program in place for the early detection of infected and exposed residents (R) and staff for COVID-19 and Norovirus during an outbreak. -Certified Nursing Assistant (CNA) did not perform hand hygiene during water pass that affected all residents. -Observations were made of the facility not implementing Enhanced Barrier Precautions (EBP) for 2 sampled residents on EBP. -CNAs were observed not wiping down Hoyer lifts after leaving an EBP room for R34 and R16. This is evidenced by: Example 1: Surveyor reviewed Infection Control (IC) surveillance logs and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-08 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview and record review the facility did not consult with the physician for changes in condition for R3. This occurred for 1 of 2 sampled residents (R) R3. R3 was admitted to the facility on [DATE] and has diagnoses that include heart failure, dementia, type 2 diabetes, major depressive disorder, hypertension and congestive heart failure. On 08/07/24 at 10:01 AM, Surveyor observed Licensed Practical Nurse (LPN) G complete a dressing change on R3's right leg. R3's leg was red and shiny in color; the wounds were weeping and open. R3 was complaining about the back of their calf hurting. After the bandages were applied, R3 and family member decided to go to urgent care to rule out a blood clot. R3 had doctor's orders that read, Weigh 2 times per week, Monday and Friday AM monitor weight call MD if goes up. On 7/01/24, R3 weighed 158.4 pounds. On 07/04/24, R3 weighed 168 pounds. On 7/23/24, R3 weighed 157.6 pounds. On 7/26/24, R3 weighed 164.2 pounds. On 08/02/24, R3 weighed 164.2 pounds.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-08 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure that 1 of 3 residents (R) reviewed for pressure injuries (PI) (R4) received care consistent with professional standards of practice to prevent and promote healing of existing PIs. R4 did not have comprehensive weekly assessments of R4's pressure injuries. Physician was not notified when PI had increased size or changes in drainage. R4's pressure relief for ankle was not observed. R4 was not repositioned as instructed on the PI care plan. This is evidenced by: Guidelines from the National Pressure Injury Advisory Panel (NPIAP) 2016, Pressure Injury Prevention Points, accessed 07, March 2024, Prevention Points | National Pressure Ulcer Advisory Panel (npiap.com), states in part: Turn and reposition all individuals at risk for pressure injury, turn the individual into a 30-degree side-lying position and use your hand to determine if the sacrum is off the bed, ensure that the heels are free from the bed, use heel offloading devices for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WI